School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
The First Affiliated Hospital, Nanjing Medical University, Human Resource Office, Nanjing, China.
Front Public Health. 2023 Feb 9;11:984847. doi: 10.3389/fpubh.2023.984847. eCollection 2023.
Promoting improvement in Infection Prevention and Control (IPC) is an important part of improving the quality of care. The influence of leadership attention and incentives on the self-perceived continuous improvement in IPC has drawn a lot of attention, but relevant academic research is still lacking. The objective of this study is to explore the effect of leadership attention on self-perceived continuous improvement in IPC among medical staff and its underlying mechanisms.
The 3,512 medical staff from 239 health facilities in Hubei, China, were surveyed online during September 2020. Data on leadership attention, incentives, and improvement in Infection Prevention and Control were collected using self-administered questionnaires. Correlation analysis was used to analyze the relationship between leadership attention, incentives, and improvement in Infection Prevention and Control. Amos 24.0 was used to analyze the mediating role.
The scores of leadership attention, incentives and self-perceived continuous improvement in Infection Prevention and Control were all high. The score of leadership attention was the highest (4.67 ± 0.59), followed by self-perceived continuous improvement (4.62 ± 0.59) and incentives in Infection Prevention and Control (4.12 ± 0.83). Leadership attention positively affected self-perceived continuous improvement in Infection Prevention and Control (β = 0.85, 95% CI = [0.83, 0.87]). Moreover, incentives partially mediated the effect of leadership attention on self-perceived continuous improvement in Infection Prevention and Control among medical staff (β = 0.13, 95% CI = [0.12, 0.15]).
Leadership attention positively affects self-perceived continuous improvement in Infection Prevention and Control among medical staff, and incentives mediates this relationship. The present study has valuable implications for self-perceived continuous improvement in Infection Prevention and Control from the perspective of leadership attention and incentives.
促进感染预防和控制（IPC）的改进是提高护理质量的重要组成部分。领导力关注和激励对IPC 自我感知持续改进的影响引起了广泛关注，但相关学术研究仍相对缺乏。本研究旨在探讨领导力关注对医务人员 IPC 自我感知持续改进的影响及其潜在机制。
本研究于 2020 年 9 月对中国湖北省 239 家卫生机构的 3512 名医务人员进行了在线调查。使用自填式问卷收集领导力关注、激励和 IPC 改进的数据。采用相关分析探讨领导力关注、激励与 IPC 改进之间的关系。采用 Amos 24.0 分析中介作用。
领导力关注、激励和 IPC 自我感知持续改进的得分均较高。领导力关注得分最高（4.67±0.59），其次是 IPC 自我感知持续改进（4.62±0.59）和激励（4.12±0.83）。领导力关注正向影响 IPC 自我感知持续改进（β=0.85，95%CI=[0.83，0.87]）。此外，激励在领导力关注对医务人员 IPC 自我感知持续改进的影响中起部分中介作用（β=0.13，95%CI=[0.12，0.15]）。
领导力关注正向影响医务人员 IPC 自我感知持续改进，激励在其中起中介作用。本研究从领导力关注和激励的角度对 IPC 自我感知持续改进具有重要意义。
