School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Department of Nosocomial Infection, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Am J Infect Control. 2024 Mar;52(3):267-273. doi: 10.1016/j.ajic.2023.09.008. Epub 2023 Sep 22.
There is poor self-reported (SR) execution of infection prevention and control (IPC) among physicians and nurses. Self-leadership is considered an important factor to enhance IPC SR-execution. This study aims to explore the associations between self-leadership and IPC SR-execution among physicians and nurses.
A cross-sectional study of 26,252 physicians and nurses was conducted in all secondary and tertiary hospitals in Hubei province, China. A questionnaire was designed to measure physicians' and nurses' self-leadership, which includes positive traits and negative traits, and IPC SR-execution, which includes motivation, process, and outcome.
Positive traits and negative traits of self-leadership had significant positive associations with SR-execution motivation (β = .582, P < .001) (β = .026, P < .001), SR-execution process (β = .642, P < .001) (β = .017, P < .001), and SR-execution outcome (β = .675, P < .001) (β = .013, P < .001).
This study recommends that health care institutions should focus on cultivating positive traits of self-leadership among physicians and nurses. Although negative traits of self-leadership can also promote IPC SR-execution, the association is limited and may lead to risks.
医生和护士自我报告的感染预防和控制（IPC）执行情况较差。自我领导被认为是增强 IPC 自我执行的重要因素。本研究旨在探讨医生和护士的自我领导与 IPC 自我执行之间的关联。
对中国湖北省所有二级和三级医院的 26252 名医生和护士进行了横断面研究。设计了一份问卷，以测量医生和护士的自我领导，包括积极特质和消极特质，以及 IPC 自我执行，包括动机、过程和结果。
自我领导的积极特质和消极特质与自我执行动机（β=0.582，P<.001）（β=0.026，P<.001）、自我执行过程（β=0.642，P<.001）（β=0.017，P<.001）和自我执行结果（β=0.675，P<.001）（β=0.013，P<.001）呈显著正相关。
本研究建议医疗机构应注重培养医生和护士的自我领导积极特质。虽然自我领导的消极特质也可以促进 IPC 自我执行，但这种关联是有限的，可能会带来风险。
