护士长的管理创新及其与重症监护护士主动性行为和控制点的关系。
Nurse managers' managerial innovation and it's relation to proactivity behavior and locus of control among intensive care nurses.
作者信息
Elbus Loly Mohamed Shawky, Mostafa Mohamed Gamal, Mahmoud Fatma Zaghloul, Shaban Mostafa, Mahmoud Seham Aly
机构信息
Faculty of Nursing, Tanta University, Tanta, Egypt.
Faculty of Nursing, Cairo University, Cairo, Egypt.
出版信息
BMC Nurs. 2024 Jul 16;23(1):485. doi: 10.1186/s12912-024-02084-8.
BACKGROUND
The nursing profession is undergoing rapid transformation, requiring innovation in management approaches and proactive behaviors among staff. Nurse Managers play a vital role through managerial innovation, but its impacts on intensive care nurses' proactivity and locus of control remain underexplored.
OBJECTIVES
This study aimed to assess the levels of Nurse Managers' managerial innovation and relate it to proactivity behaviors and locus of control orientations among intensive care nurses.
METHODS
A cross-sectional correlational design was adopted, recruiting 242 intensive care nurses from Tanta University Hospital, Egypt. Participants completed standardized questionnaires measuring perceived managerial innovation, proactivity behavior, and locus of control.
RESULTS
Nurse Managers demonstrated moderately high innovation across all dimensions, especially in continuous learning and development (mean = 4.65) and advanced technology use (mean = 4.56). Nurses exhibited sound proactivity levels, particularly in adaptability (mean = 4.40) and planning (mean = 4.35). The majority of nurses showed an internal locus of control (64.5%). Managerial innovation had significant positive correlations with nurses' proactivity (r = 0.45, p < 0.001) and internal locus of control (r = 0.42, p < 0.001). Regression analysis revealed age, gender, experience, education, and ICU type as significant predictors of proactivity and locus of control.
CONCLUSION
Innovative nursing leadership positively influences staff's proactivity levels and perceived control over their practice. This underscores the vital role of nurse managers in creating empowering environments in intensive care.
背景
护理行业正在经历快速变革，这要求管理方法有所创新，且员工要有积极主动的行为。护士长通过管理创新发挥着至关重要的作用，但其对重症监护护士主动性和控制点的影响仍未得到充分探索。
目的
本研究旨在评估护士长的管理创新水平，并将其与重症监护护士的主动行为和控制点取向联系起来。
方法
采用横断面相关设计，从埃及坦塔大学医院招募了242名重症监护护士。参与者完成了测量感知到的管理创新、主动行为和控制点的标准化问卷。
结果
护士长在各个维度上都表现出中等偏高的创新水平，尤其是在持续学习与发展（均值 = 4.65）和先进技术应用（均值 = 4.56）方面。护士表现出良好的主动水平，特别是在适应性（均值 = 4.40）和规划（均值 = 4.35）方面。大多数护士表现出内控倾向（64.5%）。管理创新与护士的主动性（r = 0.45，p < 0.001）和内控倾向（r = 0.42，p < 0.001）呈显著正相关。回归分析显示，年龄、性别、经验、教育程度和重症监护病房类型是主动性和控制点的显著预测因素。
结论
创新型护理领导对员工的主动水平和对自身实践的感知控制有积极影响。这凸显了护士长在重症监护中营造赋能环境的关键作用。
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