Zhang Xin, Ren Jie, Tang Jing, Luo Hong-Mei, Zeng Ji-Hong
Department of Ophthalmology, West China Hospital,Sichuan University/West China School of Nursing, Sichuan University, No.37, Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, China.
BMC Nurs. 2024 Sep 7;23(1):627. doi: 10.1186/s12912-024-02306-z.
To investigate the current situation of innovative behavior and organizational structure authorization of ophthalmic specialty nurses in China, and analyze the influencing factors of innovative behavior.
A cross-sectional survey was carried out among 301 ophthalmic specialty nurses in China, representing Representing 82 hospitals in 25 provinces, using a general data questionnaire, Innovative Behavior Scale(IBS), and conditions of work effectiveness questionnaire(CWEQ-II).
The mean total score for innovative behavior among Chinese ophthalmic specialty nurses was (4.73 ± 1.14), and the mean total score for organizational structure authorization was (61.65 ± 14.69). The logistic regression analysis revealed that organizational structure authorization, hospital grade, and ophthalmic specialty nurses primarily engaged in clinical care and clinical research had statistically significant impacts on the level of innovative behavior (P < 0.05). The higher the organizational structure authorization score, the higher the innovative behavior level of ophthalmic specialty nurses, the level of innovation behavior of grade-B tertiary hospitals is higher than that of grade-A tertiary hospitals. The main positions are low level of innovative behavior in clinical care and high level of innovative behavior in clinical research.
The innovative behavior and organizational structure authorization of Chinese ophthalmic specialty nurses are at a medium level, the innovative behavior of ophthalmic specialty nurses is influenced by factors such as organizational structure empowerment level, hospital grade, and main job position. Nursing managers are advised to develop tailored training programs based on the influencing factors of innovative behavior among Chinese ophthalmic specialty nurses, in order to enhance their level of innovation and improve the quality of nursing services provided by Chinese ophthalmic specialty nurses.
调查我国眼科专科护士创新行为及组织结构授权现状，并分析创新行为的影响因素。
采用横断面调查方法，对来自我国25个省份82所医院的301名眼科专科护士进行调查，使用一般资料问卷、创新行为量表（IBS）和工作效能感问卷（CWEQ-II）。
我国眼科专科护士创新行为总均分（4.73±1.14），组织结构授权总均分（61.65±14.69）。Logistic回归分析显示，组织结构授权、医院等级、主要从事临床护理和临床研究的眼科专科护士对创新行为水平有统计学意义的影响（P<0.05）。组织结构授权得分越高，眼科专科护士创新行为水平越高，三级乙等医院创新行为水平高于三级甲等医院。主要岗位临床护理创新行为水平低，临床研究创新行为水平高。
我国眼科专科护士创新行为及组织结构授权处于中等水平，眼科专科护士创新行为受组织结构授权水平、医院等级、主要工作岗位等因素影响。建议护理管理者根据我国眼科专科护士创新行为的影响因素制定针对性培训方案，以提高其创新水平，提升我国眼科专科护士护理服务质量。
