Hou Mengyuan, Wei Wanhong, Wang Siyu, Hu Jiaqi, Chen Yanhong
School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan Province, China.
Department of Hospital Management, School of Public Health, Zhengzhou University, Zhengzhou, Henan Province, China.
J Adv Nurs. 2024 Dec 30. doi: 10.1111/jan.16723.
This study aims to investigate the impact of challenge-hindrance stressors on novice nurses' safety behaviour, the mediating effect of regulatory focus, and the moderating effect of workplace spirituality.
The relationship between challenge-hindrance stressors and novice nurses' safety behaviour has rarely been investigated, despite the global concern for patient safety in healthcare systems. Previous research suggests that regulatory focus and workplace spirituality matter for nurse safety behaviour, but the relationship between them remains unclear.
An on-site cross-sectional survey. The STROBE guidelines were followed to report this study. Stratified sampling was used to recruit participants, and 471 novice nurses completed the Nurse Safety Behaviour Questionnaire, the Challenge-Hindrance Stressors Scale, the Regulatory Focus Scale, and the Workplace Spirituality Scale between January 2024 and May 2024. SPSS 24.0 and SPSS PROCESS 3.5 macros were used to test research hypotheses.
Challenge stressors positively affect novice nurses' safety behaviour, and promotion focus mediates this relationship. Hindrance stressors negatively affect novice nurses' safety behaviour, and prevention focus partially masks this relationship. Workplace spirituality positively moderates the relationship between challenge stressors and novice nurses' safety behaviour.
Challenge-hindrance stressors have a double-edged sword effect on novice nurses' safety behaviours. Regulatory focus and workplace spirituality play significant roles in the relationship between challenge-hindrance stressors and novice nurses' safety behaviour.
Managers should leverage challenge stressors to boost novice nurses' safety behaviours and enhance their intrinsic motivation through regulatory focus. Additionally, managers should highlight workplace spirituality's importance in coping with work stress. This approach can effectively improve safety behaviours and ensure patient safety.
Patients and the public were not involved in the design and implementation of this study. Clinical novice nurses completed a questionnaire for this study.
本研究旨在探讨挑战性-阻碍性压力源对新手护士安全行为的影响、调节焦点的中介作用以及工作场所精神性的调节作用。
尽管全球医疗系统都关注患者安全，但挑战性-阻碍性压力源与新手护士安全行为之间的关系鲜有研究。先前的研究表明调节焦点和工作场所精神性对护士安全行为很重要，但它们之间的关系仍不明确。
一项现场横断面调查。本研究遵循STROBE指南进行报告。采用分层抽样招募参与者，471名新手护士在2024年1月至2024年5月期间完成了护士安全行为问卷、挑战性-阻碍性压力源量表、调节焦点量表和工作场所精神性量表。使用SPSS 24.0和SPSS PROCESS 3.5宏程序来检验研究假设。
挑战性压力源对新手护士的安全行为有积极影响，促进焦点在这一关系中起中介作用。阻碍性压力源对新手护士的安全行为有消极影响，预防焦点部分掩盖了这一关系。工作场所精神性正向调节挑战性压力源与新手护士安全行为之间的关系。
挑战性-阻碍性压力源对新手护士的安全行为具有双刃剑效应。调节焦点和工作场所精神性在挑战性-阻碍性压力源与新手护士安全行为之间的关系中发挥着重要作用。
管理者应利用挑战性压力源来促进新手护士的安全行为，并通过调节焦点增强其内在动机。此外，管理者应强调工作场所精神性在应对工作压力方面的重要性。这种方法可以有效改善安全行为并确保患者安全。
患者和公众未参与本研究的设计和实施。临床新手护士为本研究完成了一份问卷。
