Mi Yu, Xi Fan
Department of Orthopaedics, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
General Surgery Department, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Nurs Open. 2025 Apr;12(4):e70209. doi: 10.1002/nop2.70209.
This study aimed to explore the association of organisational support with health education competency and to examine the mediating role of self-efficacy among Chinese nurses.
A cross-sectional study.
The cross-sectional survey method was used in this study. Using a convenience sampling approach, 9182 nurses were recruited from 54 tertiary hospitals, 56 secondary hospitals, and 23 first-level hospitals in Anhui province, China, in 2023. The study used the Social-demographic Questionnaire, the Self-efficacy scale, the Organisational Support Perception Scale and the Health Education Competency Self-evaluation Scale for Nursing Staff to collect the data. Independent samples t-tests and one-way analysis of variance (ANOVA) were employed to assess the differences in health education competency. A Pearson correlation analysis was conducted to examine the relationship between the variables. The structural equation model (SEM) was employed, and the mediating effect between variables was assessed using the Bootstrap method.
Health education competency was significantly positively correlated with self-efficacy and organisational support (p < 0.001). Self-efficacy was significantly positively correlated with organisational support (p < 0.001). Organisational support has a direct positive predictive effect on health education competency. Self-efficacy is a mediating variable of organisational support and health education competency. The mediating effect is 0.336, accounting for 51.45% of the total effect.
The level of nurses' health education ability in China is medium and still needs to be improved. Self-efficacy can play a part of the mediating role between organisational support and health education competency. The intervention measures to improve health education competency should be focused on nurses' organisational support improvement.
本研究旨在探讨组织支持与健康教育能力之间的关联，并检验自我效能感在中国护士群体中的中介作用。
横断面研究。
本研究采用横断面调查方法。2023年，采用便利抽样法，从中国安徽省的54家三级医院、56家二级医院和23家一级医院招募了9182名护士。本研究使用社会人口学问卷、自我效能量表、组织支持感知量表和护理人员健康教育能力自评量表收集数据。采用独立样本t检验和单因素方差分析评估健康教育能力的差异。进行Pearson相关分析以检验变量之间的关系。采用结构方程模型，并使用Bootstrap方法评估变量之间的中介效应。
健康教育能力与自我效能感和组织支持显著正相关（p < 0.001）。自我效能感与组织支持显著正相关（p < 0.001）。组织支持对健康教育能力具有直接的正向预测作用。自我效能感是组织支持和健康教育能力之间的中介变量。中介效应为0.336，占总效应的51.45%。
中国护士的健康教育能力水平中等，仍有待提高。自我效能感在组织支持和健康教育能力之间可发挥部分中介作用。提高健康教育能力的干预措施应侧重于改善护士的组织支持。
