探究护理质量水平及其预测因素，以及其与职场排斥和创新工作行为的相关性：工作场所及实际提升方法

Investigating the level and predictors of nursing care quality and its correlation with workplace ostracism and innovative work behavior: approach for workplace and practical enhancement.

作者信息

Ali Aziza Z, Alkubati Sameer A, Pasay-An Eddieson, Alreshidi Maha, Alrashidi Nojoud, Alabonassir Ohoud, Alshahrani Nouf, Elrefaey Samah R, Hamed Laila A

机构信息

Nursing Administration Department, Faculty of Nursing, University of Hail, Hail, Saudi Arabia.

Nursing Administration Department, Faculty of Nursing, Benha University, Benha, Egypt.

出版信息

BMC Nurs. 2025 May 15;24(1):541. doi: 10.1186/s12912-025-03200-y.

DOI:10.1186/s12912-025-03200-y

PMID:40375199

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12080122/

Abstract

BACKGROUND

The relationship between workplace ostracism and innovative work behavior is a relatively new area of research. How ostracism influences nurses' willingness to suggest new ideas or adopt innovative practices is not fully understood. Therefore, this study aimed to determine the level and predictors of quality of nursing care and evaluate its correlation with workplace ostracism and innovative work behavior.

METHODS

A cross-sectional correlational descriptive study involving 266 conveniently sampled nurses was conducted in three public hospitals in Hail City, Saudi Arabia. This study followed the STROBE Checklist. Data were collected using a questionnaire that included three tools: Workplace Ostracism Scale, Innovative Work Behavior Scale, and Quality of Nursing Care Scale. Pearson's correlation coefficient was used to determine the relationships between study variables. Furthermore, multiple linear regression analysis was conducted using innovative work behavior and gender as independent variables. Statistical significance was set at a p-value of < 0.05.

RESULTS

The ostracism level was high among the nurses (50.38%), half of them had a negative IWB (51.10%), and (41.40%) had a mild level of quality of care. Ostracism was negatively and significantly correlated with the quality of care (rs=-0.159, p = 0.009) and IWB (rs=-0.146, p = 0.017). Furthermore, IWB among nurses was positively correlated with the quality of care (rs = 0.376, p < 0.001). Multiple linear regression revealed that the IWB was considered a significant factor in the quality of care (B = 0.187) at p-value < 0.001.

CONCLUSION AND IMPLICATIONS FOR NURSING

This study found a negative relationship between workplace ostracism and innovative work behavior, which shows that nursing may seek innovation as a way of dealing with stressful exclusion circumstances. It was set up that the "idea sustainability" dimension of innovative work behavior is the most dominant predictor of the sustainability of nursing care's quality, which underlines the need to build on innovative ideas for improvement in nursing quality of care. To improve nurses' performance, health organizations must focus on strategies that block workplace ostracism and integrate innovative work behaviors in their nurses.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

职场排斥与创新工作行为之间的关系是一个相对较新的研究领域。排斥如何影响护士提出新想法或采用创新实践的意愿尚未完全明了。因此，本研究旨在确定护理质量的水平和预测因素，并评估其与职场排斥和创新工作行为的相关性。

方法

在沙特阿拉伯海勒市的三家公立医院对266名方便抽样的护士进行了一项横断面相关性描述性研究。本研究遵循STROBE清单。使用包含三种工具的问卷收集数据：职场排斥量表、创新工作行为量表和护理质量量表。采用Pearson相关系数来确定研究变量之间的关系。此外，以创新工作行为和性别作为自变量进行多元线性回归分析。统计学显著性设定为p值<0.05。

结果

护士中的排斥水平较高（50.38%），其中一半人的创新工作行为呈负面（51.10%），41.40%的人护理质量处于中等水平。排斥与护理质量（rs=-0.159，p=0.009）和创新工作行为（rs=-0.146，p=0.017）呈显著负相关。此外，护士的创新工作行为与护理质量呈正相关（rs=0.376，p<0.001）。多元线性回归显示，创新工作行为被认为是护理质量的一个重要因素（B=0.187），p值<0.001。

结论及对护理的启示

本研究发现职场排斥与创新工作行为之间存在负相关关系，这表明护理人员可能将创新作为应对压力性排斥情况的一种方式。研究表明，创新工作行为的“想法可持续性”维度是护理质量可持续性的最主要预测因素，这凸显了基于创新想法来提高护理质量的必要性。为了提高护士的绩效，卫生组织必须关注阻止职场排斥的策略，并将创新工作行为融入其护士队伍中。