弥合差距：自我效能感在儿科护士工作量对核心能力影响中的中介作用

Bridging the gap: the mediating role of self-efficacy in the impact of workload on core competencies among pediatric nurses.

作者信息

Hendy Abdelaziz, Ibrahim Rasha Kadri, Abuelzahab Naglaa Hassan, Aboelmagd Amna Nagaty, Alharbi Hanan F, Abdullahi Nasiru Mohammed, Babkair Lisa, Alsalamah Yasir S, Abdallah Zainab Attia, Ali Waad Hasan, Almagharbeh Wesam Taher

机构信息

Pediatric Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt.

Nursing Department, Fatima College of Health Sciences, Al Dhafra Region, Baynunah Complex, Madinat Zayed, 50433, UAE.

出版信息

BMC Nurs. 2025 Jul 21;24(1):956. doi: 10.1186/s12912-025-03522-x.

DOI:10.1186/s12912-025-03522-x

PMID:40691541

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12282022/

Abstract

BACKGROUND

Pediatric nurses operate in high-stakes environments characterized by emotional, cognitive, and physical demands. Excessive workload can undermine nurses' ability to perform effectively, particularly when compounded by low self-efficacy. Core competencies such as clinical judgment, evidence-based practice, and communication are essential to pediatric nursing performance and are susceptible to the influence of psychological and environmental stressors.

AIM

This study aimed to examine the mediating role of self-efficacy in the relationship between workload and core competencies among pediatric nurses in Egyptian governmental hospitals.

METHODS

A descriptive cross-sectional study was conducted from November 2024 to February 2025 with 198 pediatric nurses recruited from PICUs, NICUs, and pediatric wards using convenience sampling. Data were collected via self-administered questionnaires including the NASA Task Load Index (workload), General Self-Efficacy Scale, and the Core Competence Scale for Paediatric Specialist Nurses. Structural Equation Modeling (SEM) was used to assess direct and indirect effects.

RESULTS

Nurses reported high workload (M = 63.79, SD = 10.21), low self-efficacy (M = 18.90, SD = 4.12), and low core competencies (M = 76.74, SD = 11.56). SEM results showed that workload negatively predicted self-efficacy (β = -0.285, p < 0.001), and self-efficacy positively predicted core competencies (β = 2.186, p < 0.001). Self-efficacy mediated the relationship between workload and core competencies, with a significant indirect effect (β = -0.624, p < 0.001).

CONCLUSION

Self-efficacy acts as a psychological buffer against the negative effects of workload on professional performance. Enhancing nurses' self-efficacy through targeted interventions may mitigate workload-related declines in core competencies and improve pediatric nursing care.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

儿科护士工作的环境风险高，对情感、认知和体力都有要求。工作量过大可能会削弱护士有效履行职责的能力，尤其是在自我效能感较低的情况下。临床判断、循证实践和沟通等核心能力对儿科护理工作至关重要，且易受心理和环境压力源的影响。

目的

本研究旨在探讨自我效能感在埃及政府医院儿科护士工作量与核心能力之间关系中的中介作用。

方法

2024年11月至2025年2月进行了一项描述性横断面研究，采用便利抽样法从儿科重症监护病房（PICU）、新生儿重症监护病房（NICU）和儿科病房招募了198名儿科护士。通过自填问卷收集数据，包括美国国家航空航天局任务负荷指数（工作量）、一般自我效能量表和儿科专科护士核心能力量表。采用结构方程模型（SEM）评估直接和间接效应。

结果

护士报告工作量高（M = 63.79，SD = 10.21）、自我效能感低（M = 18.90，SD = 4.12）和核心能力低（M = 76.74，SD = 11.56）。结构方程模型结果显示，工作量对自我效能感有负向预测作用（β = -0.285，p < 0.001），自我效能感对核心能力有正向预测作用（β = 2.186，p < 0.001）。自我效能感在工作量与核心能力之间起中介作用，间接效应显著（β = -0.624，p < 0.001）。