Fu Xue, Xia Le, Chen Liping, Zhong Mei, Liu Yang, He Wenhao, Luo Baojia, Chen Linmin, Fan Yuying, Qin Huiying
Department of Nursing, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, 510060, PR China.
Department of Outpatient, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat- sen University Cancer Center, Guangzhou, 510060, PR China.
BMC Nurs. 2025 Jul 21;24(1):951. doi: 10.1186/s12912-025-03595-8.
This study explains the impact of organizational innovation climate on nurses' innovation behavior in a tertiary specialized oncology hospital, while examining the chain mediation roles of achievement motivation and creative self-efficacy.
In this online cross-sectional survey, 857 nurses from a tertiary specialized oncology hospital in Guangdong province, China were selected by convenience sampling method. SPSS Statistics v26.0 and AMOS v29.0 were used for data analysis. The reporting followed the STROBE checklist.
The nurses' innovation behavior was below the medium level. Organizational innovation climate was significantly positively related to nurses' innovation behavior, achievement motivation, and creative self-efficacy. Achievement motivation was positively correlated with both creative self-efficacy and nurses' innovation behavior. Creative self-efficacy was positively correlated with nurses' innovation behavior. Mediation analysis identified two pathways: creative self-efficacy independently mediated the relationship between organizational innovation climate and nurses' innovation behavior, while achievement motivation and creative self-efficacy served as a chain mediator between the organizational innovation climate and nurses' innovation behavior.
Our study highlights the critical role of organizational innovation climate in enhancing nurses' innovation behavior in specialized oncology hospitals. Specifically, it demonstrates that achievement motivation and creative self-efficacy play a chain mediation role between organizational innovation climate and nurses' innovation behavior. Healthcare administrators should prioritize constructing innovation-supportive climates, implement achievement motivation interventions, and strengthen creative self-efficacy development programs to systematically foster nurses' innovation capabilities in oncology settings.
本研究阐述了组织创新氛围对三级肿瘤专科医院护士创新行为的影响，同时考察了成就动机和创造性自我效能感的链式中介作用。
在本次在线横断面调查中，采用便利抽样法选取了中国广东省一家三级肿瘤专科医院的857名护士。使用SPSS Statistics v26.0和AMOS v29.0进行数据分析。报告遵循STROBE清单。
护士的创新行为处于中等水平以下。组织创新氛围与护士的创新行为、成就动机和创造性自我效能感显著正相关。成就动机与创造性自我效能感和护士的创新行为均呈正相关。创造性自我效能感与护士的创新行为呈正相关。中介分析确定了两条路径：创造性自我效能感独立中介了组织创新氛围与护士创新行为之间的关系，而成就动机和创造性自我效能感在组织创新氛围与护士创新行为之间起链式中介作用。
我们的研究突出了组织创新氛围在增强肿瘤专科医院护士创新行为方面的关键作用。具体而言，研究表明成就动机和创造性自我效能感在组织创新氛围与护士创新行为之间起链式中介作用。医疗保健管理人员应优先营造支持创新的氛围，实施成就动机干预措施，并加强创造性自我效能感培养项目，以系统地培养肿瘤环境中护士的创新能力。
