Correlations Between Leadership, Self-Efficacy, and Evidence-Based Practice Competency in Nursing in a Chinese Tertiary Hospital.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S500221

Jing Li, Ya-Qi Liu, Jia Song, Xu-Fang Huang, Mei-Fen Chen

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Abstract

Objective: This study evaluates the interplay between nursing leadership, innovative self-efficacy, and evidence-based practice competencies, aiming to identify predictive factors for enhancing nursing performance in evidence-based care.

Methods: A convenience sampling strategy was employed to enlist 1104 clinical nurses from a tertiary A-level general hospital in Lishui city. Data collection involved the utilization of a general information survey, an implementation leadership scale, the Innovative Self-Efficacy Questionnaire (IS-EQ), and a simplified scale designed to assess evidence-based practice.

Results: The mean total scores observed were 37.34±9.77 for nursing supervisor implementation leadership, 29.04±5.39 for nurses' innovation self-efficacy, and 28.80±4.98 for evidence-based practice competency. Through correlation analysis, it was found that in the actual nursing work scenarios, when head nurses effectively exert their leadership and nurses have a relatively high level of innovative self-efficacy, the nurses' evidence-based practice ability will subsequently improve, and the two show a highly significant positive correlation (p < 0.01). The multiple stepwise regression analysis further reveals in depth that the leadership implemented by head nurses, nurses' innovative self-efficacy, as well as nurses' educational level and the degree of participation in academic conferences are all key factors for accurately predicting nurses' evidence-based practice ability. These factors work together and account for 52.8% of the variance in evidence-based practice ability (P < 0.05).

Conclusion: Strengthening the leadership training for head nurses, improving nurses' professional quality, and providing more academic exchange opportunities could effectively improve nurses' evidence-based practice ability to practically optimize the quality and professional level of nursing services.

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某三级医院护理人员领导力、自我效能感与循证实践能力的相关性研究

目的：本研究旨在评估护理领导、创新自我效能感和循证实践能力之间的相互作用，旨在找出循证护理中提高护理绩效的预测因素。方法：采用方便抽样的方法，对丽水市某三级甲等综合医院的1104名临床护士进行调查。数据收集包括利用一般信息调查、实施领导力量表、创新自我效能问卷（IS-EQ）和旨在评估循证实践的简化量表。结果：护理主管执行领导得分为37.34±9.77分，护士创新自我效能得分为29.04±5.39分，循证实践能力得分为28.80±4.98分。通过相关分析发现，在实际护理工作场景中，当护士长有效发挥领导作用，护士创新自我效能感水平较高时，护士循证实践能力随之提高，两者呈极显著正相关（p < 0.01）。多元逐步回归分析进一步深入揭示护士长的领导实施、护士的创新自我效能感、护士的受教育程度和参加学术会议的程度都是准确预测护士循证实践能力的关键因素。这些因素共同作用，占循证实践能力方差的52.8% （P < 0.05）。结论：加强护士长领导力培训，提高护士专业素质，提供更多学术交流机会，可有效提高护士循证实践能力，切实优化护理服务质量和专业水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.