{"title":"Correlations Between Leadership, Self-Efficacy, and Evidence-Based Practice Competency in Nursing in a Chinese Tertiary Hospital.","authors":"Jing Li, Ya-Qi Liu, Jia Song, Xu-Fang Huang, Mei-Fen Chen","doi":"10.2147/RMHP.S500221","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"999-1009"},"PeriodicalIF":2.7000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954390/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Risk Management and Healthcare Policy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/RMHP.S500221","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
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.
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.
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