The influence of self-determined motivation on patient safety competency among nurses: The chain mediating effect of psychological contract and psychological capital

IF 3.6 2区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Nurse Education Today Pub Date : 2025-04-25 DOI:10.1016/j.nedt.2025.106758

Yuran Qiu , Yanli Yang , Juan Wang , Qing Wang , Sihua Zhao , Xiaotong Ding

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引用次数: 0

Abstract

Background

Self-determined motivation and patient safety competency are vital capabilities among registered nurses. Little research has been done on the relationships between nurses' self-determined motivation, psychological contract, psychological capital, and patient safety competency.

Aims

To examine the relationship among self-determined motivation, psychological capital, psychological contract, and patient safety competency of registered nurses in general hospitals.

Design

A descriptive, cross-sectional study design.

Settings

This study was conducted at three tertiary general hospitals in Lanzhou, northwest China.

Participants

A convenient sample of 589 registered nurses was recruited from November 2023 to February 2024.

Methods

Physician-tailored Work Extrinsic and Intrinsic Motivation Scale (P-WEIMS), Employee Psychological Contract Scale (E-PCS), Revised Psychological Capital Questionnaire (PCQ-R), and Patient Safety Competency Nurse Evaluation Scale (PSNCES) were used for data collection. Pearson correlation and multiple regression analysis were also employed. Analysis of Moment Structures (AMOS) version 28.0 software was used to construct structural equation models. This report followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist.

Results

Nurses' self-determined motivation, psychological contract, and psychological capital were positively correlated with patient safety competency. Psychological contract and psychological capital mediated the relationship between self-determined motivation and patient safety competency, accounting for 51 % and 24 % of the total effect. Furthermore, psychological contract and psychological capital played a chain mediation role between self-determined motivation and patient safety competency, accounting for 16 % of the total effect.

Conclusion

Self-determined motivation supports and enhances nurses' psychological contract and psychological capital, thereby increasing nurses' patient safety competency. Clinical nursing managers should establish supportive environments and optimize policies to enhance nurses' patient safety competencies, and nurses require education to improve their skills and self-assurance.

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自我决定动机对护士患者安全能力的影响：心理契约和心理资本的连锁中介效应

背景自主动机和患者安全能力是注册护士的重要能力。关于护士自我决定动机、心理契约、心理资本与患者安全能力之间关系的研究很少。目的探讨综合医院注册护士自我决定动机、心理资本、心理契约与患者安全能力的关系。设计：描述性、横断面研究设计。本研究在中国西北部兰州市的三所三级综合医院进行。研究人员于2023年11月至2024年2月招募了589名注册护士作为方便样本。方法采用医生定制工作外在和内在动机量表（P-WEIMS）、员工心理契约量表（E-PCS）、修订心理资本问卷（PCQ-R）和患者安全能力护士评价量表（PSNCES）进行数据收集。采用Pearson相关分析和多元回归分析。采用弯矩结构分析（AMOS） 28.0版软件构建结构方程模型。本报告遵循加强流行病学观察性研究报告（STROBE）核对表。结果护士的自我决定动机、心理契约、心理资本与患者安全能力呈正相关。心理契约和心理资本在自我决定动机与患者安全能力的关系中起中介作用，分别占总效应的51%和24%。此外，心理契约和心理资本在自我决定动机和患者安全能力之间起连锁中介作用，占总效应的16%。结论自我决定动机支持和增强了护士的心理契约和心理资本，从而提高了护士的患者安全能力。临床护理管理者应建立支持性环境和优化政策，以提高护士的患者安全能力，护士需要教育，以提高他们的技能和自信。

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

Nurse Education Today 医学-护理

CiteScore

6.90

自引率

12.80%

发文量

349

审稿时长

58 days

期刊介绍： Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.