The Effect of Internal Entrepreneurship on Patient-Centered Care Competence in Nursing Services

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-05-26 DOI:10.1111/jep.70121

Mustafa Erdoğan, Harun Kirilmaz, Ali Arslanoğlu

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引用次数: 0

Abstract

Objective

This study aimed to determine the internal entrepreneurship levels and patient-centered care competencies of nurses and to examine the effect of internal entrepreneurship characteristics on nurses' patient-centered care competence.

Background

Internal entrepreneurship is defined as innovative activities within organizations. In the healthcare field, the transition from physician-centered care to patient-centered care has gained importance. It is thought that increasing nurses' internal entrepreneurship characteristics will positively contribute to improving the quality of patient-centered care practices.

Method

This descriptive and cross-sectional study was conducted between October and November 2019 in a university hospital in Turkey. The sample consisted of 580 nurses who voluntarily agreed to participate in the study. Data were collected using the Nurse Information Form, the Internal Entrepreneurship Scale, and the Patient-Centered Care Competence Scale. Data were analyzed using independent sample t-test, one-way analysis of variance (ANOVA), correlation analysis, and regression analysis.

Results

The study found that nurses had high levels of internal entrepreneurship and patient-centered care competence. There was a statistically significant and positive relationship between internal entrepreneurship and patient-centered care competence (r = 0.888, p < 0.001). Regression analysis showed that internal entrepreneurship had a significant effect on patient-centered care competence (R² = 0.789, p < 0.001). Among the sub-dimensions of internal entrepreneurship, risk-taking and proactivity were found to have the strongest impact on patient-centered care competence. In addition, socio-demographic characteristics such as age, marital status, education level, and years of experience caused significant differences in internal entrepreneurship and patient-centered care competence levels.

Conclusion

The study concluded that increasing nurses' internal entrepreneurship characteristics positively contributes to enhancing their competence in providing patient-centered care. It is recommended to support and develop nurses' internal entrepreneurship characteristics to improve the quality of patient-centered care practices.

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内部创业对护理服务中以患者为中心的护理能力的影响

目的了解护士的内部创业水平和以病人为中心的护理能力，探讨内部创业特征对护士以病人为中心的护理能力的影响。内部创业被定义为组织内部的创新活动。在医疗保健领域，从以医生为中心的护理到以患者为中心的护理的转变变得越来越重要。认为增加护士的内部创业特征将积极有助于提高以患者为中心的护理实践的质量。方法本描述性和横断面研究于2019年10月至11月在土耳其一所大学医院进行。样本包括580名自愿同意参加研究的护士。数据采用护士信息表、内部创业能力量表和以患者为中心的护理能力量表收集。数据分析采用独立样本t检验、单因素方差分析（ANOVA）、相关分析和回归分析。结果研究发现护士具有较高的内部创业精神和以患者为中心的护理能力。内部创业精神与以患者为中心的护理能力之间存在显著正相关（r = 0.888, p < 0.001）。回归分析显示，内部创业对以患者为中心的护理能力有显著影响（R²= 0.789,p < 0.001）。在内部创业的子维度中，风险承担和主动性对以患者为中心的护理能力的影响最大。此外，年龄、婚姻状况、受教育程度、工作年限等社会人口学特征在内部创业和以患者为中心的护理能力水平上也存在显著差异。结论提高护士的内部创业特征对提高护士以患者为中心的护理能力有积极的促进作用。建议支持和发展护士的内部创业特征，以提高以患者为中心的护理实践的质量。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.