The mediating and moderating role of nursing information competence between nurses' creative self-efficacy and innovation behavior in a specialized oncology hospital.

Liu, Lu; Liu, Man; Lv, Zhuoheng; Ma, Feng yan; Mao, Yousheng; Liu, Yan

Objective: This study aims to examine the impact of nurses' nursing information competence on their creative self-efficacy and innovation behavior, and to investigate its role as a mediating factor between these two elements. Methods: A survey was conducted from July to September 2023 involving 1,200 nurses from two tertiary-level oncology specialty hospitals in Beijing, selected through convenience sampling. Instruments used included the Creative Self-Efficacy Scale, Nursing Information Competence Assessment Scale, and Nurses' Innovative Behavior Scale. Data analysis was conducted using SPSS 25.0 and R 4.1.2; AMOS26 was used to construct structural equation models and Bootstrap method was used to test the mediating hypotheses. Results: Out of the distributed questionnaires, 1,166 were valid, yielding an effective response rate of 97.16%. Pearson correlation analysis revealed significant correlations between innovation self-efficacy, nursing information competence, and nurses' innovative behaviors (P < 0.001). The Bootstrap method indicated that nursing information competence serves as a mediating factor in the relationship between creative self-efficacy and innovative behaviors, contributing to 24.5% of the observed effect. Additionally, regression analysis suggested that nursing information competence moderates the relationship between creative self-efficacy and innovation behavior. Conclusion: The findings suggest that nursing information competence not only mediates but also moderates the relationship between creative self-efficacy and innovative behavior. Enhancing nurses' information competence could therefore foster creative self-efficacy, leading to an increase in innovative behavior and, subsequently, improvements in the quality of oncology nursing care.

CHINA; NURSES; CROSS-sectional method; PEARSON correlation (Statistics); SELF-efficacy; MEDICAL quality control; OCCUPATIONAL roles; RESEARCH funding; STATISTICAL sampling; QUESTIONNAIRES; PEER relations; ONCOLOGY; TERTIARY care; DESCRIPTIVE statistics; STRUCTURAL equation modeling; NURSING; ONCOLOGY nursing; CREATIVE ability; NURSING databases; CLINICAL competence; MATHEMATICAL models; ANALYSIS of variance; COMPARATIVE studies; DATA analysis software; NURSING informatics; THEORY; FACTOR analysis; HOSPITAL wards; REGRESSION analysis

BMC Nursing, 2024, Vol 23, Issue 1, p1

1472-6955

Academic Journal

10.1186/s12912-024-02360-7