The mediating effect of nurse professional identity between practice environment and safety behavior
10.3761/j.issn.0254-1769.2023.21.010
- VernacularTitle:护士职业认同在执业环境及安全行为间的中介效应研究
- Author:
Dan XIE
1
;
Jie CHEN
;
Yongting WEI
;
Yining ZHENG
Author Information
1. 100730 北京市 中国医学科学院北京协和医院眼科
- Keywords:
Nurse;
Safety Behavior;
Professional Identity;
Practice Environment;
Mediating Effect;
Nursing Administration Research
- From:
Chinese Journal of Nursing
2023;58(21):2630-2636
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the mediating effect of nurse professional identity between the practice environment and safety behavior,in order to provide references and bases for managers to formulate scientific,reasonable and standardized interventions for nurse safety behavior.Methods A total of 1381 nurses from 5 tertiary general hospitals in Beijing were adopted for investigation from May to June 2022 by convenience sampling method.They were investigated with general information questionnaire,Nurse Safety Behavior Questionnaire,Nursing Practice Environment Assessment Scale and Nurse Professional Identity Assessment Scale.The structural equation model was used to analyze the mediating effect of nurse professional identity between practice environment and safety behavior.Results Finally,1303 nurses participated in the survey.The total scores of nurse safety behavior scale,nursing practice environment assessment scale and nurse professional identity scale were 59.0(56.0,60.0)points,3 441.0(3 066.0,3 586.0)points,131.0(115.0,150.0)points,which were all above the medium level.Nurse safety behavior was significantly positively correlated with nurse professional identity and the nurse practicing environment assessment(r=0.516,0.421,P<0.01),and was significantly positively correlated with the scores of all dimensions(P<0.01).The practice environment and professional identity can directly and positively affect the level of nurse safety behavior.The mediating test shows that nurse professional identity plays a partial mediating effect between the practice environment and safety behavior,and the mediating effect is 0.184,accounting for 46.11%of the total effect.Conclusion In this study,nurse professional identity is a mediator between the practice environment and safety behavior.Nursing managers should pay attention to the cultivation of nurses'professional identity and optimize the working environment of clinical nurses,so as to improve nurse safety behavior and ensure the safety of patients.