Path analysis of the impact of nurses' social support and general self-efficacy on narrative nursing knowledge, attitudes and practice
10.3760/cma.j.cn115682-20230225-00712
- VernacularTitle:护士社会支持、一般自我效能感对叙事护理知信行影响的路径分析
- Author:
Li ZHANG
1
;
Qiang HAN
;
Huiyun YANG
;
Lin NAN
Author Information
1. 西安交通大学第二附属医院肝胆外科，西安 710004
- Keywords:
Nurses;
Narrative nursing;
Knowledge, attitude and practice;
General self-efficacy;
Social support;
Path analysis
- From:
Chinese Journal of Modern Nursing
2023;29(27):3670-3675
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impact of nurses' social support and general self-efficacy on narrative nursing knowledge, attitudes, and practice, and their effect paths.Methods:This study was a cross-sectional survey. From October to December 2022, convenient sampling was used to select 343 nurses from three Class Ⅲ Grade A hospitals in Xi'an, Shaanxi Province as the research subject. Nurses were surveyed using the General Information Questionnaire, Knowledge-Attitude-Practice Survey of Clinical Nurses on Narrative Nursing, Social Support Rating Scale (SSRS) , and General Self-Efficacy Scale (GSES) . Pearson correlation analysis was used to explore the correlation between nurses' narrative nursing knowledge, attitudes and practice, social support, and general self-efficacy. Multiple linear regression analysis was used to analyze the influencing factors of nurses' narrative nursing knowledge, attitudes, and practice. The path analysis between social support, general self-efficacy, and narrative nursing knowledge, attitudes, and practice was conducted using the AMOS 22.0 software stepwise method and Bootstrap test. A total of 343 questionnaires were distributed, and 341 valid questionnaires were collected, with an effective response rate of 99.42%.Results:Among 341 nurses, the total score of Knowledge-Attitude-Practice Survey of Clinical Nurses on Narrative Nursing was (86.83±11.85) , the total score of SSRS was (40.15±7.62) , and the total score of GSES was (27.04±6.15) . The path analysis model showed that the three dimensions (objective support, subjective support, and support utilization) in SSRS had an impact on narrative nursing knowledge, attitudes, and practice, with effect value of 0.131, 0.052, and 0.316, respectively ( P<0.01) . Subjective support could indirectly affect narrative nursing knowledge, attitudes, and practice, while objective support could directly affect narrative nursing knowledge, attitudes, and practice. The support utilization could directly or indirectly affect narrative nursing knowledge, attitudes, and practice through the mediating effect of general self-efficacy. Conclusions:Nurses' social support has an impact on narrative nursing knowledge, attitudes, and practice through general self-efficacy. Managers and policy makers should enhance nurses' social support, enhance their general self-efficacy, increase the improvement of nurses' narrative nursing knowledge, attitudes and practice, and promote the implementation of humanistic care.
