Latent profile analysis of nurses' perception of high-performance work systems and differences in voice behavior
10.3760/cma.j.cn115682-20240821-04676
- VernacularTitle:护士感知高绩效工作系统的潜在剖面分析及建言行为比较
- Author:
Qinqin HU
1
;
Wei LIU
;
Susu ZHENG
;
Xianghua HOU
;
Xuechun ZHANG
;
Dongxu LIU
Author Information
1. 济宁医学院附属医院护理部,济宁 272000
- Publication Type:Journal Article
- Keywords:
Nurses;
High-performance work system;
Latent profile analysis;
Voice behavior
- From:
Chinese Journal of Modern Nursing
2025;31(5):657-663
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the latent categories of nurses' perception of high-performance work systems (HPWS) through latent profile analysis and analyze the differences in characteristics and influencing factors among different categories.Methods:A convenience sampling method was used to select 3 450 clinical nurses from ClassⅡ、Ⅲ hospitals in 12 regions of China between June and July 2024. General information questionnaires, the Perceived High-Performance Work System Scale, and the Nurse Voice Behavior Scale were used for data collection. Latent profile analysis was conducted to analyze nurses' perception of HPWS, and multi-class logistic regression was used to examine the influencing factors for different categories.Results:A total of 3 450 questionnaires were collected, with 3 385 valid responses, yielding an effective response rate of 98.12%. Nurses' perception of HPWS had an average score of (70.46±12.21), which could be divided into three latent categories: low perception (17%, 559/3 385), moderate perception (42%, 1 433/3 385), and high perception (41%, 1 393/3 385). The multi-class logistic regression analysis showed that job nature, title, position, years of service, monthly income, health impact on work, work duration, and monthly night shifts were significant factors influencing nurses' perception of HPWS ( P<0.05) . Conclusions:There is heterogeneity in the nurses' perception of HPWS. Nursing managers should focus on nurses with low perception of HPWS and provide interventions and support based on the characteristics and influencing factors of each category to improve nurses' voice behaviors.