BMC Nursing最新文献

Background: Nurses, as the leading providers of healthcare services and key practitioners of clinical innovation, play a crucial role in improving healthcare quality. High innovation performance among nurses enhances professional identity and work engagement and improves the quality of nursing services, ensures patient safety, and promotes the sustainable development of hospitals. However, there is limited evidence on how transformational leadership influences the innovation performance of nurses in tertiary hospitals. This study explores the mediating role of innovation self-efficacy between transformational leadership and innovation performance among nurses in tertiary hospitals in China.

Methods: This study is a cross-sectional study. Convenience sampling was used to survey 632 nurses from five tertiary hospitals in Sichuan Province, China, from January to March 2025. A general information questionnaire, innovation performance scale, transformational leadership scale, and innovation self-efficacy scale were used for the survey. Data analysis was conducted using SPSS 26.0 software for descriptive, univariate, correlation, and multiple hierarchical regression analyses. The mediation effect analysis used Model 4 in the Process v4.1 plugin.

Results: The mean score for nurses' innovation performance was (31.66 ± 3.60) points. Correlation analysis results showed that transformational leadership was positively correlated with innovation performance (r = 0.652, P < 0.01), transformational leadership was positively correlated with innovation self-efficacy (r = 0.717, P < 0.01), and innovation self-efficacy was positively correlated with innovation performance (r = 0.613, P < 0.01). The results of the mediation effect analysis showed that innovation self-efficacy mediated the relationship between transformational leadership and innovation performance, with an effect size of 0.131, accounting for 27.8% of the total effect.

Conclusion: Nurses' innovation performance is moderately high, and innovation self-efficacy mediates the relationship between transformational leadership and innovation performance. This suggests that nursing managers should incorporate transformational leadership principles into their practices to enhance nurses' innovation self-efficacy, thereby further improving innovation performance levels.

Clinical trial number: Not applicable.

Background: Nursing students frequently face workplace violence during clinical practice, which may affect their professional competence and ability to manage such situations. Although workplace violence in nursing education has been studied, the relationship between students' professional competence and their violence management competence remains insufficiently explored. Therefore, this study aimed to examine this relationship in clinical practice.

Methods: This descriptive-correlational study used a convenience sampling method and included 223 nursing students from a public university between January and May 2024. Data were collected using the Student Information Form, the Competency Inventory for Nursing Students, and the Management of Workplace Violence Competence Scale. Statistical analyses included descriptive statistics, Pearson correlation analysis, linear regression analysis, and group comparisons using ANOVA and independent t-tests.

Results: A moderate positive correlation was found between professional competence and violence management competence. The mean age of the students was 21.16 years; most were female (65%) and in their third or fourth year of study. Professional competence and violence management scores were slightly above the theoretical midpoints (M = 231.65, SD = 37.14; M = 98.23, SD = 13.48). Nearly half of the students (45.8%) reported exposure to workplace violence, most commonly verbal and psychological. Higher competence levels were descriptively observed based on self-reported self-confidence and problem-solving ability. Professional competence significantly predicted violence management competence (β = 0.388, R² = 0.154, p < 0.001).

Conclusions: Professional competence and violence management are interrelated. Self-confidence, problem-solving ability, motivation, and passion for nursing showed descriptive associations with both competence measures.