Mediating effect of health-promoting behaviors between nursing work environment and nurse-assessed quality nursing care

Abstract

Abstract: Objective To investigate the relationship between the nursing work environment and nurse-assessed quality nursing care and the mediating effect of health-promoting behaviors,so as to provide a reference for managers to formulate targeted measures to improve quality nursing care. Methods In January 2022,a total of 824 nurses from a grade-A tertiary hospital in Beijing and Xi'an were selected as the research objects by convenience sampling,respectively. The nurses' general information questionnaire,nursing work environment scale,health-promoting behaviors scale,and quality nursing care scale were used for the questionnaire investigation. The structural equation model was used to analyze the mediating effect of health-promoting behaviors between the nursing work environment and nurse-assessed quality nursing care. Results The score of the nursing work environment,health-promoting behaviors and nurse-assessed quality nursing care was （3.39±0.51）,（3.13±0.52） and （4.64±0.51） points,respectively. The nursing work environment,health-promoting behaviors,and nurse-assessed quality nursing care were positively correlated（r=0.426-0.642,all P<0.05）. The structural equation model showed that the nursing work environment had a direct positive predictive effect on nurse-assessed quality nursing care（β=0.507,P<0.05）,the health-promoting behaviors had a partial mediating effect on nurse-assessed quality nursing care（β=0.096,P<0.05）,and the mediating effect accounted for 15.9%. Conclusion The nursing managers should build a healthy nursing work environment conducive to the participation of nurses and promote the overall health-promoting behaviors of nurses,especially the participation in hospital affairs and physical activities so that nurses can better provide high-quality nursing services for patients.

Key words: Nursing work environment, Health-promoting behaviors, Quality nursing care, Structural equation model

CLC Number:

R181.3

ZHAO Liangliang, SHANG Lei, LUO Zhengxue. Mediating effect of health-promoting behaviors between nursing work environment and nurse-assessed quality nursing care. [J]OCCUPATION AND HEALTH, 2023, 39(23): 3250-3254.

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