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反思性实践在伤口造口失禁专科护士挑战性压力和创新行为间的中介效应

苗鑫 王俊霞 张瑞星 葛淑怡 马蕊 李佳奇

护理学报2025,Vol.32Issue(7):16-21,6.
护理学报2025,Vol.32Issue(7):16-21,6.DOI:10.16460/j.issn1008-9969.2025.07.016

反思性实践在伤口造口失禁专科护士挑战性压力和创新行为间的中介效应

Mediating effect of reflective practice between challenge stress and innovative behavior in wound ostomy incontinence specialist nurses

苗鑫 1王俊霞 2张瑞星 1葛淑怡 1马蕊 1李佳奇1

作者信息

  • 1. 郑州大学护理与健康学院,河南 郑州 450001
  • 2. 郑州大学附属第一医院 门诊部,河南 郑州 450052
  • 折叠

摘要

Abstract

Objective To explore the mediating effect of reflective practice between challenge stress and innovative behavior in wound ostomy incontinence specialist nurses.Methods Convenience sampling was used to select 215 wound ostomy incontinence specialist nurses from 9 tertiary grade-A hospitals in Henan Province between December 2023 and April 2024 and they were investigated by using the General Information Questionnaire,Reflective Practice Questionnaire,Challenge Stress Scale and Innovative Behavior Scale.Results The total score of reflective practice,challenge stress and innovative behavior for the nurses was 157.69±3.25,21.52±1.77,and 38.87±2.44,respectively.Challenge stress was positively correlated with both reflective practice(r=0.835,P<0.001)and innovative behavior(r=0.806,P<0.001).Reflective practice was also positively correlated with innovative behavior(r=0.739,P<0.001),and it played a partial mediating role between challenge stress and innovative behavior,with a mediation effect of 22.83%of the total.Conclusion Challenge stress among wound ostomy incontinence specialist nurses can directly or indirectly influence their innovative behavior through reflective practice.Recognizing challenging pressures,training plans for reflective practice,and cultivation of reflective practice ability of wound ostomy incontinence specialist nurses should be considered,thus to better understand and respond to the challenges in nursing and stimulate innovative behavior.

关键词

专科护士,伤口造口失禁/挑战性压力/反思性实践/创新行为/中介效应

Key words

specialist nurse,wound ostomy incontinence/challenge stress/reflective practice/innovative behavior/mediating effect

分类

临床医学

引用本文复制引用

苗鑫,王俊霞,张瑞星,葛淑怡,马蕊,李佳奇..反思性实践在伤口造口失禁专科护士挑战性压力和创新行为间的中介效应[J].护理学报,2025,32(7):16-21,6.

护理学报

1008-9969

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