The mediating effects of adversity quotient and self‐efficacy on ICU nurses' organizational climate and work engagement

Journal of Nursing ManagementVolume 30, Issue 7 p. 3322-3329 ORIGINAL ARTICLE The mediating effects of adversity quotient and self-efficacy on ICU nurses' organizational climate and work engagement Hao Li MSN, RN, Hao Li MSN, RN Nurse orcid.org/0000-0001-6065-1604 Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, ChinaSearch for more papers by this authorYu-Lin Xu MSN, RN, Yu-Lin Xu MSN, RN Nurse Department of Cardiovascular Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaSearch for more papers by this authorMeng-Juan Jing MSN, RN, Meng-Juan Jing MSN, RN Head Nurse Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, ChinaSearch for more papers by this authorXiao-Jing Wei MSN, RN, Xiao-Jing Wei MSN, RN Head Nurse Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, ChinaSearch for more papers by this authorLi-Ming Li MSN, RN, Corresponding Author Li-Ming Li MSN, RN Professor syliliming868199@126.com Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, China Correspondence Li-Ming Li, MSN, RN, Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, No. 7 Weiwu Road, Zhengzhou, Henan, China. Email: syliliming868199@126.comSearch for more papers by this authorYun-Fei Guo MSN, RN, Yun-Fei Guo MSN, RN Nurse Department of Emergency Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, ChinaSearch for more papers by this author Hao Li MSN, RN, Hao Li MSN, RN Nurse orcid.org/0000-0001-6065-1604 Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, ChinaSearch for more papers by this authorYu-Lin Xu MSN, RN, Yu-Lin Xu MSN, RN Nurse Department of Cardiovascular Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaSearch for more papers by this authorMeng-Juan Jing MSN, RN, Meng-Juan Jing MSN, RN Head Nurse Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, ChinaSearch for more papers by this authorXiao-Jing Wei MSN, RN, Xiao-Jing Wei MSN, RN Head Nurse Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, ChinaSearch for more papers by this authorLi-Ming Li MSN, RN, Corresponding Author Li-Ming Li MSN, RN Professor syliliming868199@126.com Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, China Correspondence Li-Ming Li, MSN, RN, Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, No. 7 Weiwu Road, Zhengzhou, Henan, China. Email: syliliming868199@126.comSearch for more papers by this authorYun-Fei Guo MSN, RN, Yun-Fei Guo MSN, RN Nurse Department of Emergency Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, ChinaSearch for more papers by this author First published: 26 August 2022 https://doi.org/10.1111/jonm.13773 Funding information: This research project was supported by Health Commission of Henan Province (Grant Number: SBGJ202102006). Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Aim This study aimed to explore the mediating effects of adversity quotient and the moderating effect of self-efficacy on the relationship between the organizational climate and the work engagement of intensive care unit nurses. Background A good organizational climate can contribute to a high level of work engagement. Adversity quotient and self-efficacy are the key factors affecting nurses' work engagement, while the mechanism of these factors in the organizational climate and work engagement remains unclear. This study was conducted to contribute to the relevant field research. Methods The study used a cross-sectional research design and surveyed 323 intensive care unit nurses working in a public hospital in China. The data were analysed using descriptive statistical methods: Pearson correlation analysis and PROCESS macro Model 7 in the regression analysis. Results Organizational climate was positively correlated with work engagement and adversity quotient. The indirect effect of organizational climate on work engagement through adversity quotient was positive. Furthermore, self-efficacy moderated the relationship between the two factors. Conclusion Cultivating organizational climate and adversity quotients is an important strategy to improve the work engagement of intensive care unit nurses, particularly for nurses with high self-efficacy. Implications for Nursing Management Administrators should make efforts to create a good organizational climate and cultivate nurses' adversity quotients and self-efficacy to decrease their intent to leave. CONFLICT OF INTEREST The authors declare no conflict of interest. Open Research DATA AVAILABILITY STATEMENT Research data are not shared. Volume30, Issue7October 2022Pages 3322-3329 RelatedInformation