背景:在医疗保健的信息时代,护士经常面临信息过载,导致负面情绪,例如,焦虑可能会阻碍采用循证实践和临床决策过程。数字健康素养较高的护士可以有效地处理和管理信息。尽管如此,没有研究探索信息焦虑之间的关系,数字健康素养,护士的核心能力。因此,本研究旨在探讨数字化健康素养对护士信息焦虑和核心能力的中介作用。
方法:从2023年7月至10月,收集了该横断面研究的数据。该研究调查了福建省三家三级医院的608名护士,调查工具包括社会人口统计信息问卷,数字健康素养仪(CR-DHLI)的中文修订版,信息焦虑量表(IAS),和注册护士能力量表(CIRN)。采用SPSS29.0进行描述性统计和Pearson相关分析,利用Mplus检验数字健康素养的中介效应。
结果:护士信息焦虑的平均得分,数字健康素养,核心能力分别为3.03±0.91、2.46±0.56、2.72±0.88。信息焦虑对护士核心能力的中介模型显示出良好的模型拟合指数(χ²/df=2.207,CFI=0.985,TLI=0.982,RMSEA=0.045,SRMR=0.035)。数字健康素养与护士核心能力呈正相关,与信息焦虑呈负相关。路径分析结果显示,信息焦虑对NCC(β=-0.119,P=0.004)和DHL(β=-0.297,P<0.001)有显著的负向直接影响。DHL对NCC有积极影响(β=0.306,P<0.001)。数字健康素养起到了部分中介作用,信息焦虑与护士核心能力的关系占43.54%。
结论:护士的信息焦虑处于相对较高的水平,这对护士的核心能力产生了负面影响。这个问题需要护理管理者的关注。确立了数字化健康素养在护士信息焦虑与核心能力关系中的中介作用。护理管理者应加强对护士DHL的评价,制定有效的支持策略,从而提高信息时代护士的核心能力。
BACKGROUND: In the information age of health care, nurses often face information overload, leading to negative emotions, e.g., anxiety that may impede the adoption of evidence-based practice and clinical decision-making process. Nurses with higher digital health literacy can effectively process and manage information. Despite this, no research has explored the relationship between information anxiety, digital health literacy, and core competency among nurses. Therefore, this study aims to investigate the mediating effects of digital health literacy on information anxiety and core competency among nurses.
METHODS: From July to October 2023, the data for this cross-sectional study were collected. The study surveyed a total of 608 nurses from three tertiary hospitals in Fujian Province, and the survey instruments included a sociodemographic information questionnaire, Chinese revision version of the Digital Health Literacy Instrument (CR-DHLI), Information Anxiety Scale (IAS), and Competency Inventory for Registered Nurses (CIRN). Descriptive statistics and Pearson correlation analysis were conducted using SPSS 29.0, and the mediating effect of digital health literacy was examined using Mplus.
RESULTS: The mean score of nurses\' information anxiety, digital health literacy, and core competency was 3.03 ± 0.91, 2.46 ± 0.56, 2.72 ± 0.88, respectively. And the mediation model of information anxiety on core competency for nurses showed a good model fit index (χ²/df = 2.207, CFI = 0.985, TLI = 0.982, RMSEA = 0.045, SRMR = 0.035). Digital health literacy was positively correlated with nurses\' core competency but negatively correlated with information anxiety. The results of path analysis revealed that information anxiety had negative and significant direct effects on NCC (β = -0.119, P = 0.004) and DHL (β = -0.297, P < 0.001). DHL had a positive effect on NCC (β = 0.306, P < 0.001). Digital health literacy played a partial mediating role, accounting for 43.54% of the relationship between information anxiety and nurses\' core competency.
CONCLUSIONS: Information anxiety among nurses was at relatively high levels, which had a negative impact on the core competency of nurses. This issue requires attention from nursing managers. The mediating role of digital health literacy in the relationship between information anxiety and core competency among nurses has been established. Nursing managers should strengthen the evaluation of nurses\' DHL and devise effective support strategies to enhance DHL, thus improving the core competence of nurses in information age.