Background <p>Humanistic nursing competence constitutes not only the core competency of nurses but also their professional integrity and service ethos. This study aimed to investigate the mediating role of positive self-belief in the relationship between nurses’ work stress and humanistic nursing competence.</p> Methods <p>This cross-sectional study employed convenience sampling to recruit 542 clinical nurses from hospitals of varying tiers across 10 cities in Anhui Province. The participants were assessed via the Nurse Work Stress Scale, the Oxford Positive Self-Belief Scale, and the Healthcare Professional Humanization Scale for Nursing. Following model construction, path analysis was conducted via AMOS 26.0 software.</p> Results <p>The humanistic nursing competence score for clinical nurses was 69.83 ± 11.47. Correlation analysis revealed that clinical nurses’ work stress was moderately negatively correlated with humanistic nursing competence (<i>r</i> = -0.426, <i>P</i> &lt; 0.001), while positive self-belief was strongly positively correlated with humanistic nursing competence (<i>r</i> = 0.629, <i>P</i> &lt; 0.001). Additionally, work stress was moderately negatively correlated with positive self-belief (<i>r</i> = -0.460, <i>P</i> &lt; 0.001). A mediational effect analysis revealed that the total effect of work stress on clinical nurses’ humanistic nursing competence was − 0.155, with a direct impact of -0.041 accounting for 26.67% of the total effect. Positive self-belief partially mediated the relationship between clinical nurses’ work stress and humanistic nursing competence, with a mediating effect of -0.113, accounting for 73.33% of the total effect.</p> Conclusions <p>The humanistic nursing competence of clinical nurses in Anhui Province is moderately weak. Work pressure not only directly impacts humanistic nursing competence but also indirectly influences it through positive self-beliefs. Nursing administrators should implement evidence-based, multidimensional intervention strategies. These include conducting structured positive self-belief group training, optimizing nurse staffing allocation, incorporating humanized care capabilities into the core quality evaluation system, and incorporating positive psychology curricula into nursing education. This systematic approach will enhance nurses’ humanistic care capabilities.</p> Clinical trial number <p>Not applicable.</p>

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The mediating effect of positive self-belief on the relationship between work stress and humanistic nursing competence among Chinese nurses: a cross-sectional study

  • Lu Sun,
  • Huixia Cui,
  • Qingyun Li,
  • Wenlong Tang,
  • Qianya Zhang,
  • Rong Mao,
  • Na Xu

摘要

Background

Humanistic nursing competence constitutes not only the core competency of nurses but also their professional integrity and service ethos. This study aimed to investigate the mediating role of positive self-belief in the relationship between nurses’ work stress and humanistic nursing competence.

Methods

This cross-sectional study employed convenience sampling to recruit 542 clinical nurses from hospitals of varying tiers across 10 cities in Anhui Province. The participants were assessed via the Nurse Work Stress Scale, the Oxford Positive Self-Belief Scale, and the Healthcare Professional Humanization Scale for Nursing. Following model construction, path analysis was conducted via AMOS 26.0 software.

Results

The humanistic nursing competence score for clinical nurses was 69.83 ± 11.47. Correlation analysis revealed that clinical nurses’ work stress was moderately negatively correlated with humanistic nursing competence (r = -0.426, P < 0.001), while positive self-belief was strongly positively correlated with humanistic nursing competence (r = 0.629, P < 0.001). Additionally, work stress was moderately negatively correlated with positive self-belief (r = -0.460, P < 0.001). A mediational effect analysis revealed that the total effect of work stress on clinical nurses’ humanistic nursing competence was − 0.155, with a direct impact of -0.041 accounting for 26.67% of the total effect. Positive self-belief partially mediated the relationship between clinical nurses’ work stress and humanistic nursing competence, with a mediating effect of -0.113, accounting for 73.33% of the total effect.

Conclusions

The humanistic nursing competence of clinical nurses in Anhui Province is moderately weak. Work pressure not only directly impacts humanistic nursing competence but also indirectly influences it through positive self-beliefs. Nursing administrators should implement evidence-based, multidimensional intervention strategies. These include conducting structured positive self-belief group training, optimizing nurse staffing allocation, incorporating humanized care capabilities into the core quality evaluation system, and incorporating positive psychology curricula into nursing education. This systematic approach will enhance nurses’ humanistic care capabilities.

Clinical trial number

Not applicable.