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

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.

Updating Factors Influencing Nurse Work Engagement in the Hospital Settings: A Systematic Review

“…Derived from 16 studies, the work environment variable includes 14 factors influencing work engagement ( Table 6 ). The positive work environment factors include the professional nursing practice environment, 38 healthy work environment, 36 supportive work environment, 53 , 70 collaboration climate, 62 “organizational climate”, 71 hospital spiritual climate, 72 and quality of work-life. 73 Notably, the “professional nursing practice environment” is mediated by self-efficacy and achievement motivation, 38 while a healthy work environment is influenced through mediation by psychological capital.…”

The relationship between inclusive leadership and work engagement in hospital employees.

“…On the other hand, it was determined that working in intensive care would negatively affect work engagement. Similarly, it has been determined that work engagement level of intensive care nurses was lower compared to other nurses (Li et al, 2022). Lowe (2012) has stated that a significant part of employees with high work engagement work in nonacute units (i.e., community health centers, continuing care, rehabilitation, and mental health facilities) compared to other employees, and employees in small hospitals have higher level of engagement compared to those in educational and community hospitals.…”

The Current Situation and Influencing Factors of Adversity Quotient of Medical Undergraduates

“…It is lower than the adversity quotient level of Thai college students [19]. It may be related to the different economic levels and cultural backgrounds of different countries [20][21]. It was higher than that of clinical nurses [22].…”