The role of gender, profession and informational role self-efficacy in physician–nurse knowledge sharing and decision-making

Abstract

While gender and professional status influence how decisions are made, the role played by health care professionals' informational role self-efficacy appears as a central construct fostering participation in decision-making. The goal of this study is to contribute to a better understanding of how gender and profession affect the role of self-efficacy in sharing expertise and decision-making. Validated questionnaires were answered by a cross-sectional sample of 108 physicians and nurses working in mental health care teams. A moderated mediation analysis was performed. Results reveal that the impact of sharing knowledge on informational role self-efficacy is negative for nurses. Being a nurse negatively affects the relation between informational role self-efficacy and participating in decision-making. Informational role self-efficacy is also a strong positive predictor of participation in decision-making for male physicians but less so for female physicians.

Transformational leadership improves nursing documentation self-efficacy

“…The more mature a person is in age, the more developed their thinking, the greater their ability to consider different perspectives, and the better their ability to solve problems when compared with adolescence. 16 However, the results of this study indicate that there's a relationship between gender and the self-efficacy of nurses regarding nursing documentation. Female nurses tend to have better social interactions and higher selfefficacy when compared with male nurses.…”

Effects of Inclusive Leadership on Quality of Care: The Mediating Role of Psychological Safety Climate and Perceived Workgroup Inclusion

“…Our study postulated the notion that a leader’s openness, availability, and accessibility during interactions enable members to develop a collective perception regarding the extent to which the leader is inclusive and values their perspectives, which, in turn, enables them to communicate and share knowledge freely by easily approaching the leader for discussion and consultation about the ongoing process of care. The study tested the proposed model in the context of healthcare, in which communication and information-sharing are largely impeded by the presence of status silos among professions, holding a particular significance in impacting patients and staff alike [ 28 , 77 ]. Furthermore, the present study measured the quality of care delivered by workgroups of healthcare professionals working in public-sector hospitals from the patients’ perspective, providing a first-hand account of the delivery of care.…”

“…This collective stance reduces the perception of subgroup categorization. These information-sharing behaviors exhibited by all professionals within a workgroup enable it to effectively identify and address all aspects of patient requirements and needs to, subsequently, bring accuracy in the diagnosis and treatment and reduce the risk of medical errors through the use of diverse expertise, which, ultimately, enhances the quality of care [ 11 , 28 , 30 , 53 , 54 ]. Keeping in view the above discussion, the following hypothesis is proposed:…”

“…Surprisingly, the impact of the psychological safety climate at the group level is somewhat an under-researched area [ 27 ], and is not linked with the quality of care. Recently, Durand et al suggested investigating the effects of a psychologically safe climate on individuals in the context of healthcare [ 28 ].…”

The relevance of nurses’ self-concept in the social exchange process: a serial mediation model

“…, 2014). For example, differential professional status compared with physicians and participation in decision-making (Durand et al. , 2022) can increase the need to perceive the support of their organizations.…”