Ching-Yuan Huang

Exploring the impact of mentoring functions on job satisfaction and organizational commitment of new staff nurses

BackgroundAlthough previous studies proved that the implementation of mentoring program is beneficial for enhancing the nursing skills and attitudes, few researchers devoted to exploring the impact of mentoring functions on job satisfaction and organizational commitment of new nurses. In this research we aimed at examining the effects of mentoring functions on the job satisfaction and organizational commitment of new nurses in Taiwans hospitals.MethodsWe employed self-administered questionnaires to collect research data and select new nurses from three regional hospitals as samples in Taiwan. In all, 306 nurse samples were obtained. We adopted a multiple regression analysis to test the impact of the mentoring functions.ResultsResults revealed that career development and role modeling functions have positive effects on the job satisfaction and organizational commitment of new nurses; however, the psychosocial support function was incapable of providing adequate explanation for these work outcomes.ConclusionIt is suggested in this study that nurse managers should improve the career development and role modeling functions of mentoring in order to enhance the job satisfaction and organizational commitment of new nurses.

Exploring the impact of transformational leadership on nurse innovation behaviour: a cross‐sectional study

AIM This study explored the influences of transformational leadership on nurse innovation behaviour and the mediating role of organisational climate. BACKGROUND Recently, global nursing experts have been aggressively encouraging nurses to pursue innovation in nursing in order to improve nursing outcomes. Nursing innovation, in turn, is affected by nursing leadership. METHOD We employed a questionnaire survey to collect data, and selected a sample of nurses from hospitals in Taiwan. A total of 439 valid surveys were obtained. Hierarchical multiple regression model analysis was conducted to test the study hypothesis. RESULT The mean values of agreement of nurse innovation behaviour and transformational leadership were 3.40 and 3.78, respectively. Patient safety climate and innovation climate were found to have full mediating effects on the relationship between transformational leadership and innovation behaviour. CONCLUSION Organisational climate has a significant impact on innovation behaviour. Transformational leadership has indirect effects on innovation behaviour via the mediation of patient safety climate and innovation climate. IMPLICATIONS FOR NURSING MANAGEMENT Hospitals should enhance transformational leadership by designing leadership training programmes and establishing transformational culture. In addition, nursing managers should foster nursing innovation through improvements in organisational climate.

The cross-level impact of patient safety climate on nursing innovation: a cross-sectional questionnaire survey

AIMS AND OBJECTIVES To explore the cross-level effects of the four dimensions of patient safety climate on nursing innovation. BACKGROUND Across the globe, nursing innovation is highly encouraged by nursing experts to improve nursing outcome. Nursing innovation, in turn, is affected by organisational climate, and a critical aspect of organisational climate is patient safety. DESIGN This is a cross-sectional study. METHODS We employed a questionnaire survey to collect data and selected nurses from Taiwan hospitals as samples. A total of 808 valid questionnaires in 172 teams of four hospitals were collected. Patient safety climate was aggregated by individual-level data; thus, we examined r(wg) , ICC 1 and ICC 2. Hierarchical linear modelling was used to analyse the data. RESULTS Of these three dimensions of nursing innovation, the level of knowledge creation was perceived by the nurses as the highest. In terms of patient safety climate, managerial practices regarding patient safety scored the highest, followed by patient safety procedures, patient safety information flow and patient safety priority. Only patient safety information flow yielded a significant positive influence on knowledge creation, innovation behaviour or innovation diffusion. CONCLUSION Hospital nurses do achieve better performance in knowledge creation. Patient safety information flow has positive and cross-level impact on nursing innovation; therefore, the method to increase safety information flow is the key focus of nursing innovation management. RELEVANCE TO CLINICAL PRACTICE Through the improvements made in patient safety climate, hospital managers could promote the development of nursing innovation. Patient safety information flow is positively associated with nursing innovation. Patient safety information could be integrated in nursing training in all levels. Rules and procedures regarding patient safety should be drafted in simple and clear terms. A procedure to review and revise the rules and procedures will also be helpful in improving patient safety information flow.

Exploring the cross-level impact of market orientation on nursing innovation in hospitals.

Background: Recently, many hospitals have been enthusiastically encouraging nurses to pursue nursing innovation to improve health care quality and increase nursing productivity by proposing innovative training methods, products, services, care skills, and care methods. Purposes: This study tried to explore the cross-level impact of market orientation on nursing innovation. Methodology: In our study, 3 to 7 nurses and 1 manager were selected from each nursing team to act as respondents. The questionnaire survey began after the managers of each nursing team and the nurses had been anonymously coded and paired up in Taiwan in 2009–2010. A total of 808 valid questionnaires were collected, including 172 valid teams. Hierarchical linear modeling was used for the analysis. Findings: Nursing innovation is the sum of knowledge creation, innovation behavior, and innovation diffusion displayed by the nurses during nursing care. The level of knowledge creation, as perceived by the nurses, was the highest, whereas the level of innovation diffusion was the lowest. Results of hierarchical linear modeling showed that only competitor orientation yielded a significant positive influence on knowledge creation, innovation behavior, or innovation diffusion. The values were 0.53, 0.49, and 0.61, respectively. Customer orientation and interfunctional coordination did not have significant effects on nursing innovation. Practice Implications: Hospital nurses exhibited better performance in knowledge creation than in innovation behavior and diffusion. Only competitor orientation had a significantly positive and cross-level influence on nursing innovation. However, competitor orientation was observed to be the lowest dimension of market orientation, which indicates that this factor should be the focus when improving nursing innovations in the future. Therefore, managers should continually understand the strategies, advantages, and methods of their competitors.

The Impact of Customer Knowledge Capability and Relational Capability on New Service Development Performance: The Case of Health Service

This study intends to explore the impact of the customer knowledge integration capability, customer knowledge absorptive capability, customer knowledge creation capability, and customer relationship capability on new service development (NSD) performance for Taiwans hospitals from customer knowledge and customer relationship perspectives. We employ the self-administered mail survey to collect research data and select self-pay medical service managers or top managers as key informants. After testing the fitness of sample representativeness, non-response error, common method variance, reliability, and validity, we adopt structure equation model to test the research model. Empirical results indicate the customer knowledge absorptive capability of a hospital is positively associated with NSD performance, and the customer knowledge integration capability of a hospital fully mediates the relationship between customer knowledge absorptive capability and NSD performance. However, customer relationship capability and customer knowledge absorptive capability both have positive influence on customer knowledge creation capability. Managerial and theoretical implications are discussed.

Exploring the antecedents and consequences of mentoring relationship effectiveness in the healthcare environment

The study focused on mentoring relationship effectiveness (RE) from the perspective of protege in the healthcare environment. The purpose tried to examine the effects of interpersonal attraction, self-efficacy and transformational leadership (TL) on RE respectively, to test mentoring function as a mediator, and to verify the effect of RE on protege work outcomes. Self-administered questionnaires were employed and 306 questionnaires from hospital nurses were collected in total. Structural equation model was used to test the research model. The results indicated that interpersonal attraction and TL do have positive effects on RE while self-efficacy was not; RE also showed a significant effect on job satisfaction and organizational commitment, which verified that the formal mentoring among nurses was good for improving relationship quality and relationship learning between mentors and proteges. Accordingly, to strengthen the antecedent variables would be helpful for mentoring RE, and also the proteges work outcomes.

Investigating the relationship among transformational leadership, interpersonal interaction and mentoring functions.

AIMS AND OBJECTIVES This study aims to ascertain the relationship between transformational leadership, interpersonal interaction and mentoring functions among new staff nurses. BACKGROUND Mentoring functions could improve the job performance of new nurses, provide them with support and thus reduce their turnover rate. DESIGN A cross-sectional study was employed. METHODS A questionnaire survey was carried out to collect data among a sample of new nurses from three hospitals in Taiwan. After gathering a total of 306 valid surveys, multiple regression analysis was applied to test the hypothesis. RESULTS Inspirational motivation, idealised influence and individualised consideration had positive correlations with the overall mentoring function, but intellectual stimulation showed a positive association only with career development function. Perceived similarity and interaction frequency also had positive correlations with mentoring functions. When the shift overlap rate exceeded 80%, mentoring function showed a negative result. CONCLUSION The transformational leadership of mentors would improve the mentoring functions among new staff nurses. Perceived similarity and interaction frequency between mentees and mentors also had positive correlations with mentoring functions. RELEVANCE TO CLINICAL PRACTICE It is crucial for hospitals to redesign their leadership training and motivation programmes to enhance the transformational leadership of mentors. Furthermore, nursing managers should promote interaction between new staff nurses and their mentors; however, the shift overlap rate should not be too high.

The impact of customer knowledge capability and relational capability on new product development performance in Taiwan's hospitals

New product development (NPD) has been the critical pathway to strengthening their competitive advantage for knowledge intensive organizations. This study intends to explore the impact of the customer knowledge integration capability (CKIC), customer knowledge absorptive capability (CKAC), customer knowledge creation capability (CKCC), and customer relationship capability (CRC) on NPD performance for hospitals from customer knowledge and customer relationship perspectives. Self-report questionnaires were sent out to 460 hospitals in Taiwan accredited as district hospitals and above. 185 valid questionnaires were returned in three months. After testing the fitness of sample representativeness, nonresponse error, common method variance, reliability, and validity, we adopt structure equation model to test the research model. Empirical results indicate the CKAC of a hospital is positively associated with NPD performance, and fully mediates the relationship between CKIC and NPD performance. However, CRC and CKAC both have positive influence on CKCC, but CKCC of a hospital does not produce a statistically significant impact on NPD performance. Customer knowledge capabilities are indeed important factors in NPD performance.

Developing and testing the patient-centred innovation questionnaire for hospital nurses

AIMS Develop the patient-centred innovation questionnaire for hospital nurses and establish its validity and reliability. BACKGROUND Patient-centred care has been adopted by health care managers in their efforts to improve health care quality. It is regarded as a core concept for developing innovation. METHODS A cross-sectional study was employed to collect data from hospital nurses in Taiwan. This study was divided into two stages: pilot study and main study. In the main study, 596 valid responses were collected. This study adopted reliability analysis, exploratory factor analysis, confirmatory factor analysis and selected nurse innovation scale as a criterion to test criterion-related validity. RESULTS Five-dimension patient-centred innovation questionnaire was proposed: access and practicability, co-ordination and communication, sharing power and responsibility, care continuity, family and person focus. Each dimension demonstrated a reliability of 0.89-0.98. All dimensions had acceptable convergent and discriminate validity. The patient-centred innovation questionnaire and nurse innovation scale exhibited a significantly positive correlation. CONCLUSIONS Patient-centred innovation questionnaire not only had a good theoretical basis but also had sufficient reliability and construct validity, and criterion-related validity. IMPLICATIONS FOR NURSING MANAGEMENT Patient-centred innovation questionnaire could give a measure for evaluating the implementation of patient-centred care and could be used as a management tool during the process of nurse innovation.

The impact of exploration and exploitation learning on organisational innovativeness among hospitals: an open innovation view

ABSTRACT This study tries to explore the impact of exploration and exploitation learning on organisational innovativeness among health service organisations from an open innovation view. We developed several constructs including realised absorptive capacity (RACAP), breadth and depth of external knowledge acquisition and tried to explore the roles of these constructs in the influence process of organisational learning on organisational innovativeness. The mail survey was used to collect research data from top hospital managers in Taiwan. The overall valid response rate was 44.23%. We applied a structural equation model to test the research hypothesis. Results indicated the breadth and depth of external knowledge acquisition would affect organisational innovativeness through RACAP. Exploration learning had a directly positive influence on RACAP and also had an indirect impact through the mediation of breadth and depth of external knowledge acquisition among health service organisations.