Influence of core competence on voice behavior of clinical nurses : A multicenter cross-sectional study

Journal article

Guo, Yu-fang, Wang, Xin-Xin, Plummer, Virginia, Cross, Wendy, Lam, Louisa Lok Yi and Wang, Shuang-Shuang. (2021). Influence of core competence on voice behavior of clinical nurses : A multicenter cross-sectional study. Psychology Research and Behavior Management. 14, pp. 501-510. https://doi.org/10.2147/PRBM.S309565
AuthorsGuo, Yu-fang, Wang, Xin-Xin, Plummer, Virginia, Cross, Wendy, Lam, Louisa Lok Yi and Wang, Shuang-Shuang
Abstract

Background: Voice behavior, referred to as a positive guarantee for organizational development, is influenced by several kinds of individual, collective and organizational features. However, the impact of individual competence on voice behavior is unclear. The aim of the present study was to investigate the status quo of core competence and voice behavior of clinical nurses and explore the impact of core competence on nurses’ voice behavior.

Methods: A multicenter cross-sectional survey. A total of 1717 nurses were recruited from nine tertiary and secondary hospitals between March and June 2019. An online questionnaire, including socio-demographic variables, employee voice behavior scale and competence inventory for registered nurses, was used to investigate prohibitive and promotive voice behavior and core competence of clinical nurses. Pearson correlation and hierarchical multiple regression were performed in the data analysis.

Results: The mean score for prohibitive and promotive voice behavior of nurses were 3.46 (SD 0.77) and 3.46 (SD 0.88), respectively. The mean score for core competence was 2.46 (SD 0.77). Critical thinking/research aptitude was the most important predictor for both prohibitive and promotive voice behavior (each p < 0.05), but its influence on promotive voice behavior was greater (p < 0.05). Leadership was another significant predictor for prohibitive voice behavior (p < 0.05). Legal/ethical practice, teaching-coaching, professional development and shift work were other predictors for promotive voice behavior (each p < 0.05).

Conclusion: Clinical nurses experience modest levels of prohibitive and promotive voice behavior and their core competence is moderate. Core competence, especially critical thinking/research aptitude, impacts significantly on voice behavior of clinical nurses. Cultivating nurses’ core competence could positively increase their voice behavior for organizational development.

Keywordsclinical site; core competence; cross-sectional survey; nurse; voice behavior
Year2021
JournalPsychology Research and Behavior Management
Journal citation14, pp. 501-510
PublisherDove Medical Press Ltd.
ISSN1179-1578
Digital Object Identifier (DOI)https://doi.org/10.2147/PRBM.S309565
PubMed ID33953622
Scopus EID2-s2.0-85106463241
PubMed Central IDPMC8092618
Open accessPublished as ‘gold’ (paid) open access
Page range501-510
FunderNational Natural Science Foundation of China (NSFC)
Natural Science Foundation of Shandong Province, China
Shandong University
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online29 Apr 2021
Publication process dates
Accepted14 Apr 2021
Deposited14 Aug 2023
Grant ID72004120
ZR2020QG058
2020GN096
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