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Published in: BMC Health Services Research 1/2020

01-12-2020 | Care | Research article

Paediatric nurses’ general self-efficacy, perceived organizational support and perceived professional benefits from Class A tertiary hospitals in Jilin province of China: the mediating effect of nursing practice environment

Authors: Linan Cheng, Yajuan Cui, Qian Chen, Yansheng Ye, Yingchun Liu, Fengying Zhang, Weiyan Zeng, Xiuying Hu

Published in: BMC Health Services Research | Issue 1/2020

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Abstract

Background

General self-efficacy is considered one of the most influential parameters affecting the quality of clinical practice and nurses’ perceived professional benefits (NPPB). Perceived organizational support (POS) is regarded as being central in understanding job-related attitudes, and it is important to enhance POS for nurses to maintain their current employment. NPPB can further reduce nurses’ job burnout and turn-over intention. Many studies have explored the relationships among general self-efficacy, POS, nursing practice environment (NPE) and NPPB. However, a moderating effect of NPE has not been fully explored in nurses, especially among paediatric nurses.

Methods

A descriptive cross-sectional study was conducted from July to October 2018 with 300 paediatric nurses from 3 Class A tertiary hospitals in Jilin Province. The respondents completed the General Self-Efficacy Scale, Perceived Organizational Support Scale, Practice Environment Scale and Nurses’ Perceived Professional Benefits Scale. The data were analyzed using path analysis and SPSS (version 23.0, IBM).

Results

General self-efficacy and POS were significantly positively associated with NPPB, which showed that the model had a good fit to the data. NPE was found to play a partial mediating role between POS and NPPB and also had a complete mediating role between general self-efficacy and NPPB.

Conclusions

The results suggest that general self-efficacy indirectly influences NPPB, and POS directly and indirectly influences NPPB by NPE. Effective measures should be taken to improve nurses’ practice environment in hospitals to raise nurses’ enthusiasm and confidence in their work.
Literature
1.
go back to reference Zhou W, Yu Y, Qian Z. Challenges of breastfeeding in China under its universal two-child policy. J Matern Fetal Neonatal Med. 2019;32(16):2780–1.PubMedCrossRef Zhou W, Yu Y, Qian Z. Challenges of breastfeeding in China under its universal two-child policy. J Matern Fetal Neonatal Med. 2019;32(16):2780–1.PubMedCrossRef
2.
go back to reference Kellogg MB, Knight M, Dowling JS, Crawford SL. Secondary traumatic stress in pediatric nurses. J Pediatr Nurs. 2018;43:97–103.PubMedCrossRef Kellogg MB, Knight M, Dowling JS, Crawford SL. Secondary traumatic stress in pediatric nurses. J Pediatr Nurs. 2018;43:97–103.PubMedCrossRef
3.
go back to reference Cassidy C, Maceachern L, Egar J, et al. Barriers and enablers to implementing a high-dependency care model in pediatric care. J Nurs Care Qual. 2019;34(4):370–5.PubMedCrossRef Cassidy C, Maceachern L, Egar J, et al. Barriers and enablers to implementing a high-dependency care model in pediatric care. J Nurs Care Qual. 2019;34(4):370–5.PubMedCrossRef
4.
go back to reference Berger J, Polivka B, Smooth EA, Owens H. compassion fatigue in pediatric nurses. J Pediatr Nurs. 2015;30(6):11–7.CrossRef Berger J, Polivka B, Smooth EA, Owens H. compassion fatigue in pediatric nurses. J Pediatr Nurs. 2015;30(6):11–7.CrossRef
5.
go back to reference Chen ZH, Lin JR, Sun SY. Epidemiological analysis of workplace violence in pediatric. Mod Prev Med. 2011;38(10):1810–1. Chen ZH, Lin JR, Sun SY. Epidemiological analysis of workplace violence in pediatric. Mod Prev Med. 2011;38(10):1810–1.
6.
go back to reference Zhou HZ, Zhu YF, Zhang XM, et al. Psychological capital and perceived professional benefits: testing the mediating role of perceived nursing work environment among Chinese nurses. J Psychosoc Nurs Ment Health Serv. 2018;56(4):38–47.PubMedCrossRef Zhou HZ, Zhu YF, Zhang XM, et al. Psychological capital and perceived professional benefits: testing the mediating role of perceived nursing work environment among Chinese nurses. J Psychosoc Nurs Ment Health Serv. 2018;56(4):38–47.PubMedCrossRef
7.
go back to reference Diener ED, Eunkook M, Lucas RE, Heidi L. Subjective well-being: three decades of progress. Psychol Bull. 1999;125(2):276–302.CrossRef Diener ED, Eunkook M, Lucas RE, Heidi L. Subjective well-being: three decades of progress. Psychol Bull. 1999;125(2):276–302.CrossRef
8.
go back to reference Ma HW, Dan X, Xu SH, et al. Current status of nurses’ perceived professional benefits and influencing factors in 3A-level hospitals in Tianjin. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2017;35(6):443–7.PubMed Ma HW, Dan X, Xu SH, et al. Current status of nurses’ perceived professional benefits and influencing factors in 3A-level hospitals in Tianjin. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2017;35(6):443–7.PubMed
9.
go back to reference Nejati A, Rodiek S, Shepley M. The implications of high-quality staff break areas for nurses’ health, performance, job satisfaction and retention. J Nurs Manag. 2016;24(4):512–23.PubMedCrossRef Nejati A, Rodiek S, Shepley M. The implications of high-quality staff break areas for nurses’ health, performance, job satisfaction and retention. J Nurs Manag. 2016;24(4):512–23.PubMedCrossRef
10.
go back to reference Lu H, Zhao Y, While A. Job satisfaction among hospital nurses: a literature review. Int J Nur Stud. 2019;94:21–31.CrossRef Lu H, Zhao Y, While A. Job satisfaction among hospital nurses: a literature review. Int J Nur Stud. 2019;94:21–31.CrossRef
11.
go back to reference Stajkovic AD, Bandura A, Locke EA, Lee D, Sergent K. Test of three conceptual models of influence of the big five personality traits and self-efficacy on academic performance: a meta-analysis path-analysis. Pers Individ Differ. 2018;120:238–45.CrossRef Stajkovic AD, Bandura A, Locke EA, Lee D, Sergent K. Test of three conceptual models of influence of the big five personality traits and self-efficacy on academic performance: a meta-analysis path-analysis. Pers Individ Differ. 2018;120:238–45.CrossRef
12.
go back to reference Ammentorp J, Sabroe S, Kofoed PE, Mainz J. The effect of training in communication skills on medical doctors’ and nurses’ self-efficacy: a randomized controlled trial. Patient Educ Couns. 2007;66(3):270–7.PubMedCrossRef Ammentorp J, Sabroe S, Kofoed PE, Mainz J. The effect of training in communication skills on medical doctors’ and nurses’ self-efficacy: a randomized controlled trial. Patient Educ Couns. 2007;66(3):270–7.PubMedCrossRef
13.
go back to reference Chang AK, Park J, Sok SR. Relationships among self-efficacy, depression, life satisfaction, and adaptation among older korean adults residing in for-profit professional nursing facilities. J Nurs Res. 2013;21(3):162–9.PubMedCrossRef Chang AK, Park J, Sok SR. Relationships among self-efficacy, depression, life satisfaction, and adaptation among older korean adults residing in for-profit professional nursing facilities. J Nurs Res. 2013;21(3):162–9.PubMedCrossRef
14.
go back to reference Alavi A, Zargham-Boroujeni A, Yousefy A, et al. Altruism, the values dimension of caring self-efficacy concept in Iranian pediatric nurses. J Educ Health Promot. 2017;6:8.PubMedPubMedCentralCrossRef Alavi A, Zargham-Boroujeni A, Yousefy A, et al. Altruism, the values dimension of caring self-efficacy concept in Iranian pediatric nurses. J Educ Health Promot. 2017;6:8.PubMedPubMedCentralCrossRef
15.
go back to reference Roelen CAM, van Hoffen MFA, Waage S, et al. Psychosocial work environment and mental health-related long-term sickness absence among nurses. Int Arch Occup Environ Health. 2018;91(2):195–203.PubMedCrossRef Roelen CAM, van Hoffen MFA, Waage S, et al. Psychosocial work environment and mental health-related long-term sickness absence among nurses. Int Arch Occup Environ Health. 2018;91(2):195–203.PubMedCrossRef
16.
go back to reference Pike T, O'Donnell V. The impact of clinical simulation on learner self-efficacy in pre-registration nursing education. Nurse Educ Today. 2010;3(5):405–10.CrossRef Pike T, O'Donnell V. The impact of clinical simulation on learner self-efficacy in pre-registration nursing education. Nurse Educ Today. 2010;3(5):405–10.CrossRef
17.
go back to reference McConville SA, Lane AM. Using on-line video clips to enhance self-efficacy toward dealing with difficult situations among nursing students. Nurse Educ Today. 2006;26:200–8.PubMedCrossRef McConville SA, Lane AM. Using on-line video clips to enhance self-efficacy toward dealing with difficult situations among nursing students. Nurse Educ Today. 2006;26:200–8.PubMedCrossRef
18.
go back to reference Nelson-Brantley HV, Park SH, Bergquist-Beringer S. Characteristics of the nursing practice environment associated with lower unit-level RN turnover. J Nurs Adm. 2018;48(1):31–7.PubMedCrossRef Nelson-Brantley HV, Park SH, Bergquist-Beringer S. Characteristics of the nursing practice environment associated with lower unit-level RN turnover. J Nurs Adm. 2018;48(1):31–7.PubMedCrossRef
19.
go back to reference Laschinger HKS, Nosko A, Wilk P, Finegan J. Effects of unit empowerment on perceived support for professional nursing practice on unit effectiveness and individual nurse well-being: a time-lagged study. Int J Nurs Stud. 2014;51(12):1615–23.CrossRef Laschinger HKS, Nosko A, Wilk P, Finegan J. Effects of unit empowerment on perceived support for professional nursing practice on unit effectiveness and individual nurse well-being: a time-lagged study. Int J Nurs Stud. 2014;51(12):1615–23.CrossRef
20.
go back to reference Chen ZX, Eisenberger R, Johnson KM, Sucharski IL, Aselage J. Perceived organizational support and extra-role performance: which leads to which? J Soc Psychol. 2009;149(1):119–24.PubMedCrossRef Chen ZX, Eisenberger R, Johnson KM, Sucharski IL, Aselage J. Perceived organizational support and extra-role performance: which leads to which? J Soc Psychol. 2009;149(1):119–24.PubMedCrossRef
21.
go back to reference Aselage J, Eisenberger R. Perceived organizational support and psychological contracts: a theoretical integration. J Organ Behav. 2003;24:491–509.CrossRef Aselage J, Eisenberger R. Perceived organizational support and psychological contracts: a theoretical integration. J Organ Behav. 2003;24:491–509.CrossRef
22.
go back to reference Eisenberger R, Aselage J, Sucharski IL, Jones JR. Perceived organizational support, the employment relationship: examining psychological and contextual perspectives. New York: Oxford University Press; 2004. p. 206–25. Eisenberger R, Aselage J, Sucharski IL, Jones JR. Perceived organizational support, the employment relationship: examining psychological and contextual perspectives. New York: Oxford University Press; 2004. p. 206–25.
23.
go back to reference Gillet N, Fouquereau E, Huyghebaert T, Colombat P. Effects of perceived organizational support and job characteristics on job anxiety and burnout: the mediating role of psychological need satisfaction. Psychologie Francaise. 2016;61(2):73–81.CrossRef Gillet N, Fouquereau E, Huyghebaert T, Colombat P. Effects of perceived organizational support and job characteristics on job anxiety and burnout: the mediating role of psychological need satisfaction. Psychologie Francaise. 2016;61(2):73–81.CrossRef
24.
go back to reference Zuo HM, Yang H, Liu QC. Investigation into perceived organizational support and needs of organizational support of nurses. Mod Clin Nurs. 2012;11(1):7–10. Zuo HM, Yang H, Liu QC. Investigation into perceived organizational support and needs of organizational support of nurses. Mod Clin Nurs. 2012;11(1):7–10.
25.
go back to reference Bobbio A, Bellan M, Manganell AM. Empowering leadership, perceived organizational support, trust and job burnout for nurses: a study in an Italian general hospital. Health Care Manag Rev. 2012;37(1):77–87.CrossRef Bobbio A, Bellan M, Manganell AM. Empowering leadership, perceived organizational support, trust and job burnout for nurses: a study in an Italian general hospital. Health Care Manag Rev. 2012;37(1):77–87.CrossRef
26.
go back to reference Wand DH, Yue JH, Wu WS, et al. Relationship between perceived organizational support and perceived professional benefits of nurses in grade 2 hospital. J Nurs. 2017;32(8):69–71. Wand DH, Yue JH, Wu WS, et al. Relationship between perceived organizational support and perceived professional benefits of nurses in grade 2 hospital. J Nurs. 2017;32(8):69–71.
27.
go back to reference Yuan BB. A research on the relationship among nurses’ perceived professional benefits, perceived organizational support and work engagement. Master Dissertation. Henan: Henan University; 2016. Yuan BB. A research on the relationship among nurses’ perceived professional benefits, perceived organizational support and work engagement. Master Dissertation. Henan: Henan University; 2016.
28.
go back to reference Kang SY, Um YR, Han SS. A professional nursing practice environment and its impact on nurses’ task motivation. Taehan Kanho Hakhoe Chi. 2005;35(2):353–61.PubMed Kang SY, Um YR, Han SS. A professional nursing practice environment and its impact on nurses’ task motivation. Taehan Kanho Hakhoe Chi. 2005;35(2):353–61.PubMed
29.
go back to reference Sodeify R, Vanaki Z, Mohammadi E. Nurses’ experiences of perceived support and their contributing factors: a qualitative content analysis. Iran J Nurs Midwifery Res. 2013;18(3):191–7.PubMedPubMedCentral Sodeify R, Vanaki Z, Mohammadi E. Nurses’ experiences of perceived support and their contributing factors: a qualitative content analysis. Iran J Nurs Midwifery Res. 2013;18(3):191–7.PubMedPubMedCentral
30.
go back to reference Kim SJ, Kim HY, Park YA, Kim SH, Yoo SY, Lee JE, et al. Factors influencing fatigue among mothers with hospitalized children: a structural equation model. J Spec Pediatr Nurs. 2017;22(1):1–9.CrossRef Kim SJ, Kim HY, Park YA, Kim SH, Yoo SY, Lee JE, et al. Factors influencing fatigue among mothers with hospitalized children: a structural equation model. J Spec Pediatr Nurs. 2017;22(1):1–9.CrossRef
31.
go back to reference Park YR, Park EY, Kim JH. Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control model. BMC Health Serv Res. 2017;17(1):7–10.CrossRef Park YR, Park EY, Kim JH. Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control model. BMC Health Serv Res. 2017;17(1):7–10.CrossRef
32.
go back to reference Lei P, Wu Q. Introduction to structural equation modeling: issues and practical considerations. Educ Meas Issues Pract. 2007;26:33–43.CrossRef Lei P, Wu Q. Introduction to structural equation modeling: issues and practical considerations. Educ Meas Issues Pract. 2007;26:33–43.CrossRef
33.
go back to reference Schwarzer R, Bäßler J, Kwiatek P, Schröder K, Zhang JX. The assessment of optimistic self-beliefs: comparison of the German, Spanish, and Chinese versions of the general self-efficacy scale. Appl Psychol. 1997;46(1):69–88.CrossRef Schwarzer R, Bäßler J, Kwiatek P, Schröder K, Zhang JX. The assessment of optimistic self-beliefs: comparison of the German, Spanish, and Chinese versions of the general self-efficacy scale. Appl Psychol. 1997;46(1):69–88.CrossRef
34.
go back to reference Wang CK, Hu ZF, Liu Y. A study on reliability and validity of general self-efficacy scale. Chin J Appl Psychol. 2001;7(1):37–40. Wang CK, Hu ZF, Liu Y. A study on reliability and validity of general self-efficacy scale. Chin J Appl Psychol. 2001;7(1):37–40.
35.
go back to reference Mary S, Mary W. Organizational infrastructure to support development of newly graduated nurses. J Nurses Staff Dev. 2006;22(6):286–93.CrossRef Mary S, Mary W. Organizational infrastructure to support development of newly graduated nurses. J Nurses Staff Dev. 2006;22(6):286–93.CrossRef
36.
go back to reference Chen ZX. Chinese knowledge-worker perceived organizational support and its influence on their job performance and turnover intention. Master Dissertation. Wuhan: Huazhong University of Science & Technology; 2006. Chen ZX. Chinese knowledge-worker perceived organizational support and its influence on their job performance and turnover intention. Master Dissertation. Wuhan: Huazhong University of Science & Technology; 2006.
37.
go back to reference Lake ET. Development of practice environment scale of the nursing work index. Res Nurs Health. 2002;25(3):176–88.PubMedCrossRef Lake ET. Development of practice environment scale of the nursing work index. Res Nurs Health. 2002;25(3):176–88.PubMedCrossRef
38.
go back to reference Wang L, Li LZ. Reliability and validity of Chinese version of the practice environment scale. Chin J Nurs. 2011;46(2):121–3. Wang L, Li LZ. Reliability and validity of Chinese version of the practice environment scale. Chin J Nurs. 2011;46(2):121–3.
39.
go back to reference Ye Y, Ma D, Yuan H, et al. Moderating effects of forgiveness on relationship between empathy and health-related quality of life in hemodialysis patients: a structural equation modeling approach. J Pain Symptom Manag. 2019;57(2):224–32.CrossRef Ye Y, Ma D, Yuan H, et al. Moderating effects of forgiveness on relationship between empathy and health-related quality of life in hemodialysis patients: a structural equation modeling approach. J Pain Symptom Manag. 2019;57(2):224–32.CrossRef
40.
go back to reference Schreiber JB. Update to core reporting practices in structural equation modeling. Res Social Adm Pharm. 2017;13(3):634–43.PubMedCrossRef Schreiber JB. Update to core reporting practices in structural equation modeling. Res Social Adm Pharm. 2017;13(3):634–43.PubMedCrossRef
41.
go back to reference Mehrabi Z, Nazari F, Mehrabi T, et al. The effect of emotional intelligence training on self-efficacy in women with multiple sclerosis. Iran J Nurs Midwifery Res. 2017;22(6):421–6.PubMedPubMedCentralCrossRef Mehrabi Z, Nazari F, Mehrabi T, et al. The effect of emotional intelligence training on self-efficacy in women with multiple sclerosis. Iran J Nurs Midwifery Res. 2017;22(6):421–6.PubMedPubMedCentralCrossRef
42.
go back to reference Shang J, You L, Ma C, et al. Nurse employment contracts in Chinese hospitals: impact of inequitable benefit structures on nurse and patient satisfaction. Hum Resour Health. 2014;12:1.PubMedPubMedCentralCrossRef Shang J, You L, Ma C, et al. Nurse employment contracts in Chinese hospitals: impact of inequitable benefit structures on nurse and patient satisfaction. Hum Resour Health. 2014;12:1.PubMedPubMedCentralCrossRef
43.
go back to reference Li J, Bonn MA, Ye BH. Hotel employee’s artificial intelligence and robotics awareness and its impact on turnover intention: the moderating role of perceived organizational support and competitive psychological climate. Tourism Manage. 2019;73:172–81.CrossRef Li J, Bonn MA, Ye BH. Hotel employee’s artificial intelligence and robotics awareness and its impact on turnover intention: the moderating role of perceived organizational support and competitive psychological climate. Tourism Manage. 2019;73:172–81.CrossRef
44.
go back to reference Akgunduz Y, Alkan C, Gok OA. Perceived organizational support, employee creativity and proactive personality: the mediating effect of meaning of work. J Hospitality Tourism Manage. 2018;34:105–14.CrossRef Akgunduz Y, Alkan C, Gok OA. Perceived organizational support, employee creativity and proactive personality: the mediating effect of meaning of work. J Hospitality Tourism Manage. 2018;34:105–14.CrossRef
45.
go back to reference Aiken LH, Sloane DM, Bruyneel L, et al. Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. Int J Nurs Stud. 2013;50(2):143–53.PubMedCrossRef Aiken LH, Sloane DM, Bruyneel L, et al. Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. Int J Nurs Stud. 2013;50(2):143–53.PubMedCrossRef
46.
go back to reference Coetzee SK, Klopper HC, Ellis SM, Aiken LH. A tale of two systems-nurses practice environment, well being, perceived quality of care and patient safety in private and public hospitals in South Africa: a questionnaire survey. Int J Nurs Stud. 2013;50(2):162–73.PubMedCrossRef Coetzee SK, Klopper HC, Ellis SM, Aiken LH. A tale of two systems-nurses practice environment, well being, perceived quality of care and patient safety in private and public hospitals in South Africa: a questionnaire survey. Int J Nurs Stud. 2013;50(2):162–73.PubMedCrossRef
47.
go back to reference Kramer M, Schmalenberg C, Maguire P. Nine structures and leadership practices essential for a magnetic (healthy) work environment. Nurs Adm Q. 2010;34(1):4–17.PubMedCrossRef Kramer M, Schmalenberg C, Maguire P. Nine structures and leadership practices essential for a magnetic (healthy) work environment. Nurs Adm Q. 2010;34(1):4–17.PubMedCrossRef
48.
go back to reference Laschinger HKS, Almost J, Tuer-Hodes D. Workplace empowerment and magnet hospital characteristics-making the link. J Nurs Adm. 2003;33(7–8):410–22.PubMedCrossRef Laschinger HKS, Almost J, Tuer-Hodes D. Workplace empowerment and magnet hospital characteristics-making the link. J Nurs Adm. 2003;33(7–8):410–22.PubMedCrossRef
49.
go back to reference Kluska KM, Laschinger HKS, Kerr MS. Staff nurse empowerment and effort-reward imbalance. Nurs Leadersh. 2004;17(1):112–28.CrossRef Kluska KM, Laschinger HKS, Kerr MS. Staff nurse empowerment and effort-reward imbalance. Nurs Leadersh. 2004;17(1):112–28.CrossRef
50.
go back to reference Zhang TY. Research on the current situation and correlation of perceived professional benefits and self-efficacy of nursing students. Master Dissertation. Shandong: Shandong University; 2018. Zhang TY. Research on the current situation and correlation of perceived professional benefits and self-efficacy of nursing students. Master Dissertation. Shandong: Shandong University; 2018.
51.
go back to reference Hu CJ, Zhang TT, Lei YQ, et al. The level of perceived career benefit and its impact on general self-efficacy in nursing students during the early stage of internship. J Nurs Sci. 2016;31(13):76–8. Hu CJ, Zhang TT, Lei YQ, et al. The level of perceived career benefit and its impact on general self-efficacy in nursing students during the early stage of internship. J Nurs Sci. 2016;31(13):76–8.
52.
go back to reference Rambod M, Sharif F, Khademian Z. The impact of the preceptorship program on self-efficacy and learning outcomes in nursing students. Iran J Nurs Midwifery Res. 2018;23(6):444–9.PubMedPubMedCentralCrossRef Rambod M, Sharif F, Khademian Z. The impact of the preceptorship program on self-efficacy and learning outcomes in nursing students. Iran J Nurs Midwifery Res. 2018;23(6):444–9.PubMedPubMedCentralCrossRef
53.
go back to reference Lee TSH, Tzeng WC, Chiang HH. Impact of coping strategies on nurses’ well-being and practice. J Nurs Scholarsh. 2019;51(2):195–204.PubMedCrossRef Lee TSH, Tzeng WC, Chiang HH. Impact of coping strategies on nurses’ well-being and practice. J Nurs Scholarsh. 2019;51(2):195–204.PubMedCrossRef
54.
go back to reference Chen YP, Tsai JM, Lu MH, et al. The influence of personality traits and socio-demographic characteristics on paediatric nurses’ compassion satisfaction and fatigue. J Adv Nurs. 2018;74(5):1180–8.PubMedCrossRef Chen YP, Tsai JM, Lu MH, et al. The influence of personality traits and socio-demographic characteristics on paediatric nurses’ compassion satisfaction and fatigue. J Adv Nurs. 2018;74(5):1180–8.PubMedCrossRef
Metadata
Title
Paediatric nurses’ general self-efficacy, perceived organizational support and perceived professional benefits from Class A tertiary hospitals in Jilin province of China: the mediating effect of nursing practice environment
Authors
Linan Cheng
Yajuan Cui
Qian Chen
Yansheng Ye
Yingchun Liu
Fengying Zhang
Weiyan Zeng
Xiuying Hu
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2020
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-019-4878-3

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