Innovative motivation as a pathway from evidence-based nursing competence and nurse-physician collaboration to knowledge sharing behavior among surgical nurses : A structural equation modeling study based on the COM-B model

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Background: With the development of evidence-based medicine, a large amount of high-quality evidence is constantly generated, but surgical nurses are still weak in terms of the knowledge sharing behavior. Organizational and individual factors will determine how surgical nurses share knowledge. However, few cross-sectional studies had based on the Capabilities, Opportunities, Motivations, Behavior (COM-B) model to explore the influence paths of individual internal and external factors on the knowledge sharing behavior of surgical nurses. Objective: This paper aims to evaluate (1) the current status and factors influencing on knowledge sharing behavior and (2) the pathways to knowledge sharing behavior of surgical nurses based on COM-B model. Design: Cross-sectional study. Settings: 174 public hospitals in 31 provinces and municipalities of China. Methods: A cross-sectional study was conducted in the surgery department in China from May to June 2023. Convenience sampling and questionnaires were used to facilitate sampling and data collection. A total of 1388 surgical nurses were included in the study. The data was processed using univariate analysis and correlation analysis, the central hypotheses were tested using a structural equation model (SEM). Results: = 0.083, 95 % confidence interval [0.065, 0.104]). Conclusions: According to the COM-B model, the multiple effective paths of evidence-based nursing competence, innovative motivation, and organizational collaboration for knowledge sharing behavior were verified. Surgical nurses have extensive experience in the care of perioperative patients and critically ill patients. If they can actively share knowledge by themselves or with the support of the team, it is crucial for improving the quality of care and ensuring patient safety.

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