Abstract

BackgroundInnovation is essential to advance nursing and health care. However, few studies have focused on innovative behavior of nursing students. ObjectivesThe purpose of this study was to explore the mediating effects of creative self-efficacy and achievement motivation on the relationship between clinical practice environment and innovative behavior in Bachelor of Science in Nursing (BSN) students. DesignA descriptive cross-sectional study using an online questionnaire. SettingParticipants were recruited online from five practice hospitals in Henan Province, China. ParticipantsA total of 588 BSN students enrolled in the study. MethodsThe participants completed the innovative behavior questionnaire, the clinical practice environment scale, the achievement motivation scale, and the creative self-efficacy scale online in 2022. SPSS PROCESS macro was used for data analysis. The reporting followed the STROBE checklist. ResultsA total of 499 valid questionnaires were collected. A positive clinical practice environment was associated with more innovative behavior, and this relation was partially mediated by creative self-efficacy and motive to avoid failure. ConclusionOur study complements the evidence on the mechanism of action between the clinical practice environment and innovative behavior. Our findings have important implications for nursing educators to develop education strategies to inspire nursing students to pursue innovations in school and clinical settings.

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