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Exploration of the factors related to selfefficacy among psychiatric nurses

PLoS ONE, ISSN: 1932-6203, Vol: 15, Issue: 4, Page: e0230740
2020
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Article Description

The average length of hospital stay in the psychiatric ward is longer, and the risk of patientto- nurse violence is higher than that in other departments. Therefore, psychiatric nurses' work environment may differ from that of other nurses. The factors related to psychiatric nurses' self-efficacy may also differ from those of general workers or other nurses. Mental health care that considers the characteristics of psychiatric nurses requires exploration of self-efficacy unique to psychiatric nurses. This cross-sectional study aimed to explore the distinct factors related to psychiatric nurses' self-efficacy. The developed 24 items related to improvement in self-efficacy and 25 items related to decrease in self-efficacy were examined. The Generalized Self-Efficacy Scale was used to measure the validity of the factors. To extract the factors of self-efficacy, data from 132 nurses and assistant nurses who provided informed consent were analyzed, and the reliability and validity of the factors were calculated. The factors associated with improvement in self-efficacy were "Positive reactions by patients," "Ability to positively change nurse-patient relationship," and "Practicability of appropriate nursing." The factors associated with decrease in self-efficacy were "Uncertainty in psychiatric nursing" and "Nurses' role loss." The Cronbach's α for all factors exceeded .70. Of the five factors, four had significant weak-to-moderate correlations with the Japanese version of the Generalized Self-Efficacy Scale; therefore, the validity was quantitatively confirmed with four factors. Interventions based on these four factors may improve psychiatric nurses' self-efficacy. Additionally, it is possible that this tool assesses the unique facets of self-efficacy rather than psychiatric nurses' general self-efficacy. Interventions to improve psychiatric nurses' self-efficacy based on the characteristics of psychiatry are needed.

Bibliographic Details

http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85082842159&origin=inward; http://dx.doi.org/10.1371/journal.pone.0230740; http://www.ncbi.nlm.nih.gov/pubmed/32240210; https://dx.plos.org/10.1371/journal.pone.0230740.t002; http://dx.doi.org/10.1371/journal.pone.0230740.t002; https://dx.plos.org/10.1371/journal.pone.0230740.t004; http://dx.doi.org/10.1371/journal.pone.0230740.t004; https://dx.plos.org/10.1371/journal.pone.0230740.t005; http://dx.doi.org/10.1371/journal.pone.0230740.t005; https://dx.plos.org/10.1371/journal.pone.0230740; https://dx.plos.org/10.1371/journal.pone.0230740.g001; http://dx.doi.org/10.1371/journal.pone.0230740.g001; https://dx.plos.org/10.1371/journal.pone.0230740.t001; http://dx.doi.org/10.1371/journal.pone.0230740.t001; https://dx.plos.org/10.1371/journal.pone.0230740.g002; http://dx.doi.org/10.1371/journal.pone.0230740.g002; https://dx.plos.org/10.1371/journal.pone.0230740.t003; http://dx.doi.org/10.1371/journal.pone.0230740.t003; https://dx.doi.org/10.1371/journal.pone.0230740; https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0230740; https://dx.doi.org/10.1371/journal.pone.0230740.t005; https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0230740.t005; https://dx.doi.org/10.1371/journal.pone.0230740.g002; https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0230740.g002; https://dx.doi.org/10.1371/journal.pone.0230740.t003; https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0230740.t003; https://dx.doi.org/10.1371/journal.pone.0230740.t001; https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0230740.t001; https://dx.doi.org/10.1371/journal.pone.0230740.t002; https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0230740.t002; https://dx.doi.org/10.1371/journal.pone.0230740.g001; https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0230740.g001; https://dx.doi.org/10.1371/journal.pone.0230740.t004; https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0230740.t004; https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0230740&type=printable

Hironori Yada; Hiroshi Abe; Ryo Odachi; Keiichiro Adachi; Karen-Leigh Edward

Public Library of Science (PLoS)

Multidisciplinary

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