Accountability focus and nurses' performance: A moderated-mediation model by using experiment design simulations.
Aim: The aim of this study was to test a moderated-mediation model, explaining how and under which circumstances a process- or an outcome-accountability focus affects performance. Design: Randomized controlled design, using screen-based simulations. Methods: Data were collected during 2021. Two scre...
| Publicado en: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 80; no. 3; pp. 1144 - 1154 |
|---|---|
| Autores principales: | , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Mar2024
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176031704&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176031704 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: Mar2024 vid: 80 iid: 3 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 176031704 171838031 176031704 176031704 10.1111/jan.15859 176031704 ppf: 1144 ppct: 10 formats: tig: atl: Accountability focus and nurses' performance: A moderated-mediation model by using experiment design simulations. aug: au: Sharon, Ira Drach-Zahavy, Anat Srulovici, Einav affil: The Cheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel sug: subj: Nurses Job Performance Accountability Simulations Nursing Management Task Performance and Analysis Human Male Female Sociodemographic Factors T-Tests Analysis of Variance Post Hoc Analysis Pearson's Correlation Coefficient Confidence Intervals Adult Randomized Controlled Trials Adult: 19-44 years Male Female ab: Aim: The aim of this study was to test a moderated-mediation model, explaining how and under which circumstances a process- or an outcome-accountability focus affects performance. Design: Randomized controlled design, using screen-based simulations. Methods: Data were collected during 2021. Two screen-based simulations of medication administration (for low- and high-complexity tasks) were used. Each participant was randomly assigned to one of the six experimental conditions. Nurses completed validated questionnaires on strain levels and their perceptions of the simulated task complexity and accountability focus. Performance was assessed via validated checklists assessing nurses' performance of the simulation. Results: Task complexity significantly moderated the relationship between accountabilityfocus conditions and strain. For the process-accountability-focus condition, strain levels were lower during high-complexity tasks compared with low-complexity tasks, while for the outcome-accountability-focus condition, strain levels were lower during lowcomplexity tasks compared with high-complexity tasks. The highest strain levels were observed under the no accountability-focus condition. Additionally, this interaction had an impact on performance, with nurses' strain playing a mediating role. Conclusions: Any accountability focus reduces strain levels and enhances performance compared with having no accountability focus. The choice of accountability focus should be based on task-complexity considerations. Implications for the Profession and Patient Care: Managers can effectively reduce nurses' strain and improve performance by prioritizing outcome accountability focus for simpler tasks and process accountability focus for complex tasks. Impact: The study addressed previous ambiguous findings regarding the type of accountability focus that better motivates nurses' performance. By considering accountability focus, nurse managers can balance nurses' strain levels with improved performance. Reporting Method: We have adhered to the relevant EQUATOR guidelines: CONSORT. Patient or Public Contribution: There is no patient or public contribution, as the study only concerns the providers of the service, that is the nurses themselves. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|