Organizational innovation climate and nurses’ innovation behavior in a specialized oncology hospital: the chain mediation of achievement motivation and creative self-efficacy

Abstract Objective This study explains the impact of organizational innovation climate on nurses’ innovation behavior in a tertiary specialized oncology hospital, while examining the chain mediation roles of achievement motivation and creative self-efficacy. Methods In this online cross-sectional su...

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Main Authors: Xue Fu, Le Xia, Liping Chen, Mei Zhong, Yang Liu, Wenhao He, Baojia Luo, Linmin Chen, Yuying Fan, Huiying Qin
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-025-03595-8
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author Xue Fu
Le Xia
Liping Chen
Mei Zhong
Yang Liu
Wenhao He
Baojia Luo
Linmin Chen
Yuying Fan
Huiying Qin
author_facet Xue Fu
Le Xia
Liping Chen
Mei Zhong
Yang Liu
Wenhao He
Baojia Luo
Linmin Chen
Yuying Fan
Huiying Qin
author_sort Xue Fu
collection DOAJ
description Abstract Objective This study explains the impact of organizational innovation climate on nurses’ innovation behavior in a tertiary specialized oncology hospital, while examining the chain mediation roles of achievement motivation and creative self-efficacy. Methods In this online cross-sectional survey, 857 nurses from a tertiary specialized oncology hospital in Guangdong province, China were selected by convenience sampling method. SPSS Statistics v26.0 and AMOS v29.0 were used for data analysis. The reporting followed the STROBE checklist. Results The nurses’ innovation behavior was below the medium level. Organizational innovation climate was significantly positively related to nurses’ innovation behavior, achievement motivation, and creative self-efficacy. Achievement motivation was positively correlated with both creative self-efficacy and nurses’ innovation behavior. Creative self-efficacy was positively correlated with nurses’ innovation behavior. Mediation analysis identified two pathways: creative self-efficacy independently mediated the relationship between organizational innovation climate and nurses’ innovation behavior, while achievement motivation and creative self-efficacy served as a chain mediator between the organizational innovation climate and nurses’ innovation behavior. Conclusion Our study highlights the critical role of organizational innovation climate in enhancing nurses’ innovation behavior in specialized oncology hospitals. Specifically, it demonstrates that achievement motivation and creative self-efficacy play a chain mediation role between organizational innovation climate and nurses’ innovation behavior. Healthcare administrators should prioritize constructing innovation-supportive climates, implement achievement motivation interventions, and strengthen creative self-efficacy development programs to systematically foster nurses’ innovation capabilities in oncology settings.
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institution Kabale University
issn 1472-6955
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spelling doaj-art-f0ef1296342b49af817c5ca79eafb2d02025-08-20T04:01:53ZengBMCBMC Nursing1472-69552025-07-0124111110.1186/s12912-025-03595-8Organizational innovation climate and nurses’ innovation behavior in a specialized oncology hospital: the chain mediation of achievement motivation and creative self-efficacyXue Fu0Le Xia1Liping Chen2Mei Zhong3Yang Liu4Wenhao He5Baojia Luo6Linmin Chen7Yuying Fan8Huiying Qin9Department of Nursing, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer CenterDepartment of Outpatient, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat- sen University Cancer CenterDepartment of Radiation Oncology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer CenterDepartment of Critical Care Medicine, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer CenterDepartment of Anesthesiology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat- sen University Cancer CenterDepartment of Bone and Soft Tissue, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer CenterDepartment of Colorectal Surgery, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer CenterDepartment of Nasopharyngeal Carcinoma, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer CenterDepartment of Nasopharyngeal Carcinoma, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer CenterDepartment of Nursing, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer CenterAbstract Objective This study explains the impact of organizational innovation climate on nurses’ innovation behavior in a tertiary specialized oncology hospital, while examining the chain mediation roles of achievement motivation and creative self-efficacy. Methods In this online cross-sectional survey, 857 nurses from a tertiary specialized oncology hospital in Guangdong province, China were selected by convenience sampling method. SPSS Statistics v26.0 and AMOS v29.0 were used for data analysis. The reporting followed the STROBE checklist. Results The nurses’ innovation behavior was below the medium level. Organizational innovation climate was significantly positively related to nurses’ innovation behavior, achievement motivation, and creative self-efficacy. Achievement motivation was positively correlated with both creative self-efficacy and nurses’ innovation behavior. Creative self-efficacy was positively correlated with nurses’ innovation behavior. Mediation analysis identified two pathways: creative self-efficacy independently mediated the relationship between organizational innovation climate and nurses’ innovation behavior, while achievement motivation and creative self-efficacy served as a chain mediator between the organizational innovation climate and nurses’ innovation behavior. Conclusion Our study highlights the critical role of organizational innovation climate in enhancing nurses’ innovation behavior in specialized oncology hospitals. Specifically, it demonstrates that achievement motivation and creative self-efficacy play a chain mediation role between organizational innovation climate and nurses’ innovation behavior. Healthcare administrators should prioritize constructing innovation-supportive climates, implement achievement motivation interventions, and strengthen creative self-efficacy development programs to systematically foster nurses’ innovation capabilities in oncology settings.https://doi.org/10.1186/s12912-025-03595-8Achievement motivationCreative self-efficacyOrganizational innovation climateNurses’ innovation behaviorMediating effect
spellingShingle Xue Fu
Le Xia
Liping Chen
Mei Zhong
Yang Liu
Wenhao He
Baojia Luo
Linmin Chen
Yuying Fan
Huiying Qin
Organizational innovation climate and nurses’ innovation behavior in a specialized oncology hospital: the chain mediation of achievement motivation and creative self-efficacy
BMC Nursing
Achievement motivation
Creative self-efficacy
Organizational innovation climate
Nurses’ innovation behavior
Mediating effect
title Organizational innovation climate and nurses’ innovation behavior in a specialized oncology hospital: the chain mediation of achievement motivation and creative self-efficacy
title_full Organizational innovation climate and nurses’ innovation behavior in a specialized oncology hospital: the chain mediation of achievement motivation and creative self-efficacy
title_fullStr Organizational innovation climate and nurses’ innovation behavior in a specialized oncology hospital: the chain mediation of achievement motivation and creative self-efficacy
title_full_unstemmed Organizational innovation climate and nurses’ innovation behavior in a specialized oncology hospital: the chain mediation of achievement motivation and creative self-efficacy
title_short Organizational innovation climate and nurses’ innovation behavior in a specialized oncology hospital: the chain mediation of achievement motivation and creative self-efficacy
title_sort organizational innovation climate and nurses innovation behavior in a specialized oncology hospital the chain mediation of achievement motivation and creative self efficacy
topic Achievement motivation
Creative self-efficacy
Organizational innovation climate
Nurses’ innovation behavior
Mediating effect
url https://doi.org/10.1186/s12912-025-03595-8
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