Sage Journals: Discover world-class research

Abstract

Innovation in healthcare is crucial for enhancing patient care and operational efficiency. Nurses often experience stress that may impede the process of innovation. This study utilizes the Job Demands-Resources model and Cognitive Appraisal Theory to investigate the impact of challenge stress, work rumination, and information literacy on the expression of innovative behaviors among nurses. A cross-sectional survey was conducted in China in June 2024, involving a sample of 533 nurses. Participants were required to complete online questionnaires designed to evaluate challenge stress, work rumination, information literacy, and innovative behavior. The data collected were analyzed using the PROCESS macro in SPSS. Challenge stress exhibited a statistically significant positive correlation with innovative behavior (r = 0.142, p < .01) and work rumination (r = 0.348, p < .01). The relationship between challenge stress and innovative behaviors was partially mediated by work rumination. Affective rumination was found to exert a negative influence, while problem-solving pondering demonstrated a positive impact. The relationship between work rumination and innovative behaviors was moderated by information literacy (β = 0.069, p = .019), indicating that the effects were more pronounced at higher levels of information literacy among nurses. Challenge stress enhances innovative behaviors through work rumination. The presence of information literacy further amplifies these positive effects, particularly via problem-solving pondering. However, it is important to note that affective rumination impede this process.

Keywords

challenge stress work rumination information literacy innovative behavior nurse moderated mediation

Get full access to this article

View all access options for this article.

References

Alescio-Lautier

Chambon

Deshayes

Anton

J. L.

Escoffier

Ferrer

M. H.

Paban

(2023). Problem-solving training modifies cognitive functioning and related functional connectivity in healthy adults. Neuropsychology Rehabilitation, 33(1), 103–138. https://doi.org/10.1080/09602011.2021.1987277

Almarwani

A. M.

Yacoub

M. I.

(2023). Examining the effect of an educational program on nursing students' informatics competencies. Nursing Education Perspectives, 44(6), E59–E61. https://doi.org/10.1097/01.nep.0000000000001106

Yue

(2019). Practice the national standard for teaching quality of nursing specialty under the new era. Journal of Practical Nursing, 35(28), 2161–2164. https://doi.org/10.3760/CMA.J.ISSN.1672-7088.2019.28.001

Anjum

Zhao

(2022). The impact of stress on innovative work behavior among medical healthcare professionals. Behavioral Sciences, 12(9), 340. https://doi.org/10.3390/bs12090340

Bakker

A. B.

Demerouti

(2007). The job demands-resources model: State of the art. Journal of Managerial Psychology, 22(3), 309–328. https://doi.org/10.1108/02683940710733115

Bao

Wang

Zhang

Y. Q.

(2012). Development and analysis of reliability and validity of nurse innovative behavior scale. Journal of Shanghai Jiaotong University, 32(8), 1079–1082. https://kns.cnki.net/kcms2/article/abstract?v=upp0mjVwiKXyr2SifHkGlVJC074nyNH8ElJb0OHyWzQKu9nDnDK8wLw0cB-9_BQ7o-prLckY6IXxpeaRjlp2JOrb8rH4fE4kz1r_5yIBbtzJRglOZcUK5REW2I1eddAbiAkxXvup10qa33gpcoIpBiqP0CLydBP5d_czhhVKZK2Dp4IA9qcLKhpNYAXrni6p&uniplatform=NZKPT&language=CHS

Bates

D. W.

Levine

Syrowatka

Kuznetsova

Craig

K. J. T.

Rui

Jackson

G. P.

Rhee

(2021). The potential of artificial intelligence to improve patient safety: A scoping review. NPJ Digital Medicine, 4(1), 54. https://doi.org/10.1038/s41746-021-00423-6

Cai

Gong

(2022). Research on the impact of challenge-hindrance stress on employees' innovation performance: A chain mediation model. Frontiers in Psychology, 13, Article 745259. https://doi.org/10.3389/fpsyg.2022.745259

Cavanaugh

M. A.

Boswell

W. R.

Roehling

M. V.

Boudreau

J. W.

(2000). An empirical examination of self-reported work stress among U.S. managers. Journal of Applied Psychology, 85(1), 65–74. https://doi.org/10.1037/0021-9010.85.1.65

10.

Cropley

Collis

(2020). The association between work-related rumination and executive function using the behavior rating inventory of executive function. Frontiers in Psychology, 11, 821. https://doi.org/10.3389/fpsyg.2020.00821

11.

Cropley

Zijlstra

F. R.

Querstret

Beck

(2016). Is work-related rumination associated with deficits in executive functioning? Frontiers in Psychology, 7, 1524. https://doi.org/10.3389/fpsyg.2016.01524

12.

Cropley

Zijlstra

F. R. H.

(2011). Work and rumination. In Langan-Fox

Cooper

C. L.

(Eds.), Handbook of stress in the occupations (pp. 487–501). Edward Elgar Publishing. https://doi.org/10.4337/9780857931153.00061

13.

Day

Scott

Kevin Kelloway

(2010). Information and communication technology: Implications for job stress and employee well-being. In Perrewé

P. L.

Ganster

D. C.

(Eds.), New Developments in Theoretical and Conceptual Approaches to Job Stress (Research in Occupational Stress and Well Being (8, pp. 317–350). Emerald Group Publishing Limited. https://doi.org/10.1108/S1479-3555(2010)0000008011

14.

Dong

Yang

(2024). The underlying mechanisms and boundary conditions of the relationship between daily performance pressure and innovative behavior. Chinese Journal of Management Science, 32(3), 278–286. https://doi.org/10.16381/j.cnki.issn1003-207x.2023.0847

15.

Dou

Yang

Liu

Yuan

(2022). Where there is pressure, there is motivation? The impact of challenge-hindrance stressors on employees’ innovation performance. Frontiers in Psychology, 13, 1020764. https://doi.org/10.3389/fpsyg.2022.1020764

16.

Drennan

V. M.

Ross

(2019). Global nurse shortages-the facts, the impact and action for change. British Medical Bulletin, 130(1), 25–37. https://doi.org/10.1093/bmb/ldz014

17.

Farokhzadian

Jouparinejad

Fatehi

Falahati-Marvast

(2021). Improving nurses' readiness for evidence-based practice in critical care units: Results of an information literacy training program. BMC Nursing, 20(1), 79. https://doi.org/10.1186/s12912-021-00599-y

18.

Fay

Bagotyriute

Urbach

West

M. A.

Dawson

(2019). Differential effects of workplace stressors on innovation: An integrated perspective of cybernetics and coping. International Journal of Stress Management, 26(1), 11–24. https://doi.org/10.1037/str0000081

19.

Feng

(2024). How job stress affect flow experience at work: The masking and mediating effect of work-related rumination. Psychological Reports, 127(2), 912–935. https://doi.org/10.1177/00332941221122881

20.

Fritz

M. S.

Mackinnon

D. P.

(2007). Required sample size to detect the mediated effect. Psychological Science, 18(3), 233–239. https://doi.org/10.1111/j.1467-9280.2007.01882.x

21.

Kumar

V. T. R. V.

Dhaneesh

Balan

R. V. S.

(2013). Rationale management approach in stress management: An information perception. American Journal of Applied Sciences, 10(1), 89–96. https://doi.org/10.3844/ajassp.2013.89.96

22.

Lin

Gao

Feng

(2023). Relationship between information literacy and innovative behavior of emergency specialist nurses: A cross-sectional study in southwest China. International Emergency Nursing, 71(4), 101356. https://doi.org/10.1016/j.ienj.2023.101356

23.

Lokmic-Tomkins

Cochrane

Celeste

Burnie

(2021). An interdisciplinary partnership approach to improving the digital literacy skills of nursing students to become digitally fluent, work-ready graduates. Studies in Health Technology and Informatics, 284, 103–107. https://doi.org/10.3233/shti210679

24.

Luis

D. J.

Ruth

C. J.

Zhuofan

(2020). Does stress lead to creativity? The relationship between occupational stress and individual innovative behavior. Studies in Business and Economics, 15(1), 21–30. https://doi.org/10.2478/sbe-2020-0003

25.

Han

(2023). Core self-evaluation and innovative behavior: Mediating effect of error orientation and self-efficacy of nurses. Frontiers in Psychology, 14, 1298986. https://doi.org/10.3389/fpsyg.2023.1298986

26.

Marsh

Vallejos

E. P.

Spence

(2024). Overloaded by information or worried about missing out on it: A quantitative study of stress, burnout, and mental health implications in the digital workplace. Sage Open, 14(3), 1–15. https://doi.org/10.1177/21582440241268830

27.

McGowan

B. S.

Cantwell

L. P.

Conklin

J. L.

Raszewski

Wolf

J. P.

Slebodnik

McCarthy

Johnson

(2020). Evaluating nursing faculty's approach to information literacy instruction: A multi-institutional study. Journal of the Medical Library Association, 108(3), 378–388. https://doi.org/10.5195/jmla.2020.841

28.

Meng

Liu

(2023). Examining the effect of challenging and threatening work stress on employees' innovative behavior. Social Behavior and Personality, 51(4), 1–12. https://doi.org/10.1109/EMBC40787.2023.10340660

29.

Middleton

Hall

(2021). Workplace information literacy: A bridge to the development of innovative work behaviour. Journal of Documentation, 77(6), 1343–1363. https://doi.org/10.1108/jd-03-2021-0065

30.

Patel

Ryoo

Kettinger

(2012). Theorizing the dual role of information technology in technostress research. In AMCIS 2012 Proceedings, 12. https://aisel.aisnet.org/amcis2012/proceedings/EndUserIS/12

31.

Pleshkan

Singarella

(2022). Advancing nursing students’ transition to scholarship: Embedding a librarian into the advanced nursing research course. Journal of the Medical Library Association, 110(2), 228–232. https://doi.org/10.5195/jmla.2022.1227

32.

Rockwood

Hayes

(2020). Mediation, moderation, and conditional process analysis. In The cambridge handbook of research methods in clinical psychology. Cambridge University Press. https://doi.org/10.1017/9781316995808.037

33.

Rylee

T. L.

Cvanagh

S. J.

(2023). Innovation in nursing practice: A scoping review. Advances in Nursing Science, 46(4), E115–E131. https://doi.org/10.1097/ans.0000000000000464

34.

Shu

(2009). Graduate student information literacy present situationinvestigation and study. -take Suzhou University as the example (Master’s thesis). Soochow University. https://kns.cnki.net/kcms2/article/abstract?v=upp0mjVwiKU_qCvnRJkipVSOuh4TdIJveuaazl4HCbgr1rh76Axnerm-_NHFtnCG51jf-VJA5YOlWZHNGo9MY0Ot-Xc_hDLaI1VaSzvZmGUn78FypkQilH6zH8CK3o6qF-gGCJMhy7Zd35S7w2oxBIbs5mDtx7Pv71uz83uf184KR3vUbErf0Sm8ujed_smY&uniplatform=NZKPT&language=CHS

35.

Tang

Wang

W. W.

(2023). How challenges become threats? Research on double serial mediated effect of challenge stressors on employees' innovative behavior. Journal of Shihezi University, 37(2), 67–74. https://doi.org/10.13880/j.cnki.cn65-1210/c.20230419.013

36.

Tomaka

Blascovich

Kibler

Ernst

J. M.

(1997). Cognitive and physiological antecedents of threat and challenge appraisal. Journal of Personality and Social Psychology, 73(1), 63–72. https://doi.org/10.1037/0022-3514.73.1.63

37.

White

E. M.

Aiken

L. H.

McHugh

M. D.

(2019). Registered nurse burnout, job dissatisfaction, and missed care in nursing homes. Journal of the American Geriatrics Society, 67(10), 2065–2071. https://doi.org/10.1111/jgs.16051

38.

Z. M.

Liu

Chang

Chen

Y. H.

Shen

(2020). The status of innovation behaviors and their relationship with information literacy among cardiovascular specialized nurses. Chinese Nursing Management, 20(8), 1211–1215. https://kns.cnki.net/kcms2/article/abstract?v=upp0mjVwiKWCNXq2V2IKvOEMrQPRA4IqPu7nAoUOSix543ypS1PrgUBpKDXdkYl-E0-aG_ExOv-GRvmwMQafKOzz2nXBCbJYBt-OM6cuUPv_ZXCCAcvi6ECzIhmx6NS6Ccx9Oxtf4Nx_WWzYL3FhCE_JKc71W2SgD9fuobNIzseRtFGvxh1fOVn6c7L1Ii4X&uniplatform=NZKPT&language=CHS

39.

Jiang

Zhong

Zhang

Duan

(2023). Training load of newly recruited nurses in grade-A tertiary hospitals in Shanghai, China: A qualitative study. BMC Nursing, 22(1), 9. https://doi.org/10.1186/s12912-022-01138-z

40.

Zhang

Smith

A. P.

(2021). Switch off totally or switch off strategically? The consequences of thinking about work on job performance. Psychological Reports, 124(6), 2721–2738. https://doi.org/10.1177/0033294120968080

41.

Zhang

Liu

Smith

A. P.

(2023). Exploring the relationship between work stress and work-related rumination. Psychological Reports, 127(3), 1480–1501, Advance online publication. https://doi.org/10.1177/00332941231168783

42.

Zhang

W. Q.

Tang

F. H.

Jia

Y. J.

M. W.

Zhao

D. Y.

Shen

W. Q.

Zha

M. L.

Chen

H. L.

(2023). Impact of the National Nursing Development Plan on nursing human resources in China: An interrupted time series analysis for 1978-2021. International Journal of Nursing Studies, 148(11), Article 104612. https://doi.org/10.1016/j.ijnurstu.2023.104612

43.

Zhu

F. Y.

Yang

(2022). The influence of error management climate on employees' innovation performance-based on double mediation model. Chinese Personnel Science, 49(9), 66–76. https://kns.cnki.net/kcms2/article/abstract?v=upp0mjVwiKXfEhLP759_QHKMUen77eiG6Pjs1chWtNW6CQEsfpC799rcDAC6UtYXZtWdl8RufVgfiExMfO0HXp7GYrkUbBgpQqQnYnG79H-6csEhGiWQJrrThkDDFPUFq0rhRv1Ugv4MLna2nwnP0kGadGAG2_CiV-eOFB9cEge9I3awPr3kUvxaOPMWH6lj&uniplatform=NZKPT&language=CHS

44.

Zoupanou

Rydstedt

L. W.

(2019). The mediating and moderating role of affective rumination between work interruptions and well-being. Work (Reading, Mass.), 62(4), 553–561. https://doi.org/10.3233/WOR-192890

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.28 MB

The Dual Effect of Work Rumination in the Relationship Between Challenge Stress and Innovative Behavior: A Moderated Mediation Model of Information Literacy

Abstract

Keywords

Get full access to this article

References

Supplementary Material