Aim. This paper is a report of a study of the relations of coaching and developing
clinical practice on nurses’ work place attitudes and self-reported performance, as
mediated by role breadth self-efficacy and flexible role orientation.
Background. Previous research into the effectiveness of nurses’ learning and
development activities has mainly focused on specific skill and knowledge acquisition
outcomes. Few studies investigate the relationship between learning and
development activities and work attitudes or performance, or explore mediating
mechanisms in this process. Previous literature suggests that malleable cognitive and
motivational constructs may be important mechanisms for improving work attitudes
and proactive performance.
Method. We surveyed 404 qualified nurses from a large, metropolitan public
hospital in Australia in 2006 using validated measures from previous research.
Descriptive statistics, correlation analysis and hierarchical regression analyses were
conducted.
Results. The results show a clear association between learning and development
activities and work attitudes and performance. Developing clinical practice
improved self-rated performance and coaching improved work attitudes. In addition,
role breadth self-efficacy and flexible role orientation mediated these relationships
and emerge as important mechanisms in the link between learning and
development and work attitudes and performance.
Conclusion. Investment in learning and development activities for nurses improves
outcomes for nurses, the organization and patients.