Double Mediating Effect of Self-Efficacy and Burnout in the Relationship between Work Environment and Health-Promoting Behaviors of Clinical Nurses

Key Points

• To identify the double mediating effects of self-efficacy and burnout in the relationship between work environment and health-promoting behaviors in clinical nurses.
• Surveyed 174 clinical nurses with over one year of experience in hospitals with 200+ beds from December 1 to December 10, 2025.
• Analyzed data using SPSS 29.0, including descriptive statistics, t-tests, one-way ANOVA, Pearson’s correlation, and PROCESS Macro Model 6.
• Focused on the impact of work environment, self-efficacy, and burnout on health-promoting behaviors.
• Self-efficacy significantly influenced health-promoting behaviors (B=.79, p<.001) compared to work environment (B=.15, p=.031) and burnout (B=-.14, p=.024), with these factors explaining 45.3% of the variance.
• Individual mediating effects of self-efficacy (B=.10, SE=.04) and burnout (B=.10, SE=.05) were confirmed in the relationship between work environment and health-promoting behaviors.
• A double mediating effect of self-efficacy and burnout was demonstrated (B=.01, SE=.01) in the same relationship.

Abstract