Abstract:Objective To determine the level and explore the associated factors of reflective practice among novice nurses by constructing a structural equation model, and to provide reference for promoting novice nurses′ reflective practice. MethodsA total of 312 novice nurses were selected using convenience sampling and invited to complete a battery of questionnaires, including a general information questionnaire, the Reflective Practice Questionnaire (RPQ), the Conditions of Work Effectiveness Questionnaire Ⅱ (CWEQ Ⅱ), the Nurse Self concept Questionnaire (NSCQ), the Time Management Disposition scale and the Simplified Critical Thinking Disposition scale. Following the theory of reflective practice in nursing, a structural equation model was constructed to analyze the influencing factors and pathways of reflective practice among novice nurses. ResultsThe sample scored 56.32±14.68 on reflective practice. The structural equation model fitted well (χ2/df=2.312, NFI=0.962, CFI=0.978, and RMSEA=0.065). Structural empowerment, professional self concept, time management, critical thinking were the influencing factors of reflective practice among novice nurses, and the total effect were 0.442, 0.545, 0.328, and 0.171 respectively. Structural empo werment indirectly affected reflective practice through professional self concept, time management and critical thinking (indirect effect=0.269, 95%CI:0.199, 0.347). ConclusionThe reflective practice of novice nurses is at a low to medium level. Improving the structural empowerment, professional self concept, time management and critical thinking of novice nurses is an effective way to enhance their reflective practice.