The Relationship Between Organisational Innovation Climate and Nurses' Innovative Behaviour: Roles of Knowledge Sharing and Person‐Organisation Fit

ABSTRACT Aim The aim of this study was to integrate Social Exchange Theory and the Ability—Motivation—Opportunity (AMO) Theory to examine the influence of organisational innovation climate on nurses' innovative behaviour, considering the mediating role of knowledge sharing and the moderating effect of person‐organisation fit, thereby providing a multidimensional theoretical foundation for enhancing nurses' innovative behaviour. Design A cross‐sectional research design was adopted. Methods Participants included 380 nurses from two Grade‐A tertiary hospitals in Henan Province, China. Data were collected using the Organisational Innovation Climate Scale, Knowledge Sharing Scale, Nurses' Innovative Behaviour Scale and Person‐Organisation Fit Scale and analysed via descriptive statistics, correlation analysis, regression analysis and bootstrap testing for mediation and moderation effects. Results Organisational innovation climate was positively correlated with nurses' innovative behaviour and knowledge sharing partially mediated this relationship. Person‐organisation fit positively moderated both the direct relationship between organisational innovation climate and knowledge sharing and the indirect effect on innovative behaviour. Conclusion Under a supportive organisational innovation climate, nurses with high person‐organisation fit are more likely to engage in innovative behaviour through knowledge sharing. Impact Establishing an organisational innovation climate and improving person‐organisation fit can enhance nurses' work engagement and loyalty, advancing innovation and development in nursing. Implications for the Profession and/or Patient Care Nursing managers should cultivate an innovation‐friendly climate and facilitate knowledge sharing to inspire proactive problem‐solving and innovation among nurses, ultimately improving nursing practice and patient care. Reporting Method STROBE guidelines were followed. Patient or Public Contribution This study clarifies how organisational and individual factors jointly affect nurses' innovative behaviour, providing a theoretical foundation for improving nursing management, service quality and disciplinary innovation.