韧性在服务型领导力与临床护士工作投入间的中介效应分析

doi:10.16460/j.issn1008-9969.2024.15.001

摘要/Abstract

摘要： 目的探讨服务型领导力对临床护士工作投入的影响机制,为医院提升护理管理者的服务型领导力提供参考。方法采用便利抽样法,2023年10—11月选取河南省5所三级甲等医院的401名临床护士作为研究对象。采用一般资料问卷、服务型领导力量表、员工韧性量表、自我效能感量表及工作投入量表对其进行调查。采用SPSS 25.0分析服务型领导力、韧性与临床护士工作投入的相关性,采用SPSS宏程序process 4.1分析中介效应和调节效应。结果临床护士工作投入总分为（57.20±8.54）分,服务型领导力总分为（25.65±3.40）分,韧性总分为（35.80±3.02）分,自我效能感总分为（26.37±4.67）分。临床护士工作投入总分与韧性总分呈正相关（r=0.422,P<0.01）、与服务型领导力总分呈正相关（r=0.545,P<0.01）;服务型领导力总分与韧性总分呈正相关（r=0.327,P<0.01）。韧性在服务型领导力与临床护士工作投入之间起部分中介作用,中介效应值为0.161,占总效应的10.8%。自我效能感正向调节了服务型领导力与韧性的关系（β=0.154,P<0.001）。结论服务型领导力有助于提升临床护士韧性水平且受自我效能感增强的作用,进而提高临床护士工作投入,强调了培育服务型领导力及提升临床护士自我效能感和韧性的重要性。

关键词: 临床护士, 服务型领导力, 韧性, 工作投入, 自我效能感

Abstract: Objective To explore the influence mechanism of service-oriented leadership on the work engagement of clinical nurses, and provide reference for hospitals to improve the service-oriented leadership of nursing managers. Methods A total of 401 clinical nurses from 5 tertiary grade-A hospitals in Henan Province were selected from October to November 2023 by convenience sampling, and they were surveyed by using The General Information Questionnaire, the Service-oriented Leadership Scale, the Employee Resilience Scale, the Self-Efficacy Scale and the Work Engagement Scale. SPSS25.0 was used to analyze the correlation among service-oriented leadership, resilience and clinical nurses' work engagement, and SPSS macroprogram process4.1 to analyze the mediating effect and moderating effect. Results The total score of clinical nurses' work engagement, service-oriented leadership, resilience, and self-efficacy was 57.20±8.54, 25.65±3.40, 35.80±3.02, and 26.37±4.67 respectively. The total score of clinical nurses' work engagement was positively correlated with that of resilience (r=0.422, P<0.01) and that of service-oriented leadership (r=0.545, P<0.01). There was a positive correlation between the total score of service-oriented leadership and that of resilience (r=0.327, P<0.01). Resilience partially mediated the relationship between service-oriented leadership and clinical nurses' work engagement, and the mediating effect was 0.161, accounting for 10.8% of the total effect. Self-efficacy positively moderated the relationship between service-oriented leadership and resilience (β=0.154, P<0.001). Conclusion Service-oriented leadership can help improve the resilience of clinical nurses and is enhanced by self-efficacy, which in turn increases clinical nurses' work engagement, emphasizing the importance of cultivating service-oriented leadership and improving clinical nurses' self-efficacy and resilience.

Key words: clinical nurses, servant leadership, resilience, work engagement, self- efficacy

中图分类号:

李章彰, 罗艳艳, 李根强. 韧性在服务型领导力与临床护士工作投入间的中介效应分析[J]. 护理学报, 2024, 31(15): 1-6.

LI Zhang-zhang, LUO Yan-yan, LI Gen-qiang. Mediating effect of resilience between service-oriented leadership and work engagement of clinical nurses[J]. Journal of Nursing, 2024, 31(15): 1-6.

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