Faculty of Health Sciences, Arthur Labatt Family School of Nursing, The University of Western Ontario, London, Ontario, Canada.
J Nurs Manag. 2010 Nov;18(8):889-900. doi: 10.1111/j.1365-2834.2010.01113.x.
The purpose of the present study was to test a theoretical model linking authentic leadership with staff nurses' trust in their manager, work engagement, voice behaviour and perceived unit care quality.
Authentic leadership is a guide for effective leadership needed to build trust and healthier work environments because there is special attention given to honesty, integrity and high ethical standards in the development of leader-follower relationships.
A non-experimental, predictive survey design was used to test the hypothesized model in a random sample of 280 (48% response rate) registered nurses working in acute care hospitals in Ontario.
The final model fitted the data acceptably (χ(2)=17.24, d.f.=11, P=0.10, IFI=0.99, CFI=0.99, RMSEA=0.045). Authentic leadership significantly and positively influenced staff nurses' trust in their manager and work engagement which in turn predicted voice behaviour and perceived unit care quality.
These findings suggest that authentic leadership and trust in the manager play a role in fostering trust, work engagement, voice behaviour and perceived quality of care.
Nursing leaders can improve care quality and workplace conditions by paying attention to facilitating genuine and positive relationships with their staff.
本研究旨在检验一个理论模型，该模型将真实领导与护士对其护士长的信任、工作投入、发言权行为和感知的单位护理质量联系起来。
真实领导是建立信任和更健康工作环境所需的有效领导的指南，因为在发展领导者与追随者之间的关系时，特别关注诚实、正直和高标准的道德。
采用非实验性、预测性调查设计，在安大略省急性护理医院的 280 名（48%的回应率）注册护士中随机抽取样本，检验假设模型。
最终模型拟合数据尚可（χ²=17.24，自由度=11，P=0.10，IFI=0.99，CFI=0.99，RMSEA=0.045）。真实领导显著且积极地影响了护士对其护士长的信任和工作投入，而这反过来又预测了发言权行为和感知的单位护理质量。
这些发现表明，真实领导和对经理的信任在培养信任、工作投入、发言权行为和感知的护理质量方面发挥作用。
护理领导者可以通过关注促进与员工的真诚和积极关系来提高护理质量和工作场所条件。
