护士长在伦理困境中的领导风格：原因与后果。
Leadership styles of nurse managers in ethical dilemmas: Reasons and consequences.
作者信息
Zydziunaite Vilma, Suominen Tarja
机构信息
Department of Education, Vytautas Magnus University, Kaunas, Lithuania, 2. Department of Nursing, Klaipeda State College, Klaipeda, Lithuania, 3. School of Health Sciences, Nursing Science, University of Tampere, Tampere, Finland.
出版信息
Contemp Nurse. 2014;48(2):150-67. doi: 10.1080/10376178.2014.11081937. Epub 2014 Sep 21.
BACKGROUND
Understanding the reasons and consequences of leadership styles in ethical dilemmas is fundamental to exploring nurse managers' abilities to influence outcomes for patients and nursing personnel.
PURPOSE
To explain the associations between different leadership styles, reasons for their application and its consequences when nurse managers make decisions in ethical dilemmas.
METHODS
The data were collected between 15 October 2011 and 30 April 2012 by statistically validated questionnaire. The respondents (N = 278) were nurse managers. The data were analysed using SPSS 20.0, calculating Spearman's correlations, the Stepwise Regression and ANOVA.
RESULTS
The reasons for applying different leadership styles in ethical dilemmas include personal characteristics, years in work position, institutional factors, and the professional authority of nurse managers. The applied leadership styles in ethical dilemmas are associated with the consequences regarding the satisfaction of patients,' relatives' and nurse managers' needs.
CONCLUSIONS
Nurse managers exhibited leadership styles oriented to maintenance, focussing more on the 'doing the job' than on managing the decision-making in ethical dilemmas.
背景
了解伦理困境中领导风格的原因及后果，对于探究护士长影响患者及护理人员结局的能力至关重要。
目的
解释护士长在伦理困境中做出决策时，不同领导风格之间的关联、采用这些风格的原因及其后果。
方法
2011年10月15日至2012年4月30日期间，通过经统计学验证的问卷收集数据。受访者（N = 278）为护士长。使用SPSS 20.0对数据进行分析，计算斯皮尔曼相关性、逐步回归和方差分析。
结果
在伦理困境中采用不同领导风格的原因包括个人特征、工作年限、机构因素及护士长的专业权威。伦理困境中采用的领导风格与患者、家属及护士长需求的满足情况相关。
结论
护士长表现出注重维持的领导风格，更多关注“完成工作”而非管理伦理困境中的决策过程。
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