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[护理病房管理者的道德领导力作为医疗环境中护士组织行为的关键决定因素]

[The ethical leadership of the nursing ward managers as a key determinant of nurses' organisational behaviours in the healthcare settings].

作者信息

Zaghini Francesco, Biagioli Valentina, Fida Roberta, Sili Alessandro

机构信息

Infermiere, Dottore di ricerca, Università Tor Vergata, Roma. Tutor clinico, Policlinico Universitario Tor Vergata, Roma. Corrispondence:

Infermiera, studentessa di Dottorato di ricerca, Università Tor Vergata, Roma.

出版信息

Prof Inferm. 2017 Jan-Mar;69(1):31-40. doi: 10.7429/pi.2017.701031.

Abstract

AIM

The main aim of this study is to examine the influence of the coordinator's ethical leadership on nurses' emotions (i.e., positive and negative) and work behaviours.

METHOD

A questionnaire was administered in paper format, including well-validated scales reported in literature, to a sample of 347 nurses working in a university hospital. A structural equation model has been tested after examining Pearson's correlations among study variables.

RESULTS

The coordinator's ethical leadership is strongly related to the implementation of nurses' organisational citizenship behaviour and counterproductive work behaviour, which are influenced by their emotions. Positive emotions fully mediate the relationship between ethical leadership and organisational citizenship behaviour, while negative emotions partially mediate the relationship between ethical leadership and counterproductive work behaviour.

CONCLUSIONS

Ethical leadership acts on nurses' organisational behaviour, as described in the modelling process. The nurses' organisational behaviour is crucial to the outcome of the health care service. Therefore, the ethical leadership indirectly affects the quality of the care and the cure offered to the patients.

摘要

目的

本研究的主要目的是考察协调者的道德领导对护士情绪(即积极情绪和消极情绪)及工作行为的影响。

方法

以纸质问卷的形式,对一家大学医院的347名护士样本进行调查,问卷包括文献中报道的经过充分验证的量表。在检验了研究变量之间的皮尔逊相关性之后,对结构方程模型进行了测试。

结果

协调者的道德领导与护士组织公民行为和反生产工作行为的实施密切相关,而这些行为受其情绪影响。积极情绪完全中介了道德领导与组织公民行为之间的关系,而消极情绪部分中介了道德领导与反生产工作行为之间的关系。

结论

如建模过程中所描述的,道德领导对护士的组织行为产生作用。护士的组织行为对医疗服务的结果至关重要。因此,道德领导间接影响对患者提供的护理和治疗质量。

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