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一线护士长信任与组织承诺的关系。

The relationship between trust in first-line nurse managers and organizational commitment.

机构信息

Department of Allergy, Republic of Turkey Ministry of Health Bursa City Hospital, Bursa, Turkey.

Department of Nursing Management, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey.

出版信息

Int Nurs Rev. 2020 Jun;67(2):183-190. doi: 10.1111/inr.12576. Epub 2020 Feb 11.

Abstract

AIM

To determine the effects of nurses' trust in first-line nurse managers on their organizational commitment.

BACKGROUND

Trust in managers is known to have important effects on employees' organizational commitment.

METHODS

A descriptive, cross-sectional and correlational research design used in this study. The sample was selected using proportional quota sampling which consisted of 723 nurses working in four hospitals in Istanbul (n = 723). The data collection tools were a nurse information questionnaire, the Trust in Manager Scale and the Organizational Commitment Scale. The data were analysed using descriptive tests, correlation and regression analysis (backward elimination).

RESULTS

The three regression models which were developed in this study were significant. In these models, the affective commitment subscale had the highest explanatory rate (29.5%). The variables such as being over 40 years old, being employed in a public institution and working on a permanent day shift and the subscales of the trust in manager scale such as support for subordinates and providing a positive work environment were predictors that affected the nurses' organizational commitment scores positively.

CONCLUSION

The study results show that trust in nurse managers is a determinant of nurse's organizational commitment.

IMPLICATIONS FOR NURSING AND HEALTH POLICY

First-line nurse managers can increase nurses' organizational commitments by building their trust with positive and encouraging behaviours. Top managers should point out the role of trust in first-line nurse managers and indicate the components of trust that lead to positive organizational outcomes.

摘要

目的

确定护士对一线护士长的信任对其组织承诺的影响。

背景

众所周知,对管理者的信任对员工的组织承诺有重要影响。

方法

本研究采用描述性、横断面和相关性研究设计。使用比例配额抽样选择样本,样本包括伊斯坦布尔 4 家医院的 723 名护士(n=723)。数据收集工具是护士信息问卷、经理信任量表和组织承诺量表。使用描述性测试、相关性和回归分析(向后消除)对数据进行分析。

结果

本研究中开发的三个回归模型具有统计学意义。在这些模型中,情感承诺子量表的解释率最高(29.5%)。年龄在 40 岁以上、在公立机构工作、永久上白班、信任经理量表的子量表,如支持下属和提供积极的工作环境等变量,是积极影响护士组织承诺得分的预测因素。

结论

研究结果表明,护士长的信任是护士组织承诺的决定因素。

对护理和卫生政策的影响

一线护士长可以通过积极鼓励的行为建立信任,从而提高护士的组织承诺。高层管理人员应指出一线护士长信任的作用,并指出导致积极组织结果的信任构成部分。

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