School of Applied Psychology, University College Cork, Cork, Ireland.
J Adv Nurs. 2021 Jan;77(1):198-206. doi: 10.1111/jan.14591. Epub 2020 Oct 3.
The aim of the present study was to investigate emotional exhaustion, work engagement, and turnover intention in the nursing profession by exploring the antecedent effects of ethical leadership and job components such as decision authority.
Emotional exhaustion, low work engagement, and high turnover intention are prevalent issues in the nursing profession. The experience of feeling overworked has led to feelings of burnout and low morale among nurses in Ireland, which has prompted the authors to identify potential variables that reduce these outcomes-in this case, ethical leadership and decision authority.
A descriptive, cross-sectional survey design was used across three hospital sites.
A cross-sectional sample of 89 nurses was recruited from three Irish hospitals to capture the experience of nurses between December 2017 - February 2018. Hypotheses were tested using path model analysis.
Ethical leadership positively predicted decision authority among nurses. Ethical leadership also had an indirect effect on all three outcome variables (work engagement, exhaustion, and turnover intention). Further effects were noted in relation to the mediators in relation to the three outcome variables. Decision authority had a positive effect on work engagement and related to lower turnover intention.
The present study demonstrated the role of ethical leadership as a mechanism to positively affect job control and work experience outcomes for nurses at work. Ethical leadership style in hospitals and providing nurses with the authority to make decisions can improve their work experience and help to engage, support, and retain nurses.
The study found support for the positive role of ethical leadership in relation to decision authority and as a positive predictor of work engagement, negative predictor of emotional exhaustion, and turnover intention among nurses.
本研究旨在通过探讨伦理领导和决策自主权等工作因素对护理职业中情绪耗竭、工作投入和离职意向的前因效应，来研究护理职业中的情绪耗竭、工作投入和离职意向。
情绪耗竭、工作投入度低和离职意向高是护理行业普遍存在的问题。在爱尔兰，护士因工作过度而感到疲惫不堪，导致士气低落，这促使作者确定了一些潜在的变量，可以减少这些结果——在这种情况下，就是伦理领导和决策自主权。
在三个医院站点采用描述性、横断面调查设计。
2017 年 12 月至 2018 年 2 月期间，从爱尔兰的三家医院招募了 89 名护士作为横断面样本，以了解护士的经历。使用路径模型分析来检验假设。
伦理领导对护士的决策自主权有积极的预测作用。伦理领导对所有三个结果变量（工作投入、疲惫和离职意向）也有间接影响。在与三个结果变量相关的中介变量方面，也注意到了进一步的影响。决策自主权对工作投入有积极影响，并与较低的离职意向相关。
本研究证明了伦理领导作为一种机制，可以积极影响护士的工作控制和工作体验结果。医院采用伦理领导风格，赋予护士决策权，可以改善他们的工作体验，有助于吸引、支持和留住护士。
研究结果支持了伦理领导在决策自主权方面的积极作用，以及作为护士工作投入的积极预测因素、情绪耗竭的消极预测因素和离职意向的预测因素。
