Arthur Labatt Family School of Nursing, University of Western Ontario, London Ontario, Canada.
Department of Psychology, University of Western Ontario, London Ontario, Canada.
Leadersh Health Serv (Bradf Engl). 2020 Sep 28;33(4):397-415. doi: 10.1108/LHS-04-2020-0019.
This study aims to test a model examining the impact of leader empowering behaviour on experienced nurses' self-efficacy, interprofessional collaboration, job turnover intentions and adverse patient outcomes.
DESIGN/METHODOLOGY/APPROACH: Structural equation modelling in Mplus was used to analyse cross-sectional survey data from experienced nurses in Alberta, Ontario, and Nova Scotia, Canada ( = 478).
The results supported the hypothesized model: (164) = 333.021, = 0.000; RMSEA = 0.047; CFI = 0.965; TLI = 0.959; SRMR = 0.051. Indirect effects were observed between leader empowering behaviour and nurses' assessment of adverse events and leader empowering behaviour and nurses' job turnover intentions through interprofessional collaboration.
RESEARCH LIMITATIONS/IMPLICATIONS: Leader empowering behaviour plays a role in creating collaborative conditions that support quality patient care and the retention of experienced nurses.
The findings will be of interest to academic and hospital leaders as they consider strategies to retain experienced nurses, such as nurse manager selection, development and performance management systems.
ORIGINALITY/VALUE: The influx of new graduate nurses to the nursing profession and changing models of care requires the retention of experienced nurses in the workforce. The findings suggest that leader empowering behaviour and interprofessional collaboration are important factors in supporting quality patient care and stabilizing the nursing workforce.
本研究旨在检验一个考察领导授权行为对有经验护士自我效能感、跨专业协作、离职意愿和不良患者结局影响的模型。
设计/方法/途径：采用 Mplus 中的结构方程模型分析了来自加拿大艾伯塔省、安大略省和新斯科舍省的有经验护士的横断面调查数据（n=478）。
结果支持假设模型：（164）=333.021，p<0.001；RMSEA=0.047；CFI=0.965；TLI=0.959；SRMR=0.051。在领导授权行为和护士对不良事件的评估以及领导授权行为和护士离职意愿之间观察到了跨专业协作的间接效应。
研究局限性/影响：领导授权行为在创造支持优质患者护理和保留有经验护士的协作条件方面发挥着作用。
这些发现将引起学术和医院领导者的兴趣，因为他们正在考虑保留有经验护士的策略，如护士长的选拔、发展和绩效管理系统。
原创性/价值：新毕业护士涌入护理行业和护理模式的变化要求有经验的护士在劳动力中保留下来。研究结果表明，领导授权行为和跨专业协作是支持优质患者护理和稳定护理劳动力的重要因素。
