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护士的声音行为:谦逊领导、情感承诺和工作嵌入在中国的影响。

Nurses' voice behaviour: The influence of humble leadership, affective commitment and job embeddedness in China.

机构信息

Institute of Nursing and Health, College of Nursing and Health, Henan University, Kaifeng, China.

School of Business, Henan University, Kaifeng, China.

出版信息

J Nurs Manag. 2021 Sep;29(6):1603-1612. doi: 10.1111/jonm.13306. Epub 2021 Apr 20.

DOI:10.1111/jonm.13306
PMID:33706409
Abstract

AIM

To test the influence of humble leadership, job embeddedness and affective commitment on the voice behaviour of nurses.

BACKGROUND

A nurse's voice behaviour is regarded as an important measure to identify and solve problems in medical institutions, and improve patients' satisfaction. It is urgent to pay sufficient attention to nurses' advice to determine which factors can stimulate enthusiasm in this area.

METHODS

This study is a cross-sectional study involving 598 nurses.

RESULTS

The results showed that humble leadership, job embeddedness, affective commitment and voice behaviour were significantly positively correlated. Job embeddedness played a partial mediating role in humble leadership and affective commitment; meanwhile, affective commitment also partially mediated the influence of job embeddedness on voice behaviour.

CONCLUSIONS

Humble leadership was the key to improve the voice behaviour of nurses; as a mediating mechanism, job embeddedness and affective commitment further explained how humble leadership promoted the voice behaviour of nurses.

IMPLICATIONS FOR NURSING MANAGEMENT

The effects of humble leadership, job embeddedness and affective commitment to voice behaviour could be used to guide the management of clinical nurses. In particular, the humble leadership style perceived by nurses and the enhanced emotional connection with the organisation would contribute to the generation of voice behaviour.

摘要

目的

测试谦逊领导、工作嵌入和情感承诺对护士发声行为的影响。

背景

护士的发声行为被视为识别和解决医疗机构问题、提高患者满意度的重要措施。关注护士的建议,确定哪些因素可以激发这方面的积极性,是当务之急。

方法

本研究为横断面研究,共纳入 598 名护士。

结果

结果表明,谦逊领导、工作嵌入、情感承诺与发声行为呈显著正相关。工作嵌入在谦逊领导与情感承诺之间起到部分中介作用;同时,情感承诺也部分中介了工作嵌入对发声行为的影响。

结论

谦逊领导是提高护士发声行为的关键;工作嵌入和情感承诺作为中介机制,进一步解释了谦逊领导如何促进护士的发声行为。

对护理管理的启示

谦逊领导、工作嵌入和情感承诺对发声行为的影响可以用来指导临床护士的管理。特别是护士感知到的谦逊领导风格以及与组织的情感联系的增强,有助于发声行为的产生。

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