Chu Haiyun, Qiang Binbin, Zhou Jiawei, Qiu Xiaohui, Yang Xiuxian, Qiao Zhengxue, Song Xuejia, Zhao Erying, Cao Depin, Yang Yanjie
Harbin Medical University, Harbin, China.
Front Psychol. 2021 Mar 9;12:586475. doi: 10.3389/fpsyg.2021.586475. eCollection 2021.
Transformational leadership has been becoming increasingly vital to the provision of high-quality health care, particularly during major public health emergencies. The present study aims to investigate the impact of transformational leadership on physicians' performance and explore the cross-level underlying mechanisms with achievement motivations and coping styles among Chinese physicians. During 2017-2019, 1,527 physicians of 101 departments were recruited from six hospitals in China with a cluster random sampling method. Participants completed several questionnaires regarding their job performance, achievement motivations, coping styles, and transformational leadership. Multilevel mediation effects were tested using cross-level path analysis. The result of this study indicated that transformational leadership was applied well in Chinese medical settings with a score of 101.56 ± 6.42. The hierarchical linear model showed that transformational leadership had a cross-level direct positive effect on physicians' performance (β = 1.524, < 0.05). Furthermore, results of cross-level path analyses revealed that transformational leadership contributed to physicians' performance by sequentially influencing achievement motivations first and then coping styles. In addition, the path "transformational leadership → positive coping (PC) style → physicians' performance" showed the strongest cross-level indirect effect. In summary, public health leaders should enhance physicians' performance by promoting individual development, especially achievement motivation and PC style.
变革型领导对于提供高质量医疗保健日益重要，尤其是在重大突发公共卫生事件期间。本研究旨在调查变革型领导对医生绩效的影响，并探讨中国医生中成就动机和应对方式在跨层次上的潜在机制。在2017年至2019年期间，采用整群随机抽样方法从中国六家医院的101个科室招募了1527名医生。参与者完成了几份关于他们工作绩效、成就动机、应对方式和变革型领导的问卷。使用跨层次路径分析测试多层次中介效应。本研究结果表明，变革型领导在中国医疗环境中应用良好，得分为101.56±6.42。分层线性模型显示，变革型领导对医生绩效具有跨层次直接正向影响（β = 1.524，<0.05）。此外，跨层次路径分析结果显示，变革型领导通过先依次影响成就动机，然后影响应对方式，从而对医生绩效产生作用。此外，“变革型领导→积极应对（PC）方式→医生绩效”这一路径显示出最强的跨层次间接效应。总之，公共卫生领导者应通过促进个人发展，特别是成就动机和积极应对方式，来提高医生的绩效。
