School of Business, Beijing Technology and Business University, Beijing, P.R. China.
School of Finance, Guangdong University of Finance & Economics, Guangzhou, P.R. China.
J Adv Nurs. 2021 Nov;77(11):4414-4426. doi: 10.1111/jan.14929. Epub 2021 Jul 6.
This study aimed to explore the influence of leader mindfulness on hindrance stress in nurses. Based on the social mindfulness framework, the mediating effects of nurses' perceptions of their leaders' perspective taking and empathic concern and how they are moderated by mindfulness of nurses were investigated.
A time-lagged cross-sectional survey was conducted.
The convenience sampling method was adopted. Data were collected at three time points from January to September 2020. A total of 393 paired datasets of nurses and their leaders were collected from 28 Chinese 3A grade hospitals. SPSS 23.0 and AMOS 23.0 were used for data analysis and hypotheses testing.
(1) Leader mindfulness significantly reduced nurse hindrance stress. (2) Both nurses' perceptions of their leaders' perspective taking and empathic concern mediated the relationship between leader mindfulness and nurse hindrance stress. Empathic concern was more effective than perspective taking in the process of leader mindfulness for reducing nurse hindrance stress. Nurses' perceptions of their leaders' perspective taking completely mediated the relationship between empathic concern and nurse hindrance stress. (3) Nurse mindfulness moderated the relationship between leader mindfulness and nurses' perceptions of their leaders' empathic concern but had no significant effect on the relationship between leader mindfulness and nurses' perceptions of their leaders' perspective taking.
Leader mindfulness was an important interpersonal factor for reducing nurse hindrance stress. Nurses' perceptions of their leaders' perspective taking and empathic concern were pivotal mechanisms underlying the effectiveness of leader mindfulness. Nurse mindfulness is a situational factor that contributes to the effectiveness of leader mindfulness.
Hospitals can benefit from mindfulness interventions by improving the mindfulness of leaders and nurses. Nurse managers are encouraged to promote social mindfulness, which will enable perspective taking and empathic concern by nurses and thus reduce hindrance stress on nurses during the pandemic.
本研究旨在探讨护士长正念对护士干扰压力的影响。基于社会正念框架,考察了护士对领导换位思考和同理心的感知的中介作用,以及正念对这些感知的调节作用。
采用时间滞后的横断面调查。
采用便利抽样法,于 2020 年 1 月至 9 月分三个时间点从 28 家中国 3A 级医院收集了共 393 对护士及其领导的数据。使用 SPSS 23.0 和 AMOS 23.0 进行数据分析和假设检验。
(1)护士长正念显著降低护士干扰压力。(2)护士对领导换位思考和同理心的感知均在护士长正念与护士干扰压力之间起中介作用,同理心的作用强于换位思考。同理心在领导正念影响护士干扰压力的过程中完全中介了领导换位思考的作用。(3)护士正念调节了护士长正念与护士对领导同理心的感知之间的关系,但对护士长正念与护士对领导换位思考的感知之间的关系没有显著影响。
护士长正念是降低护士干扰压力的重要人际因素。护士对领导换位思考和同理心的感知是领导正念有效性的关键机制。护士正念是一个情境因素,有助于提高领导正念的有效性。
医院可以通过提高领导者和护士的正念水平从正念干预中受益。鼓励护理管理人员促进社会正念,这将使护士能够换位思考和同理心,从而减轻大流行期间护士的干扰压力。