Zhou Jinyi, Zhang Ke-Fu
University of Science and Technology Beijing, China.
Peking University Third Hospital, China.
Nurs Ethics. 2022 Mar;29(2):304-316. doi: 10.1177/09697330211030673. Epub 2021 Nov 8.
As caring in times of pandemics becomes extremely stressful, the volume and intensity of nursing work witness significant increase. Ethical practices are therefore even more important for nurses and nurse leaders during this special period.
The aim was to explore the relationship between ethical nurse leaders and nurses' task mastery and ostracism, and to examine the mediating role of relational identification in this relationship during pandemics.
Based on social exchange theory, this study tests a theoretical model proposing that ethical nurse leaders can increase nurses' task mastery and reduce their ostracism by improving their relational identification with leaders during pandemics.
A multilevel and multi-wave field study using data from 172 nurses from 45 departments of two comprehensive hospitals was performed from April to August 2020 to test proposed hypotheses.
We received formal approvals from the ethical committee of the hospital where we conducted this study before the data collection.
Ethical nurse leaders can indeed increase nurses' task mastery and reduce their ostracism during the pandemic period; furthermore, nurses' identification with their leaders mediates these relationships. We find that ethical leadership plays an even more important role in improving nurses' task mastery and reducing their ostracism that may be facilitated by pandemics this special time. Nurses will become more identified with their leaders when they are treated by ethical ways.
The study tries to advance our understanding of the important role of ethical leadership in nurse management literature and provide useful suggestions for healthcare institutions, nurse leaders, and nurses during pandemics.
Theoretical contributions and practical implications of our findings are discussed. Specifically, we suggest that healthcare institutions cultivate ethical nurse leaders to facilitate nurses' relational identification, which in turn will positively influence work outcomes.
在疫情期间，护理工作的压力极大，护理工作的工作量和强度显著增加。因此，在这个特殊时期，道德实践对护士和护士长来说更为重要。
旨在探讨道德护士长与护士的任务掌握和被排斥之间的关系，并考察关系认同在疫情期间这种关系中的中介作用。
基于社会交换理论，本研究测试了一个理论模型，该模型提出，道德护士长可以通过在疫情期间提高护士与领导的关系认同来增加护士的任务掌握并减少他们的被排斥感。
2020年4月至8月，对两家综合医院45个科室的172名护士的数据进行了多层次、多波次的实地研究，以检验所提出的假设。
在数据收集之前，我们获得了开展本研究的医院伦理委员会的正式批准。
道德护士长确实可以在疫情期间增加护士的任务掌握并减少他们的被排斥感；此外，护士对领导的认同在这些关系中起中介作用。我们发现，道德领导在提高护士的任务掌握和减少他们可能因疫情这个特殊时期而遭受的被排斥感方面发挥着更为重要的作用。当护士受到道德对待时，他们会更认同自己的领导。
本研究试图增进我们对道德领导在护理管理文献中的重要作用的理解，并为疫情期间的医疗机构、护士长和护士提供有益的建议。
讨论了研究结果的理论贡献和实际意义。具体而言，我们建议医疗机构培养道德护士长，以促进护士的关系认同，这反过来又会对工作成果产生积极影响。
