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外科培训中上级医师的变革型领导风格与住院医师的工作重塑:住院医师的观点

Supervisors' transformational leadership style and residents' job crafting in surgical training: the residents' views.

作者信息

Dominguez Luis Carlos, Dolmans Diana, de Grave Willem, Donkers Jeroen, Sanabria Alvaro, Stassen Laurents

机构信息

Department of Surgery, Universidad de la Sabana, Chía, Colombia.

Department of Educational Development and Research, School of Health Professions Education (SHE), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, the Netherlands.

出版信息

Int J Med Educ. 2022 Mar 28;13:74-83. doi: 10.5116/ijme.622d.e2f6.

DOI:10.5116/ijme.622d.e2f6
PMID:35349982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9017501/
Abstract

OBJECTIVES

This study aims to explore the effects of three supervisors' leadership styles (transformational, transactional, and laissez-faire) on residents' job crafting.

METHODS

Sequential explanatory mixed-methods. First, a purposive sample of residents rated the leadership style of their supervisors and their own job crafting on the Multifactor Leadership Questionnaire and the Dutch Job Crafting Scale. The effects were tested through linear mixed effects regression analysis. Thereafter we conducted semi-structured interviews with residents and conducted a thematic analysis.

RESULTS

A total of 116 residents participated. A transformational style had a positive effect on residents' job crafting (b = .19, t =3.76, p=. 009), whereas the transactional and laissez-faire styles did not. This could be explained by the fact that residents felt a positive influence of the supervisors with such style on the atmosphere for training, on the job resources available to them, and on their modelling function for how to handle the demands of the environment.

CONCLUSIONS

A transformational style of the supervisor has a positive effect on residents' job crafting. Future research should explore the supervisors' perspective, as well as the effectiveness of leadership training for supervisors with a focus on resident outcomes, such as job crafting.

摘要

目的

本研究旨在探讨三种督导领导风格(变革型、交易型和放任型)对住院医师工作重塑的影响。

方法

采用序列解释性混合方法。首先,通过目的抽样,让住院医师在多因素领导问卷和荷兰工作重塑量表上对其督导的领导风格和自身的工作重塑进行评分。通过线性混合效应回归分析来检验这些影响。此后,我们对住院医师进行了半结构化访谈,并进行了主题分析。

结果

共有116名住院医师参与。变革型领导风格对住院医师的工作重塑有积极影响(b = 0.19,t = 3.76,p = 0.009),而交易型和放任型领导风格则没有。这可以通过以下事实来解释:住院医师感受到具有这种风格的督导对培训氛围、他们可获得的工作资源以及如何应对环境需求的示范作用产生了积极影响。

结论

督导的变革型领导风格对住院医师的工作重塑有积极影响。未来的研究应探讨督导的观点,以及以住院医师的工作重塑等结果为重点的督导领导力培训的有效性。

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