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重症监护病房护士感知过度资格、变革型领导与倦怠的关系:一项多中心调查。

Associations between perceived overqualification, transformational leadership and burnout in nurses from intensive care units: A multicentre survey.

机构信息

School of Nursing and Rehabilitation, Shandong University, Jinan, China.

School of Nursing, Midwifery and Paramedicine (VIC), Australian Catholic University, Fitzroy, Australia.

出版信息

J Nurs Manag. 2022 Oct;30(7):3330-3339. doi: 10.1111/jonm.13774. Epub 2022 Sep 11.

Abstract

AIMS

To explore whether perceived overqualification increases the risk of burnout and whether transformational leadership negatively moderates this relationship.

BACKGROUND

Perceived overqualification might contribute to burnout and lead to poor experience of transformational leadership, and transformational leadership might be associated with burnout. However, these relationships have not yet been confirmed.

METHODS

A multicentre cross-sectional study. A total of 321 nurses from intensive care units were recruited from six tertiary hospitals. Scale of Perceived OverQualification, Transformational Leadership Questionnaire and emotional exhaustion subscale of the Maslach Burnout Inventory-General Survey were employed to collect the data. Hierarchical multiple regression and bootstrap resampling were applied to analyse the data.

RESULTS

Burnout was positively associated with perceived overqualification and negatively associated with transformational leadership (each p < 0.05). Transformational leadership significantly mediated the relationship between perceived overqualification and burnout (b = -0.6389, 95% confidence interval: -0.8706, -0.4072).

CONCLUSION

Our findings indicated that perceived overqualification and transformational leadership directly or indirectly affect burnout among nurses from intensive care units.

IMPLICATIONS FOR NURSING MANAGERS

Personal and organizational-oriented interventions utilizing nurses' overall qualifications and implementing transformational leadership should be employed by nurse managers to alleviate burnout and promote the work performance of nurses from intensive care units.

摘要

目的

探讨感知过度资格是否会增加倦怠的风险,以及变革型领导是否会负向调节这种关系。

背景

感知过度资格可能会导致倦怠,并导致对变革型领导的体验不佳,而变革型领导可能与倦怠有关。然而,这些关系尚未得到证实。

方法

一项多中心横断面研究。从六家三级医院的重症监护病房共招募了 321 名护士。采用感知过度资格量表、变革型领导问卷和 Maslach 倦怠量表的情绪衰竭分量表来收集数据。采用分层多元回归和自举重采样来分析数据。

结果

倦怠与感知过度资格呈正相关,与变革型领导呈负相关(均 p<0.05)。变革型领导显著中介了感知过度资格与倦怠之间的关系(b=-0.6389,95%置信区间:-0.8706,-0.4072)。

结论

我们的研究结果表明,感知过度资格和变革型领导直接或间接地影响重症监护病房护士的倦怠。

对护理管理者的启示

护理管理者应采用针对个人和组织的干预措施,利用护士的整体资格,并实施变革型领导,以减轻倦怠,提高重症监护病房护士的工作表现。

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