双元领导对专科护士知识共享行为的影响：感知组织支持与组织承诺的链式中介作用

The effect of ambidextrous leadership on knowledge sharing behavior among nurse specialists: a chain mediation role of perceived organizational support and organizational commitment.

作者信息

Tao Jia, Liu Yan, Su Dan

机构信息

School of Nursing, Anhui Medical University, Hefei, China.

出版信息

BMC Nurs. 2025 Feb 17;24(1):181. doi: 10.1186/s12912-025-02808-4.

DOI:10.1186/s12912-025-02808-4

PMID:39962492

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11834281/

Abstract

BACKGROUND

Knowledge sharing behavior of nurse specialists can cultivate nurses' core abilities, improve the quality of healthcare system services, and enhance people's well-being. Ambidextrous leadership can increase the level of knowledge sharing behavior, but the exact mechanism in nurse specialists remain unclear. This study investigated the relationship between ambidextrous leadership and knowledge sharing behavior among nurse specialists, with a specific focus on the mediation roles played by perceived organizational support and organizational commitment.

METHODS

An anonymous cross-sectional survey with a convenience sampling among nurse specialists was conducted in Anhui Province, east China from July to September 2024. Sociodemographic information questionnaire, Multifactor Leadership Questionnaire, Perceived Organizational Support Scale, Chinese Employees Organizational Commitment Scale and Knowledge Sharing Behavior Scale were used to collect data. SPSS23.0 and AMOS 26.0 were used for statistical analysis.

RESULTS

A total of 298 nurse specialists participated in this study. The average score of nurse specialists' knowledge sharing behavior was 55.00(10.65). Knowledge sharing behavior was positively correlated with ambidextrous leadership (r = 0.562, p<0.01), perceived organizational support (r = 0.575, p<0.01), and organizational commitment (r = 0.413, p<0.01). The total effect (β = 0.635) of ambidextrous leadership on knowledge sharing behavior consisted of a direct effect (β = 0.320) as well as an indirect effect (β = 0.315) mediated through perceived organizational support and organizational commitment. Perceived organizational support and organizational commitment have a chain-mediated effect (β = 0.056) between ambidextrous leadership and knowledge sharing behavior among nurse specialists, bootstrap 95% confidence interval (0.018,0.131), which represented 8.8% of the total effect.

CONCLUSIONS

This study confirms that ambidextrous leadership has a significant positive predictive effect on knowledge sharing behavior. Ambidextrous leadership was first associated with an increase in perceived organizational support, followed by a sequential ascend of organizational commitment, which associated with an improvement in knowledge sharing behavior among nurse specialists at last. Hospital managers can increase the levels of knowledge sharing behavior among nurse specialists by improving ambidextrous leadership, perceived organizational support and organizational commitment.

摘要

背景

专科护士的知识共享行为能够培养护士的核心能力，提高医疗系统服务质量，并增进人们的福祉。二元领导能够提高知识共享行为的水平，但在专科护士中其确切机制仍不清楚。本研究调查了专科护士中二元领导与知识共享行为之间的关系，特别关注感知组织支持和组织承诺所起的中介作用。

方法

2024年7月至9月在中国东部安徽省对专科护士进行了一项采用便利抽样的匿名横断面调查。使用社会人口学信息问卷、多因素领导问卷、感知组织支持量表、中国员工组织承诺量表和知识共享行为量表收集数据。采用SPSS23.0和AMOS 26.0进行统计分析。

结果

共有298名专科护士参与了本研究。专科护士知识共享行为的平均得分为55.00（10.65）。知识共享行为与二元领导（r = 0.562，p<0.01）、感知组织支持（r = 0.575，p<0.01）和组织承诺（r = 0.413，p<0.01）呈正相关。二元领导对知识共享行为的总效应（β = 0.635）包括直接效应（β = 0.320）以及通过感知组织支持和组织承诺介导的间接效应（β = 0.315）。感知组织支持和组织承诺在二元领导与专科护士知识共享行为之间具有链式中介效应（β = 0.056），偏差校正Bootstrap 95%置信区间为（0.018，0.131），占总效应的8.8%。