Zheng Xiaojia, Song Jiamei, Shi Xindi, Kan Chunmei, Chen Chaoran
Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, 475000, China.
BMC Health Serv Res. 2025 Feb 21;25(1):292. doi: 10.1186/s12913-025-12403-7.
To investigate the relationship between authoritarian leadership and burnout for young nurses in China and the mediating role of organizational climate and psychological capital in this relationship.
As the backbone of clinical nursing, young nurses are prone to job burnout due to the tedious work and the intense work intensity of clinical nursing. It is critical to pay close attention to young nurse burnout to elevate nursing quality and patient satisfaction.
A cross-sectional survey was carried out. From November to December 2022, 1,160 nurses from 4 hospitals in Henan, China participated in the survey. Pearson correlation analysis, descriptive statistics and structural equation model were used to analyze the existing data.
Authoritarian leadership (r = 0.502, P < 0.01) has a significant positive correlation with burnout, while organizational climate (r = -0.556, P < 0.01) and psychological capital (r = -0.538, P < 0.01) show significant negative correlations with burnout. Organizational climate and psychological capital serve as a chain mediating role between authoritarian leadership and burnout (β = 0.061, 95% CI (0.038, 0.086)). The total effect of authoritarian leadership on burnout (0.297) includes direct effect (0.338) and indirect effect (-0.042).
Organizational climate and psychological capital play a chain mediating role in the relationship between authoritarian leadership and burnout. The results show that nursing managers need to fully understand the disadvantages of authoritarian leadership, adjust relevant behaviors in time, and learn to care for and respect employees. Additionally, from the hospital's organizational climate and young nurses' psychological capital, the implementation of targeted management measures to alleviate nurses' burnout and improve the quality of nursing service.
探讨中国年轻护士的专制领导与职业倦怠之间的关系，以及组织氛围和心理资本在这种关系中的中介作用。
年轻护士作为临床护理的中坚力量，由于临床护理工作的繁琐和工作强度大，容易出现职业倦怠。密切关注年轻护士的职业倦怠对于提高护理质量和患者满意度至关重要。
进行了一项横断面调查。2022年11月至12月，来自中国河南4所医院的1160名护士参与了调查。采用Pearson相关分析、描述性统计和结构方程模型对现有数据进行分析。
专制领导（r = 0.502，P < 0.01）与职业倦怠呈显著正相关，而组织氛围（r = -0.556，P < 0.01）和心理资本（r = -0.538，P < 0.01）与职业倦怠呈显著负相关。组织氛围和心理资本在专制领导与职业倦怠之间起链式中介作用（β = 0.061，95%CI（0.038，0.086））。专制领导对职业倦怠的总效应（0.297）包括直接效应（0.338）和间接效应（-）。
组织氛围和心理资本在专制领导与职业倦怠的关系中起链式中介作用。结果表明，护理管理者需要充分认识专制领导的弊端，及时调整相关行为，学会关爱和尊重员工。此外，从医院的组织氛围和年轻护士的心理资本入手，实施针对性的管理措施，以缓解护士的职业倦怠，提高护理服务质量。
