• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

护理团队中领导-成员交换(LMX)的共识对虐待性监督、工作满意度和科室人员流动率之间关系的影响:一项多层次调节研究

Effects of Consensus on Leader-Member Exchange (LMX) Within Nursing Teams on the Relationship Between Abusive Supervision, Job Satisfaction, and Unit Turnover: A Multilevel Moderation Study.

作者信息

Caputo Andrea, Costa Patricia, Gatti Paola, Cortese Claudio G, Ferreira Aristides I

机构信息

Psychology Department, University of Turin, Turin 10124, Italy.

Business Research Unit (BRU-IUL), Iscte-Instituto Universitário de Lisboa, Lisbon 1649-026, Portugal.

出版信息

J Nurs Manag. 2025 Apr 1;2025:6220416. doi: 10.1155/jonm/6220416. eCollection 2025.

DOI:10.1155/jonm/6220416
PMID:40223896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11978477/
Abstract

This study explores how consensus on leader-member exchange (LMX)-the degree of within-unit agreement regarding the LMX nurse leaders establish with each team member-moderates the effects of abusive supervision on job satisfaction and internal turnover intentions. Involving a sample of 1357 nurses nested into 130 groups (led by as many nurse leaders), cross-level moderations were tested. Results show that, on one hand, LMX consensus acts as a resource when it is stronger, dampening the effect of abusive supervision on job satisfaction. On the other hand, nurses with higher job satisfaction belonging to groups with higher LMX consensus report higher intentions to change wards than nurses in groups with lower LMX consensus. The discussion addresses the concept of "star employees," i.e., employees with better performance, visibility, and relevant social capital. The discussion highlights the importance for nurse managers to consider both the quality of individual LMX and overall team consensus to enhance nurse well-being and reduce turnover intentions.

摘要

本研究探讨了领导-成员交换(LMX)的一致性——即护士领导者与每个团队成员建立的LMX在单位内部的一致程度——如何调节虐待性监督对工作满意度和内部离职意图的影响。研究涉及1357名护士组成的130个小组(由同样数量的护士领导者领导),对跨层次调节作用进行了检验。结果表明,一方面,LMX一致性越强,就越能作为一种资源,减轻虐待性监督对工作满意度的影响。另一方面,与低LMX一致性小组的护士相比,高LMX一致性小组中工作满意度较高的护士报告的换岗意愿更高。讨论涉及“明星员工”的概念,即绩效更好、知名度更高且拥有相关社会资本的员工。讨论强调了护士管理者考虑个体LMX质量和团队整体一致性对于提高护士幸福感和降低离职意图的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9379/11978477/6a680e057b27/JONM2025-6220416.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9379/11978477/ea8694d48344/JONM2025-6220416.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9379/11978477/a0959d860b05/JONM2025-6220416.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9379/11978477/dd0a033213bc/JONM2025-6220416.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9379/11978477/6a680e057b27/JONM2025-6220416.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9379/11978477/ea8694d48344/JONM2025-6220416.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9379/11978477/a0959d860b05/JONM2025-6220416.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9379/11978477/dd0a033213bc/JONM2025-6220416.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9379/11978477/6a680e057b27/JONM2025-6220416.004.jpg

相似文献

1
Effects of Consensus on Leader-Member Exchange (LMX) Within Nursing Teams on the Relationship Between Abusive Supervision, Job Satisfaction, and Unit Turnover: A Multilevel Moderation Study.护理团队中领导-成员交换(LMX)的共识对虐待性监督、工作满意度和科室人员流动率之间关系的影响:一项多层次调节研究
J Nurs Manag. 2025 Apr 1;2025:6220416. doi: 10.1155/jonm/6220416. eCollection 2025.
2
Impact of leader-member-exchange and team-member-exchange on nurses' job satisfaction and turnover intention.领导-成员交换和团队成员交换对护士工作满意度和离职意向的影响。
Int Nurs Rev. 2019 Jun;66(2):242-249. doi: 10.1111/inr.12491. Epub 2018 Nov 25.
3
The importance of social exchange to nurses and nurse assistants: impact on retention factors.社会交换对护士和护士助理的重要性:对保留因素的影响。
J Nurs Manag. 2014 Jul;22(5):563-71. doi: 10.1111/jonm.12039. Epub 2013 Jul 3.
4
The impact of servant leadership dimensions on leader-member exchange among health care professionals.仆人式领导维度对医疗保健专业人员中领导-成员交换的影响。
J Nurs Manag. 2016 Mar;24(2):228-34. doi: 10.1111/jonm.12304. Epub 2015 Apr 16.
5
A multilevel investigation on nursing turnover intention: the cross-level role of leader-member exchange.一项关于护士离职意愿的多层次调查:领导成员交换的跨层次作用。
J Nurs Manag. 2015 Sep;23(6):754-64. doi: 10.1111/jonm.12205. Epub 2014 Jan 12.
6
Nurses' turnover intention: The impact of leader-member exchange, organizational identification and job embeddedness.护士离职倾向:领导-成员交换、组织认同和工作嵌入的影响。
J Adv Nurs. 2018 Jun;74(6):1380-1391. doi: 10.1111/jan.13552. Epub 2018 Mar 25.
7
Well-connected leaders: the impact of leaders' social network ties on LMX and members' work attitudes.关系紧密的领导者:领导者社会网络关系对 LMX 和成员工作态度的影响。
J Appl Psychol. 2010 Nov;95(6):1071-84. doi: 10.1037/a0020214.
8
Leader-member exchange and organizational climate effects on clinician turnover intentions.领导成员交换关系和组织氛围对临床医生离职意向的影响。
J Health Organ Manag. 2020 Dec 1;35(1):68-87. doi: 10.1108/JHOM-10-2019-0311.
9
Do inclusive leaders help to reduce turnover in diverse groups? The moderating role of leader-member exchange in the diversity to turnover relationship.包容型领导有助于减少多元化群体的离职率吗?领导-成员交换在多样性与离职率关系中的调节作用。
J Appl Psychol. 2009 Nov;94(6):1412-26. doi: 10.1037/a0017190.
10
The mediating role of job satisfaction between leader-member exchange and turnover intentions.领导-成员交换与离职意向之间的工作满意度中介作用。
J Nurs Manag. 2011 Jan;19(1):41-9. doi: 10.1111/j.1365-2834.2010.01184.x. Epub 2010 Dec 9.

本文引用的文献

1
Stress as a mediator between abusive supervision and clinical nurses' work outcomes.工作压力在主管虐待与临床护士工作结果间的中介效果。
Int Nurs Rev. 2024 Dec;71(4):997-1004. doi: 10.1111/inr.12961. Epub 2024 Mar 18.
2
Worldwide prevalence and associated factors of nursing staff turnover: A systematic review and meta-analysis.全球范围内护理人员离职率及相关因素的系统评价和荟萃分析。
Nurs Open. 2024 Jan;11(1):e2097. doi: 10.1002/nop2.2097.
3
What is the impact of integrated care on the job satisfaction of primary healthcare providers: a systematic review.
综合护理对基层医疗服务提供者工作满意度的影响:系统评价。
Hum Resour Health. 2023 Nov 1;21(1):86. doi: 10.1186/s12960-023-00874-w.
4
Leaders' Role in Shaping Followers' Well-Being: Crossover in a Sample of Nurses.领导者在塑造追随者幸福感中的作用:护士样本中的交叉。
Int J Environ Res Public Health. 2023 Jan 29;20(3):2386. doi: 10.3390/ijerph20032386.
5
Occupational challenges of healthcare workers during the COVID-19 pandemic: a qualitative study.医护人员在 COVID-19 大流行期间面临的职业挑战:一项定性研究。
BMJ Open. 2022 Mar 7;12(3):e054516. doi: 10.1136/bmjopen-2021-054516.
6
The relationship between abusive supervision, psychological ownership, and quality of nursing care: The mediating role of job satisfaction.虐待型监管、心理所有权与护理质量之间的关系:工作满意度的中介作用。
Perspect Psychiatr Care. 2022 Oct;58(4):1223-1231. doi: 10.1111/ppc.12919. Epub 2021 Aug 2.
7
Fear of COVID-19, psychological distress, work satisfaction and turnover intention among frontline nurses.一线护士对 COVID-19 的恐惧、心理困扰、工作满意度和离职意向。
J Nurs Manag. 2021 Apr;29(3):395-403. doi: 10.1111/jonm.13168. Epub 2020 Oct 11.
8
Factors affecting nurses' job satisfaction in rural and urban acute care settings: A PRISMA systematic review.影响城乡急症护理环境中护士工作满意度的因素:PRISMA 系统评价。
J Adv Nurs. 2020 Apr;76(4):963-979. doi: 10.1111/jan.14293. Epub 2019 Dec 27.
9
Abusive supervision and turnover intention: Mediating effects of psychological empowerment of nurses.虐待性监督与离职意愿:护士心理授权的中介作用
Int J Nurs Sci. 2018 Dec 24;6(2):198-203. doi: 10.1016/j.ijnss.2018.12.005. eCollection 2019 Apr 10.
10
Linking Transformational Leadership with Nurse-Assessed Adverse Patient Outcomes and the Quality of Care: Assessing the Role of Job Satisfaction and Structural Empowerment.将变革型领导与护士评估的不良患者结局和护理质量联系起来:评估工作满意度和结构授权的作用。
Int J Environ Res Public Health. 2019 Jul 4;16(13):2381. doi: 10.3390/ijerph16132381.