道德领导对护士组织沉默的影响：组织公正的中介作用。
Effect of Ethical Leadership on Nurses' Organizational Silence: The Mediating Role of Organizational Justice.
作者信息
She Jiachen, Zhang Ruixing, Li Yanan, Mei Yongxia, Li Hongfeng
机构信息
School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan 450001, China.
Department of Nursing, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China.
出版信息
J Nurs Manag. 2023 Sep 29;2023:9929435. doi: 10.1155/2023/9929435. eCollection 2023.
AIM
The aim of this study is to explore the effects of ethical leadership on nurses' organizational silence and the mediating role of organizational justice.
BACKGROUND
Organizational silence is considered to be an unethical and destructive influence on healthcare organizations. Ethical leadership has an important influence on nurses' organizational silence. Yet, the effect of mechanism among ethical leadership, nurses' organizational silence, and the perceived organizational justice remains unknown.
METHODS
We conducted a cross-sectional survey of 896 nurses in 11 hospitals in Henan Province, China, using a stratified sampling method. Data were analyzed using correlation analysis, one-way analysis of variance, and PROCESS macro.
RESULTS
Chinese nurses spoke highly of the ethical leadership of their nurse managers. Organizational justice and silence among nurses were at moderate levels. Ethical leadership significantly predicted nurses' organizational justice ( = 0.453, < 0.001) and nurses' organizational silence ( = -0.450, < 0.001). Organizational justice played a partially mediating role in ethical leadership and nurses' organizational silence.
CONCLUSION
Developing ethical leadership and improving organizational justice for nurses are critical to reduce organizational silence among nurses. . Hospitals can break organizational silence by developing ethical leadership in nurse managers through training related to ethical leadership, such as leadership programs. In addition, nurse managers can reduce the occurrence of organizational silence by increasing nurses' sense of organizational justice.
目的
本研究旨在探讨道德领导对护士组织沉默的影响以及组织公正的中介作用。
背景
组织沉默被认为是对医疗保健组织的一种不道德且具有破坏性的影响。道德领导对护士的组织沉默有重要影响。然而，道德领导、护士的组织沉默和感知到的组织公正之间的作用机制尚不清楚。
方法
我们采用分层抽样方法，对中国河南省11家医院的896名护士进行了横断面调查。使用相关分析、单因素方差分析和PROCESS宏对数据进行分析。
结果
中国护士对其护士长的道德领导评价很高。护士的组织公正和沉默处于中等水平。道德领导显著预测了护士的组织公正（β = 0.453，p < 0.001）和护士的组织沉默（β = -0.450，p < 0.001）。组织公正在道德领导和护士的组织沉默中起部分中介作用。
结论
培养道德领导并提高护士的组织公正对于减少护士的组织沉默至关重要。医院可以通过开展与道德领导相关的培训（如领导力项目）来培养护士长的道德领导，从而打破组织沉默。此外，护士长可以通过增强护士的组织公正感来减少组织沉默的发生。
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