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职业认同和工作场所社会资本在包容型领导与护士职业倦怠关系中的链式中介作用:一项纵向研究

The Chain Mediating Roles of Professional Identity and Workplace Social Capital in the Relationship Between Inclusive Leadership and Burnout of Nurses: A Longitudinal Study.

作者信息

Wu Yifan, Chen Wenwen, Zhang Ruihong, Yang Yang, Wang Hui, Xu Yang, Zang Shuang

机构信息

Department of Community Nursing, School of Nursing, China Medical University, Shenyang, China.

Department of Basic Nursing, School of Nursing, Jilin University, Changchun, China.

出版信息

J Nurs Manag. 2025 Apr 25;2025:4713030. doi: 10.1155/jonm/4713030. eCollection 2025.

Abstract

Burnout not only affects the health and work efficiency of nurses but also poses a potential threat to patient safety. The relationship and longitudinal mechanisms between inclusive leadership and nurse burnout in nursing work environments are unclear. To analyze the pathways and mechanisms by which inclusive leadership influences nurse burnout through a longitudinal study and to explore the mediating role of professional identity and workplace social capital in this association. A two-wave study was conducted among 360 Chinese nurses from Baoding No. 4 Central Hospital in March 2024 and October 2024, respectively. The self-report questionnaire consisted of inclusive leadership scale, professional identity scale, workplace social capital scale, and Maslach Burnout Inventory. Pearson's correlation analysis was employed to explore the relationships among study variables. The structural equation modeling was applied to test the proposed model. The scores for inclusive leadership, professional identity, workplace social capital, and burnout among nurses were 36.35 ± 7.04, 37.80 ± 6.96, 33.22 ± 5.31, and 30.03 ± 14.23, respectively. There is a significant correlation between the above study variables ( < 0.001). Inclusive leadership negatively influenced burnout directly and indirectly through professional identity and workplace social capital (all < 0.001). The indirect effects accounted for 65.58% of the total effect, with significant mediation through both pathways. Inclusive leadership contributed to the elimination of burnout in nurses at work. In addition, professional identity and workplace social capital had chain mediation roles between the effects of the inclusive leadership and burnout. Nursing mangers should actively adopt an inclusive leadership to improve nurses' professional identity and workplace social capital to ameliorate burnout among clinical nurses.

摘要

职业倦怠不仅会影响护士的健康和工作效率,还会对患者安全构成潜在威胁。在护理工作环境中,包容性领导与护士职业倦怠之间的关系及纵向机制尚不清楚。通过纵向研究分析包容性领导影响护士职业倦怠的途径和机制,并探讨职业认同和工作场所社会资本在这种关联中的中介作用。分别于2024年3月和10月对保定市第四中心医院的360名中国护士进行了两波研究。自陈式问卷包括包容性领导量表、职业认同量表、工作场所社会资本量表和马氏职业倦怠量表。采用Pearson相关分析探讨研究变量之间的关系。应用结构方程模型对提出的模型进行检验。护士的包容性领导、职业认同、工作场所社会资本和倦怠得分分别为36.35±7.04、37.80±6.96、33.22±5.31和30.03±14.23。上述研究变量之间存在显著相关性(<0.001)。包容性领导通过职业认同和工作场所社会资本直接和间接地对倦怠产生负面影响(均<0.001)。间接效应占总效应的65.58%,通过两条途径均有显著中介作用。包容性领导有助于消除护士工作中的倦怠。此外,职业认同和工作场所社会资本在包容性领导与倦怠的影响之间具有链式中介作用。护理管理者应积极采用包容性领导,以提高护士的职业认同和工作场所社会资本,改善临床护士的倦怠状况。

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