从钦佩到报复：护士报复行为在护士长自恋与护士反生产工作行为之间联系中的中介作用

From admiration to retribution: the mediating role of nurses' vengeful behaviors in the link between nurse managers' narcissism and nurses' counterproductive work behaviors.

作者信息

Atalla Amal Diab Ghanem, Sharif Loujain Saud, Mahsoon Alaa, Banakhar Maram, Ali Amira Mohammed, Mohamed Samia Mohamed Sobhi

机构信息

Faculty of Nursing, Department of Nursing Administration, Alexandria University, Alexandria, Egypt.

Faculty of Nursing, Psychiatric and Mental Health Nursing Department, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

BMC Nurs. 2025 Jul 4;24(1):839. doi: 10.1186/s12912-025-03308-1.

DOI:10.1186/s12912-025-03308-1

PMID:40616132

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12231664/

Abstract

BACKGROUND

Constructive works by nurse managers are thought to affect nurses' profession, satisfaction with work, and engagement with the healthcare organization. instead, it has been shown that the negative behavior of nurse supervisors, such as narcissism, has impacted the psychological health of the nurses and caused them to engage in counterproductive behavior (CWB). Hence, this study aims to determine the influence of the mediating role of nurses' vengeful behaviors in the link between nurse managers' narcissism and nurses' counterproductive work behaviors.

METHODS

A descriptive correlational study was conducted in an Egyptian hospital. A convenient sample of staff nurses (N = 400) who agreed to participate in the study answered the narcissistic admiration and rivalry questionnaire (NARQ), counterproductive work behaviors, and nurses' counterproductive work behaviors questionnaires, which were proven to be valid and reliable study measures. Descriptive and inferential statistics were applied, and relationships were presented using a path model.

ETHICAL CONSIDERATIONS

Ethics Committee approval, written informed consent, data privacy and confidentiality, and participants' rights to voluntary participation and withdrawal were maintained.

RESULTS

Vengeful behaviors (B = 0.191, β = 0.137, t = 2.768, p < 0.001) and unproductive work behaviors (B = 0.099, β = 0.231, t = 4.654, p < 0.001) were substantially predicted by narcissistic adoration and rivalry. Of the variance in CWBs, 8.4% was explained by the model. Vengeful behaviors' mediating role was validated by path analysis, and the model fit the data well (e.g., CFI = 0.95, RMSEA = 0.04).

CONCLUSION

The narcissism of nurse supervisors fuels the retaliatory and ineffective actions of staff nurses. Reducing toxic leadership attributes may improve corporate outcomes and decrease workplace deviance.

NURSING IMPLICATIONS

Nurse supervisors should receive training in emotional intelligence and ethical leadership from healthcare institutions. The quality of patient treatment and worker satisfaction may both be improved by fostering a friendly and open work environment. Future studies should examine long-term effects and evaluate strategies to lessen negative leadership traits.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

护士长的建设性工作被认为会影响护士的职业、工作满意度以及对医疗保健机构的参与度。相反，研究表明，护士主管的负面行为，如自恋，会影响护士的心理健康，并导致他们出现反生产行为（CWB）。因此，本研究旨在确定护士报复行为的中介作用在护士长自恋与护士反生产工作行为之间的联系中的影响。

方法

在一家埃及医院进行了一项描述性相关性研究。一个由同意参与研究的在职护士组成的便利样本（N = 400）回答了自恋崇拜与竞争问卷（NARQ）、反生产工作行为问卷以及护士反生产工作行为问卷，这些问卷被证明是有效且可靠的研究工具。应用了描述性和推断性统计，并使用路径模型展示了各关系。

伦理考量

维持了伦理委员会的批准、书面知情同意、数据隐私和保密性，以及参与者自愿参与和退出的权利。

结果

自恋崇拜和竞争对报复行为（B = 0.191，β = 0.137，t = 2.768，p < 0.001）和非生产性工作行为（B = 0.099，β = 0.231，t = 4.654，p < 0.001）有显著预测作用。该模型解释了反生产工作行为中8.4%的方差。报复行为的中介作用通过路径分析得到验证，且模型与数据拟合良好（例如，CFI = 0.95，RMSEA = 0.04）。