变革型领导、心理授权、工作投入与重症监护护士的工作绩效：一项使用结构方程模型的横断面研究。

Transformational leadership, psychological empowerment, work engagement and intensive care nurses' job performance: a cross-sectional study using structural equation modeling.

作者信息

Huang Qian, Wang Lina, Huang Haitao, Tang Haishan, Liu Jie, Chen Chaoran

机构信息

Central Sterile Supply Department, Huaihe Hospital, Henan University, Kaifeng, China.

Department of Gynecology, Huaihe Hospital, Henan University, Kaifeng, China.

出版信息

BMC Nurs. 2025 Aug 5;24(1):1025. doi: 10.1186/s12912-025-03685-7.

DOI:10.1186/s12912-025-03685-7

PMID:40764543

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12323184/

Abstract

BACKGROUND

The global nursing shortage has intensified the need for effective leadership strategies to enhance nurse performance and retain skilled staff, particularly in high-stress environments like intensive care units Transformational leadership has been recognized as a critical factor in improving nurses'job performance. However, the mechanisms underlying this relationship remain underexplored. This study investigates the direct impact of transformational leadership on ICU nurses'job performance and examines the mediating roles of psychological empowerment and work engagement.

METHODS

A cross-sectional study was conducted. Between October to November 2024, a total of 584 intensive care nurses from China completed the survey, which included standard assessments on transformational leadership, psychological empowerment, work engagement, and job performance. Structural equation modeling was employed to analyze the direct and indirect effects of transformational leadership on job performance, with psychological empowerment and work engagement as mediators.

RESULTS

The results indicated significant positive correlations among transformational leadership, psychological empowerment, work engagement, and job performance (all P < 0.01). Transformational leadership not only directly affected the job performance of intensive care nurses but also influenced it through the partial mediating roles of psychological empowerment and work engagement, with the mediating effects accounting for 24.64% and 21.74% of the total effect, respectively. Additionally, the analysis found that psychological empowerment and work engagement, played a chain mediating role in the relationship between transformational leadership and the job performance, with the mediating effect accounting for 15.94% of the total effect.

CONCLUSIONS

This study highlights the association between transformational leadership and ICU nurses' job performance, both directly and indirectly through psychological empowerment and work engagement. The findings suggest that transformational leadership is related to key psychological and behavioral factors that may support better job performance. Fostering transformational leadership behaviors may serve as a valuable approach for nursing managers to enhance psychological empowerment and engagement among ICU nurses, with potential benefits for patient care outcomes.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

全球护理人才短缺加剧了制定有效领导策略的必要性，以提高护士绩效并留住技术熟练的员工，尤其是在重症监护病房等高压力环境中。变革型领导已被视为提高护士工作绩效的关键因素。然而，这种关系背后的机制仍未得到充分探索。本研究调查变革型领导对重症监护病房护士工作绩效的直接影响，并检验心理授权和工作投入的中介作用。

方法

进行了一项横断面研究。2024年10月至11月期间，来自中国的584名重症监护护士完成了调查，其中包括对变革型领导、心理授权、工作投入和工作绩效的标准评估。采用结构方程模型分析变革型领导对工作绩效的直接和间接影响，以心理授权和工作投入作为中介变量。

结果

结果表明，变革型领导、心理授权、工作投入和工作绩效之间存在显著的正相关（所有P < 0.01）。变革型领导不仅直接影响重症监护护士的工作绩效，还通过心理授权和工作投入的部分中介作用对其产生影响，中介效应分别占总效应的24.64%和21.74%。此外，分析发现心理授权和工作投入在变革型领导与工作绩效的关系中起链式中介作用，中介效应占总效应的15.94%。