领导-成员交换在不当督导和临床护士工作投入关系中的作用  

Role of leader-member exchange in the relationship between abusive supervision and clinical nurse＇s work involvement

作　　者：杨克俭[1] 闫晓飞[1] 罗正学[1] 

机构地区：[1]第四军医大学航空航天医学院,西安710032

出　　处：《中华现代护理杂志》2017年第6期792-795,共4页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金项目（71272145）

摘　　要：目的 考察不当督导、领导-成员交换及临床护士工作投入之间的关系,为护理管理中领导力与护士工作投入提升提供依据.方法 采用不当督导量表、领导-成员交换量表和工作投入量表,对西安市2所三甲医院使用随机抽样方法选取的597名临床护士进行调查,用SPSS 16.0统计软件进行数据分析.结果 发放问卷620份,收回有效问卷597份.不当督导总分为（18.52±6.09）分,领导-成员交换总分为（26.13±4.37）分,工作投入总分为（47.87±11.62）分.不当督导与工作投入呈负相关（r=-0.23,P〈0.01）,领导-成员交换与工作投入呈正相关（r=0.44,P〈0.01）.不当督导对于员工工作投入有负向预测作用,领导-成员交换在不当督导与工作投入之间起完全中介作用.结论 护理管理者应尽量避免采取不当督导的领导方式以提高领导-成员交换质量,有益于提升临床护士的工作投入度.Objective To investigate the relationship among leader-member exchange with abusive supervision and work engagement in nurses, to improve the leadership in nursing management and the promotion of nursing work.Methods A total of 597 nurses in two Xi＇an tertiary general hospitals,who were selected by convenient sampling method,were investigated by abusive supervision scale,leader-member exchange scale and work engagement scale. The data was analyzed by software SPSS 16.0.Results A total of 620 questionnaires were distributed with effective 597 questionnaire collected. The total score of abusive supervision was（18.52±6.09）,leader-member exchange score（26.13±4.37）,and work engagement score （47.87±11.62）. With the demographic variables controlled,abusive supervision was negatively related to work engagement（r= -0.23,P〈0.01）,and leader-member exchange had a positive effect on work engagement in nurses（r=0.44,P〈0.01）.Abusive supervision exerted a negative effect on nurses＆#39; work engagement through the medium of leader-member exchange.Conclusions Abusive supervision should be avoided to improve the quality of leader-member exchange quality,which is benefit to work engagement in clinical nurses.

关 键 词：护士 不当督导 工作投入 领导-成员交换 中介作用 

分 类 号：R47[医药卫生—护理学]