护士感知管理关怀在护士长领导力与职业生涯状况间的中介效应研究  

The mediating effect of nurses' management care perception on head nurses' leadership and career status

作　　者：何家欢 张红鸽 高阿妮[3] 李莎[4] 李媛媛[5] 高欣 王朝蓉 HE Jiahuan;ZHANG Hongge;GAO A'ni;LI Sha;LI Yuanyuan;GAO Xin;WANG Chaorong(Department of Hemodialysis Center,the Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,China;Department of Cardiology,the Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,China;Department of Nephrology,the Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,China;Department of GynecologyⅢ,the Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,China;Department of Scientific Research,the Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,China)

机构地区：[1]陕西中医药大学第二附属医院血液透析中心,咸阳市712046 [2]陕西中医药大学第二附属医院心内科,咸阳市712046 [3]陕西中医药大学第二附属医院肾病科,咸阳市712046 [4]陕西中医药大学第二附属医院妇三科,咸阳市712046 [5]陕西中医药大学第二附属医院科研科,咸阳市712046

出　　处：《护理管理杂志》2024年第4期282-286,共5页Journal of Nursing Administration

基　　金：国家自然科学基金(82104464);陕西省中医药管理局项目(2021-PY-006)。

摘　　要：目的探讨护士感知管理关怀在护士长领导力与职业生涯状况间的中介效应。方法采用一般资料调查表、护士长领导力问卷、管理关怀性评估量表、职业生涯状况评价量表对咸阳市2所三级甲等医院的560名护士进行调查。结果护士感知护士长领导力总分为(169.37±9.68)分,感知管理关怀总分为(95.34±8.45)分,职业生涯状况总分为(54.46±9.48)分,护士感知护士长领导力、管理关怀与职业生涯状况呈两两正相关(r_(1)=0.633,r_(2)=0.586,r_(3)=0.721,均P<0.01),护士感知管理关怀在护士长领导力与职业生涯状况间具有中介效应,效应值为0.195,占总效应的22.1%。结论护士职业生涯状况处于中等偏下水平,感知管理关怀在护士长领导力与职业生涯状况间发挥部分中介效应,管理者可以通过提升护士长的领导力和增加护士感知的管理关怀,二者共同作用以改善护士的职业生涯状况。Objective To explore the mediating effect of nurses'perceived management care on the head nurses'leadership and career status.Methods A total of 560 nurses from 2 Grade A hospitals in Xianyang were investigated by general information questionnaire,Head Nurse Leadership Questionnaire,Caring Assessment Tool-administration and Career Status Assessment Scale.Results The total score of head nurse leadership was(169.37±9.68).The total score of nurses'perception management care was(95.34±8.45),and the total score of career status was(54.46±9.48).There was a pairwise positively correlated between head nurses'leadership,perceived management care and career status among nurses(r_(1)=0.633,r_(2)=0.586,r_(3)=0.721,P<0.01).Perceived management care had a mediating effect between head nurses'leadership and career status,with an effect value of 0.195,accounting for 22.1%of the total effect.Conclusion The career status of nurses is in the lower middle level,and perceived management care plays a partial mediating effect between the head nurses'leadership and the career status.Managers can improve the career status of nurses by enhancing the head nurses'leadership and increasing the perceived management care of nurses.

关 键 词：护士长领导力 感知管理关怀 职业生涯状况 护士 中介效应 

分 类 号：R47[医药卫生—护理学] R192.6[医药卫生—临床医学]