魅力型领导对临床护士组织沉默行为的影响:积极应对和组织氛围的链式中介作用  

The influence of charismatic leadership on clinical nurses'organizational silence behavior:the chain mediating role of positive coping and organizational climate

作　　者：熊瑛[1] 崔鹤[1] 谢莹[1] 马亚茹 秦艺丹 Xiong Ying;Cui He;Xie Ying;Ma Yaru;Qin Yidan(Department of Obstetrics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院产科,郑州450052

出　　处：《中华现代护理杂志》2025年第8期1032-1039,共8页Chinese Journal of Modern Nursing

基　　金：河南省科技攻关项目(1496);河南省医学教育研究项目(Wjlx2022064)。

摘　　要：目的探讨积极应对和组织氛围在魅力型领导和临床护士组织沉默行为间的链式中介作用。方法本研究为横断面研究。采用便利抽样法,2024年4—5月选取郑州大学第一附属医院的236名临床护士为研究对象。采用魅力型领导量表、简易应对方式量表(积极应对部分)、护理组织氛围量表和护士组织沉默测评问卷对护士进行问卷调查。采用Harman单因素分析方法对研究变量的所有条目进行共同方法偏差检验;采用Spearman相关分析对魅力型领导、积极应对、组织氛围与组织沉默行为4个变量的相关性进行分析;采用SPSS PROCESS 3.5宏程序中的Model 6对积极应对、组织氛围在魅力型领导和组织沉默行为之间的链式中介作用进行检验。结果共回收问卷248份,有效问卷236份,问卷有效率为95.16%。共同方法偏差检验显示,共提取了7个特征根>1的公因子,其中第1个公因子的方差解释率为26.19%(<临界值40%)。相关分析显示,魅力型领导、积极应对、组织氛围两两呈正相关(P<0.05),组织沉默行为与魅力型领导、积极应对、组织氛围呈负相关(P<0.05)。中介效应分析显示,魅力型领导可直接对护士组织沉默行为产生影响(β=-0.138,P<0.01),还可以通过3条中介路径对护士组织沉默行为产生影响:魅力型领导→积极应对→护士组织沉默行为,效应值为-0.205,占总效应的46.91%(-0.205/-0.437);中介路径2:魅力型领导→组织氛围→护士组织沉默行为,效应值为-0.073,占总效应的16.70%(-0.073/-0.437);中介路径3:魅力型领导→积极应对→组织氛围→护士组织沉默行为,效应值为-0.021,占总效应的4.81%(-0.021/-0.437)。总中介效应为-0.299,占总效应的68.42%(-0.299/-0.437)。结论魅力型领导不仅可以直接影响护士组织沉默行为,还可以通过积极应对和组织氛围的中介作用对其产生间接影响。ObjectiveTo explore the chain mediating role of positive coping and organizational climate in the relationship between charismatic leadership and clinical nurses'organizational silence behavior.MethodsThis study was a cross-sectional research.A convenience sampling method was used to select 236 clinical nurses from the First Affiliated Hospital of Zhengzhou University from April to May 2024.The Conger-Kanungo Charismatic Leadership Scale,Simplified Coping Style Questionnaire(positive coping),Organizational Climate Scale,Nurse Organizational Silence Evaluation Questionnaire were administered to the nurses.Harman's single-factor test was used to examine common method bias,while Spearman's correlation analysis was employed to analyze the relationships among charismatic leadership,positive coping,organizational climate,and organizational silence behavior.The chain mediating effect of positive coping and organizational climate between charismatic leadership and organizational silence behavior was tested using Model 6 in SPSS PROCESS macro.ResultsA total of 248 questionnaires were retrieved,with 236 valid responses,yielding an effective response rate of 95.16%.The common method bias test revealed that 7 factors with eigenvalues greater than 1 were extracted,with the first factor explaining 26.19%of the variance,which was below the critical value of 40%.Correlation analysis showed that charismatic leadership,positive coping,and organizational climate were positively correlated with each other(P<0.05),and organizational silence behavior was negatively correlated with charismatic leadership,positive coping,and organizational climate(P<0.05).The mediating effect analysis showed that charismatic leadership could directly affect nurses'organizational silence behavior(β=-0.138,P<0.01),and could also affect nurses'organizational silence behavior through three mediating paths:charismatic leadership→positive coping→nurses'organizational silence behavior,with an effect value of-0.205,accounting for 46.91%(-0.205/-0.437)of th

关 键 词：护士 魅力型领导 积极应对 组织氛围 组织沉默 中介作用 

分 类 号：R47[医药卫生—护理学]