护士组织认同在其家庭支持型主管行为与沉默行为间的中介作用

The mediating effect of nurses＇ organizational identification on the relationship between family-supportive supervisor behavior and silence behavior

目的 探讨家庭支持型主管行为对护士沉默行为的影响机制以及组织认同在两者间的中介作用.方法 2016年2—7月,采用便利抽样法选取浙江省8所医院916名护士为研究对象.基于社会交换理论,采用家庭支持型主管行为量表、组织认同量表和沉默行为量表对护士进行调查.结果 916名护士家庭支持型主管行为、组织认同、沉默行为得分分别为（3.85±0.66）、（3.15±0.62）、（2.82±0.46）分;相关分析显示,家庭支持型主管行为、组织认同与护士沉默行为呈负相关（r值分别为-0.27、-0.36;P〈0.01）,家庭支持型主管行为与组织认同呈正相关（r=0.53,P〈0.01）.组织认同在家庭支持型主管行为与沉默行为间的中介效应分析显示,家庭支持型主管行为对沉默行为具有负向作用（β=-0.39,P〈0.01）,对组织认同具有正向作用（β=0.42,P〈0.01）;组织认同在家庭支持型主管行为与护士沉默行为间起部分中介作用.结论 护理管理者应给予护士家庭关怀与支持,提升组织认同,减少沉默行为.

Objective To investigate the mechanism of family-supportive supervisor behavior （FSSB） influencing nurse silence behavior,and explore the mediating role of organizational identification between them. Methods Based on the social exchange theory （SET）,916 nurses were selected to complete FSSB scale, organizational identification scale and silence behavior scale from 8 hospitals in Zhejiang Province by convenient sampling method.Results The total scores of FSSB,organizational identification and silence behavior were （3.85±0.66）,（3.15±0.62）,（2.82±0.46） respectively in 916 nurses. The silence behavior was negatively related to the FSSB and organizational identification （r=-0.27,-0.36;P〈0.01）. The FSSB was positively related to organizational identification （r =0.53,P〈0.01） and negatively influenced silence behavior （β= -0.39,P〈0.01）,while positively influenced organizational identification （β=0.42,P〈0.01） in mediating-effect analysis. Organizational identification partially mediated the relationship between the FSSB and silence behavior. Conclusions Nursing managers should give nurse more family care and support to promote organizational identification,thus decreasing silence behavior.