变革型领导风格与临床医务人员创新实践投入关系研究

Relationship between transformational leadership and creative work involvement among clinical medical workers

目的探讨医院管理者领导风格对临床医务人员创新实践投入的影响。方法2016年2—7月，随机选取浙江省8所医院的826名临床医务人员作为研究对象，其中医生359名，护士467名，采用变革型领导量表、基本需要满足量表和创新实践投入量表进行测量。采用相关分析和结构方程模型进行数据处理。结果变革型领导对自主需要满足（β=0．40，P〈0．001）、胜任需要满足（β=0．33，P〈0．001）、关系需要满足（β=0．81，P〈0．001）和创新实践投入（β=0．64，P〈0．001）具有正向作用；3类基本需要满足在变革型领导与创新实践投入间具有部分中介作用。结论医院人事部门应开展领导方式培训项目，提升领导变革型管理水平，以满足员工基本心理需求，从而激发其临床医疗创新积极性。

Objective To examine the impact of transformational hospital leadership on clinical medical workers＇ creative work involvement. Methods From February to July 2016, 826 clinical medical workers, including 359 doctors and 467 nurses, were randomly selected to complete a transformational leadership scale, a basic needs satisfaction scale and a creative work involvement scale. The data were analyzed using correlation analysis and structural equation model. Results Transformational leadership positively affected autonomy need satisfaction （β = 0. 40, P 〈 0.001 ）, competence need satisfaction （β = 0. 33, P 〈 0. 001 ）, relatedness need satisfaction （β = 0. 81, P 〈 0. 001 ） and creative work involvement （β = 0. 64, P〈0.001 ） respectively. All three needs satisfaction partially medialed the relationship between transformational leadership and creative work involvement. Conclusions Hospital personnel department should launch leaderships training programs to promote transformational leadership, which in turn will meet high level of psychological needs of medical workers, thus encouraging their creative work involvement.