领导-成员交换关系在变革型领导与护理差错管理氛围间的中介作用

The influence of transformational leadership on the error management climate:mediating role of leader-member exchange

目的探讨领导-成员交换关系(LMX)在变革型领导与差错管理氛围间的中介作用,为临床护理管理提供参考。方法采用便利抽样方法抽取唐山市4所三级甲等医院的临床护士877人,应用一般资料调查问卷、变革型领导量表、领导-成员交换关系量表和差错管理氛围量表进行调查。结果变革型领导总分为94.57±16.68,LMX总分为56.02±11.67,差错管理氛围总分为60.94±12.15。变革型领导与差错管理氛围、LMX呈正相关,LMX与差错管理氛围呈正相关(均P<0.01);变革型领导对差错管理氛围的间接效应成立,间接效应为0.134;变革型领导作用于差错管理氛围的效应有25.52%是通过LMX起作用。结论变革型领导能够增强护士长与护士之间的领导-成员交换关系,进而改善差错管理氛围。

Objective To explore the mediating effect of leader-member exchange(LMX)between the transformational leadership and error management climate,so as to provide reference for clinical nursing management.Methods A total of 877 nurses from 4 grade three hospitals in Tangshan were selected using convenient sampling,then they were investigated using the general information questionnaire,the Transformational Leadership Scale,the Leader-Member Exchange Scale and the Error Management Climate scale.Results The total score of transformational leadership was(94.57±16.68),which was(56.02±11.67)for LMX and(60.94±12.15)for error management climate.Transformational leadership was positively correlated with the error management climate and LMX,and LMX was positively correlated with the error management climate(P<0.01 for all).The indirect effect of transformational leadership on the error management climate was established,and the indirect effect was 0.134.And 25.52%effect of transformational leadership on the error management climate was realized through LMX.Conclusion Transformational leadership can enhance the LMX between head nurse and nurse,thus improving the error management climate.