真诚型领导风格与共情在重症护士工作压力对工作质量作用中的调节效应

Moderating effect of sincere leadership style and empathy in the role of ICU nurses' work stress on work quality

目的探讨真诚型领导风格与共情在重症护士工作压力对工作质量影响中的调节效应。方法采用便利抽样法,选取复旦大学附属中山医院ICU的275名护士作为研究对象进行调查,调查指标包括护士一般资料、护理工作质量、工作压力、真诚型领导风格、共情,采用多重分层回归法确定真诚型领导风格与共情的调节效应。结果共发放275份问卷,回收有效问卷258份。相关分析显示,工作质量总分与职称、工作年限、真诚型领导风格得分、共情得分呈正相关,差异有统计学意义(P<0.05),与工作压力得分呈负相关,差异有统计学意义(P<0.01)。多重分层回归分析最终模型有统计学意义(F=38.19,P<0.01),平衡工作压力、护士职称和工作年限的影响,以及真诚型领导风格和共情的单独影响,真诚型领导风格和共情与工作压力的交互项对模型的贡献具有统计学意义(P<0.01),显示两者在工作压力对工作质量作用中有明显的调节效应。结论真诚型领导风格和共情是ICU护士工作压力对于工作质量作用中的调节因素,有助于减缓高工作压力对于工作质量的负性影响。本研究建议在工作压力较高的ICU环境下,培养护理管理者的真诚型领导风格,提高护士的共情品质,从而促进和维持较高的护理质量。

Objective To explore the moderating effect of sincere leadership style and empathy in the role of ICU nurses'work stress on work quality.Methods Convenience sampling method was used to select 275 nurses in ICU of Zhongshan Hospital affiliated to Fudan University as research subjects for investigation.Survey indicators included general information of nurses,quality of nursing work,work pressure,sincere leadership style and empathy.Multiple hierarchical regression method was used to determine the moderating effect of sincere leadership style and empathy.Results A total of 275 questionnaires were distributed and 258 valid questionnaires were returned.Correlation analysis showed that the total score of work quality was positively correlated with positional titles,working years,sincere leadership style score,and empathy score,and the differences were statistically significant(P<0.05),and negatively correlated with work stress score with a statistical difference(P<0.01).The final model of multiple hierarchical regression analysis is statistically significant(F=38.19,P<0.01).Influence of balance work pressure,nurses'positional titles and working years,and the separate influence of sincere leadership style and empathy,as well as the contribution of interaction term of sincere leadership style,empathy and work pressure to the model was statistically significant(P<0.01).It showed that the two had obvious regulating effect on the influence of work pressure on work quality.Conclusions Sincere leadership style and empathy are the moderating factors of ICU nurses'work pressure on work quality,which helps to reduce the negative impact of high work pressure on work quality.This study suggests that in the ICU environment with high work pressure,the sincere leadership style of nursing managers should be cultivated,and the empathy quality of nurses should be improved so as to promote and maintain a high quality of care.