四川省三级甲等医院外科护士变革型领导、组织承诺与工作沉浸间的相关分析

Correlation analysis on transformational leadership,organizational commitment and work immersion of surgical nurses in grade-A tertiary hospitals in Sichuan Province

目的调查四川省三级甲等医院外科护士变革型领导、组织承诺与工作沉浸的现状,分析组织承诺的中介效应。方法采用横断面研究设计,于2022年7—8月选取四川省8所三级甲等医院346名外科护士为调查对象,采用一般资料调查表、变革型领导量表、组织承诺量表及工作沉浸量表进行调查,采用AMOS 22.0进行组织承诺在变革型领导与工作沉浸中的中介效应分析。结果三级甲等医院外科护士变革型领导得分为(85.61±19.18)分,组织承诺得分为(80.19±19.18)分,工作沉浸得分为(40.92±10.91)分。差异性分析显示,不同性别、教育水平、工作年限、岗位类别及是否承担临床教学任务的外科护士变革型领导得分比较,差异均有统计学意义(均P<0.05);不同性别、教育水平、工作年限、人事关系、岗位类别、是否专科护士及是否承担临床教学任务的外科护士组织承诺得分比较,差异均有统计学意义(均P<0.05);不同性别、教育水平、工作年限、月均收入、是否专科护士及是否承担临床教学任务的外科护士工作沉浸得分比较,差异均有统计学意义(均P<0.05)。相关分析显示,三级甲等医院外科护士变革型领导、组织承诺各维度及总分与工作沉浸各维度及总分均呈正相关(均P<0.05)。中介效应分析显示,组织承诺在三级甲等医院外科护士变革型领导与工作沉浸间具有正向促进作用,其中介效应为0.104,占总效应的16.46%。结论四川省三级甲等医院外科护士工作沉浸处于中等水平,有待进一步采取针对性干预措施改善护士工作沉浸状态。其中组织承诺与变革型领导在改善护士工作沉浸中起重要作用,提高护士变革型领导和组织承诺有利于改善护士工作沉浸。

Objective To investigate the status quo of transformational leadership,organizational commitment and work immersion of surgical nurses in grade-A tertiary hospitals in Sichuan Province,analyze the mediating effect of organizational commitment.Methods A cross-sectional study was conducted to select 346 surgical nurses from eight grade-A tertiary hospitals in Sichuan Province from July to August 2022.The general information questionnaire,transformational leadership scale,organizational commitment scale and work immersion scale were used to collect survey data.AMOS 22.0 was used to analyze the mediating effect of organizational commitment in transformational leadership and work immersion.Results The scores of transformational leadership,organizational commitment and work immersion of surgical nurses ingrade-A tertiary hospitals were(85.61±19.18),(80.19±19.18)and(40.92±10.91)points,respectively.The difference analysis showed that there were statistically significant differences in the scores of transformational leadership among surgical nurses with different gender,education level,working years,job category and whether they undertook clinical teaching tasks(all P<0.05).There were statistically significant differences in the scores of organizational commitment among surgical nurses with different genders,education levels,working years,personnel relations,job categories,whether they were specialist nurses,and whether they undertook clinical teaching tasks(all P<0.05).There were statistically significant differences in the scores of work immersion among surgical nurses with different gender,education level,working years,average monthly income,whether they were specialist nurses or not,and whether they undertook clinical teaching tasks(all P<0.05).The correlation analysis showed that the dimensions scoresand total scores of transformational leadership and organizational commitment were positively correlated with the dimensions scoresand total scores of work immersion in surgical nurses ingrade-A tertiary hospitals(all P<0.05).The mediating effect analysis showed that organizational commitment had a positive effect on the relationship between transformational leadership and work immersion of surgical nurses ingrade-A tertiary hospitals,and mediating effect was 0.104,accounting for 16.46%of the total effect.Conclusion The work immersion of surgical nurses in grade-A tertiary hospitals in Sichuan Province is at a medium level,and further targeted interventions are needed to improve nurses'work immersion status.Among them,organizational commitment and transformational leadership play an important role in improving nurses'work immersion.Improving nurses'transformational leadership and organizational commitment is conducive to improving nurses'work immersion.