三级综合医院急诊科护士工作相关生活质量现状与多因素领导力和内隐追随的相关性

摘要/Abstract

摘要： 目的了解绵阳市三级综合医院急诊科护士多因素领导力、内隐追随与工作相关生活质量现状及其相关性,分析多因素领导力和内隐追随对工作相关生活质量的影响,为提升护士工作相关生活质量提供理论参考。方法采用便利抽样方法,于2024年2—3月选取绵阳市6所三级综合医院急诊科护士为调查对象,采用工作相关生活质量量表、多因素领导力量表与内隐追随量表对326名急诊科护士进行调查。结果 326名急诊科护士工作相关生活质量得分为（106.97±20.61）分,多因素领导力得分为（95.89±15.36）分,内隐追随得分为（81.11±17.97）分。单因素分析显示,不同学历、急诊科工作年限、轮值夜班、每周平均加班时间、月均收入、感知团队氛围、社会支持水平及工作家庭冲突的急诊科护士工作相关生活质量得分比较,差异均有统计学意义（均P<0.05）。Person相关分析显示,三级综合医院急诊科护士工作相关生活质量与多因素领导力得分均呈正相关（r=0.257~0.746,均P<0.05）,与内隐追随得分均呈正相关（r=0.258~0.694,均P<0.05）。分层回归分析显示,轮值夜班、月均收入、团队氛围、工作家庭冲突、多因素领导力及内隐追随是急诊科护士工作相关生活质量的主要影响因素,其中多因素领导力和内隐追随具有显著预测作用（β=-0.459、0.421,均P<0.05）,独立解释了57.0%的工作相关生活质量影响因素。结论绵阳市三级综合医院急诊科护士工作相关生活质量处于中等水平,多因素领导力和内隐追随是其重要影响因素。护理管理者应重视急诊科护士工作相关生活质量,提高管理者领导力和内隐追随,以改善护士工作相关生活质量。

Abstract: Objective To understand the current situation and correlation of multi-factor leadership,implicit followership and work-related quality of life of emergency nurses in grade-A tertiary hospitals,and to analyze the influence of multi-factor leadership and implicit followership on work-related quality of life,and provide theoretical reference for improving nurses' work-related quality of life. Methods From February to March 2024,326 emergency nurses from 6 grade-A tertiary hospitals in Mianyang City were selected as the survey subjects by using the convenience sampling method. The work-related quality of life scale,multi-factor leadership scale and implicit follow-up scale were used to investigate 326 emergency nurses. Results The score of work-related quality of life of 326 emergency nurses was （106.97±20.61）points,the score of multi-factor leadership was （95.89±15.36）points,and the implicit follow-up score was （81.11±17.97）points. Univariate analysis showed that there were statistically significant differences in the scores of work-related quality of life among emergency nurses with different education background,working years in emergency department,night shift rotation,average weekly overtime,average monthly income,perceived team atmosphere,social support level and work-family conflict（all P<0.05）. Pearson correlation analysis showed that the work-related quality of life of emergency nurses in grade-A tertiary hospitals was positively correlated with the scores of multi-factor leadership（r=0.257-0.746,all P<0.05）,and positively correlated with the scores of implicit followership（r=0.258-0.694,all P<0.05）. Hierarchical regression analysis showed that night shift rotation,average monthly income,team atmosphere,work-family conflict,multi-factor leadership and implicit followership were the main influencing factors of work-related quality of life of nurses in emergency department,among which multi-factor leadership and implicit followership had significant predictive effect（β=-0.459,0.421,both P<0.05）,which independently explained 57.0% of the influencing factors of work-related quality of life. Conclusion The work-related quality of life of emergency nurses in grade-A tertiary hospitals is at a medium level,and multi-factor leadership and implicit follow-up are important influencing factors. Nursing managers should pay attention to the work-related quality of life of nurses in emergency department,improve the leadership and implicit follow-up of managers,so as to improve the work-related quality of life of nurses.

Key words: Emergency department, Nurse, Work-related quality of life, Multi-factor leadership, Implicit following, Influencing factors

中图分类号:

R192.6

邬金铃, 王英, 敬星操. 三级综合医院急诊科护士工作相关生活质量现状与多因素领导力和内隐追随的相关性. [J]职业与健康, 2025, 41(17): 2358-2363.

WU Jinlin, WANG Ying, JING Xingcao. Current status of work-related quality of life of nurses in emergency department of grade-A tertiary hospitals and its correlation with multi-factor leadership and implicit followership. [J]OCCUPATION AND HEALTH, 2025, 41(17): 2358-2363.

参考文献

[1] 王颖,汪晖,曾铁英,等.基于三维分析框架的我国护理人力资源配置政策研究[J].护理学杂志,2024,39(10):77-80.
[2] 鲜国炜,柴钰霖,宫云娜,等.基于集聚度和秩和比法的我国护理人力资源研究[J].护理学杂志,2024,39(5):42-47.
[3] ZURA M,SAWADA K,TAKUSHIMA Y,et al.A systematic review of the characteristics of data assessment tools to measure medical doctors' work-related quality of life[J].J Mark Access Health Policy,2023,11(1):2234139.
[4] ALAHIANE L,ZAAM Y,ABOUQAL R,et al.Factors associated with recognition at work among nurses and the impact of recognition at work on health-related quality of life,job satisfaction and psychological health:A single-centre,cross-sectional study in Morocco[J].BMJ Open,2023, 13(5):e051933.
[5] 梁飘,杨西宁,苏琳,等.临床护士职业价值观与领导力的相关性[J].护理研究,2023,37(23):4336-4339.
[6] 李鑫,熊莉娟,刘艳佳.护士领导力的研究进展[J].护理学杂志,2019,34(1):110-114.
[7] LU K,ZHANG W,ZHANG X,et al.The effect of implicit followership antecedents on the new generation of individuals[J].Front Psychol,2022, 13:933770.
[8] 王磊,王泽民.领导积极内隐追随对员工创造力的影响机制研究[J].科学学与科学技术管理,2020,41(10):119-137.
[9] 邵亚,廖少玲,钟慧琴,等.护士工作相关生活质量量表的信效度研究[J].护理学杂志,2014,29(13):1-3.
[10] AVOLIO B J,BASS B M,JUNG D I.Re-examining the components of transformational and transactional leadership using the multifactor leadership[J].J Occup Organ Psychol,1999,72(4):441-462.
[11] 王弘钰,李云剑.中国本土情境下内隐追随的维度与量表开发——基于形成性指标的维度构建方法[J].厦门大学学报(哲学社会科学版),2018(1):78-85.
[12] 陈玥烨,王玲玲,孙瑞琪,等.我国急诊科医护人员职业倦怠现状的meta分析[J].职业与健康,2023,39(8):1121-1125.
[13] 李紫荆,余雨枫,张一敏,等.三甲医院急诊科护士心理资本与工作相关生活质量的现状及相关性研究[J].职业卫生与应急救援,2022, 40(2):175-179.
[14] CARUSO R,TOFFARIN T,FOLESANI F,et al.Violence against physicians in the workplace:Trends,causes,consequences,and strategies for intervention[J].Curr Psychiatry Rep,2022,24(12):911-924.
[15] 谭杏,熊海燕,庞倩,等.工作连通行为对护理人员工作生活质量的影响[J].职业与健康,2023,39(10):1364-1369.
[16] 朱艳萍,任璐璐,潘红,等.ICU护士轮班模式的质性研究[J].中国实用护理杂志,2010,1(35):11-13.
[17] 李桂华,李会政,王馨,等.医务工作者职业幸福感调查及影响因素分析[J].医学与哲学(人文社会医学版),2011,32(7):43-44.
[18] 吕靓,张莉莉,单婷,等.南通市3所三级以上医院临床护士个人-工作匹配与职业承诺的相关分析[J].职业与健康,2023,39(2):194-197.
[19] UNRUH L.Rotating shifts are associated with an increased risk of work-family and family-work conflicts and with decreased work-related quality-of-life[J].Evid Based Nurs,2023,21:ebnurs-2022-103681.
[20] 李鑫,熊莉娟,刘艳佳.护士领导力的研究进展[J].护理学杂志,2019,34(1):110-114.
[21] 刘智慧,张全英,杜迎杰,等.护士临床领导力的现状及影响因素分析[J].军事护理,2023,40(12):26-29.
[22] 陈晓暾,朱怡琳,赵文文,等.领导者内隐追随对工作投入的影响:一个中介和调节模型[J].工程管理科技前沿,2022,41(2):91-96.