综合医院工作场所社会资本在临床护士感知真诚型领导与组织沉默间的中介作用

职业与健康 ›› 2025, Vol. 41 ›› Issue (9): 1214-1219.

综合医院工作场所社会资本在临床护士感知真诚型领导与组织沉默间的中介作用

张思锐¹, 黄其密², 罗莉敏¹, 王亚楠¹, 邓宝贵³

1.广州中医药大学第一临床医学院,广东广州 510405;
2.陆军军医大学第二附属医院消化科,重庆 400037;
3.广州中医药大学第一附属医院骨伤中心,广东广州 510405

收稿日期:2024-07-24 修回日期:2024-08-19 出版日期:2025-05-01 发布日期:2025-12-12
通信作者: 邓宝贵,主任护师,E-mail：dbgly@126.com
作者简介:张思锐,女,在读硕士研究生,研究方向为中西医结合临床护理。

Intermediary role of workplace social capital in authentic leadership and organizational silence among clinical nurses in general hospitals

ZHANG Sirui¹, HUANG Qimi², LUO Limin¹, WANG Yanan¹, DENG Baogui³

1. The First Clinical Medical College,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510405,China;
2. Digestive Department,The Second Affiliated Hospital of Army Medical University,Chongqing 400037,China;
3. Department of Orthopedics and Traumatology,The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510405,China

Received:2024-07-24 Revised:2024-08-19 Online:2025-05-01 Published:2025-12-12
Contact: DENG Baogui,Chief nurse,E-mail：dbgly@126.com

摘要/Abstract

摘要： 目的探索临床护士感知真诚型领导、组织沉默与工作场所社会资本现状及3者关系,为提高医院管理质量提供新视角。方法采用方便抽样法,于2024年1—4月采用一般情况调查表、真诚型领导量表、护士组织沉默测评问卷和工作场所社会资本量表对广东省9所和重庆市2所综合医院的595名临床护士进行电子问卷调查,并对数据进行分析。结果临床护士感知真诚型领导、组织沉默与工作场所社会资本总分分别为（69.45±12.63）、（46.61±20.74）和（33.79±6.70）分。不同年龄、月均收入的临床护士感知真诚型领导得分比较,差异均有统计学意义（均P<0.05）;不同职称、在本单位工作年限的临床护士组织沉默得分比较,差异均有统计学意义（均P<0.05）;不同年龄、职称和月均收入的临床护士工作场所社会资本得分比较,差异均有统计学意义（均P<0.05）。感知真诚型领导与组织沉默呈负相关（P<0.01）,感知真诚型领导与工作场所社会资本呈正相关（P<0.01）,工作场所社会资本与组织沉默呈负相关（P<0.01）。工作场所社会资本在临床护士感知真诚型领导和组织沉默间具有完全中介作用,中介效应值为-0.333,占总效应的69.52%。结论临床护士组织沉默处于中等水平,感知真诚型领导和工作场所社会资本对组织沉默有缓解作用。护理管理者应加强真诚型领导力培养,提升工作场所社会资本水平,以降低护士组织沉默。

关键词: 真诚型领导, 组织沉默, 工作场所社会资本, 护士, 中介作用, 路径分析

Abstract: Objective To explore the relationship between perceived authentic leadership,organizational silence,and workplace social capital among clinical nurses,and to provide a new perspective for improving hospital management quality. Methods From January to April 2024,595 clinical nurses from 9 general hospitals in Guangdong Province and 2 general hospitals in Chongqing were surveyed by general information questionnaire,authentic leadership questionnaire,nurse organizational silence evaluation questionnaire and workplace social capital scale by convenient sampling method,and the data were analyzed. Results The total scores of clinical nurses' authentic leadership,organizational silence and workplace social capital were （69.44±12.63）,（46.61±20.74） and （33.79±6.70）points,respectively. There were statistically significant differences in authentic leadership scores among clinical nurses of different ages and average monthly incomes（both P<0.05）. There were statistically significant differences in organizational silence among clinical nurses of different professional titles and working years in the unit（both P<0.05）. There were statistically significant differences in workplace social capital scores among clinical nurses of different ages,professional titles and average monthly incomes（all P<0.05）. Authentic leadership was negatively correlated with organizational silence,while positively correlated with workplace social capital,and workplace social capital was negatively correlated with organizational silence（all P<0.01）. Workplace social capital had a complete mediating effect between clinical nurses' authentic leadership and organizational silence,and the mediating effect was -0.333,accounting for 69.52% of the total effect. Conclusion The organizational silence of clinical nurses is at a medium level,and authentic leadership and workplace social capital have a mitigating effect on organizational silence. Nursing managers should strengthen the cultivation of authentic leadership and improve the level of workplace social capital to reduce the organizational silence of nurses.

Key words: Authentic leadership, Organizational silence, Workplace social capital, Clinical nurse, Mediation, Path analysis

中图分类号:

R192.6

张思锐, 黄其密, 罗莉敏, 王亚楠, 邓宝贵. 综合医院工作场所社会资本在临床护士感知真诚型领导与组织沉默间的中介作用. [J]职业与健康, 2025, 41(9): 1214-1219.

ZHANG Sirui, HUANG Qimi, LUO Limin, WANG Yanan, DENG Baogui. Intermediary role of workplace social capital in authentic leadership and organizational silence among clinical nurses in general hospitals. [J]OCCUPATION AND HEALTH, 2025, 41(9): 1214-1219.

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