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