紧急护士的有毒领导:评估滥用监督及其对冲突管理和组织承诺的团队层面影响
Nourah Alsadaan1, Mohammed Alqahtani2
1College of Nursing, Jouf University, Sakaka 72388, Saudi Arabia.
Journal of nursing management
|April 14, 2025
概括
紧急部门的有毒领导力与不良的冲突管理和降低护士承诺有关. 干预措施应侧重于支持性环境和量身定制的培训,以改善健康和患者护理.
科学领域:
- 护理管理 护理管理
- 组织行为 组织行为
- 医疗保健领导力 医疗保健领导力
背景情况:
- 威权主义和操纵性的领导风格会对急诊室 (ED) 团队动态,护士福利和患者护理产生负面影响.
- 关于有毒领导对冲突管理和护士在ED环境中的组织承诺的具体影响的研究有限.
研究的目的:
- 检查感知有毒领导力,冲突解决策略和急救护士之间的组织承诺之间的关系.
- 研究冲突倾向在有毒领导力和承诺之间的关联中扮演的调解角色.
主要方法:
- 一项涉及5家沙特主要医院387名急诊护士的横截面研究.
- 利用经过验证的尺度来衡量被认为有毒的领导力,冲突风格和组织承诺.
- 采用多重回归和调解分析来评估相关性和调解效应.
主要成果:
- 报告了专制 (77%),自恋 (75%) 和不可预测 (63%) 领导力的高流行率.
- 有毒的领导力与主导/避免冲突的风格正相关,与整合/妥协的风格负相关.
- 有毒领导力与较低的情感/规范承诺和更高的持续承诺有关;冲突管理部分调解了这种关系 (占总影响的29%).
结论:
- 破坏性领导力,不利的冲突管理和降低护士承诺有显著的相关性,突出了对特定环境的领导力培训的需要.
- 创造支持性的环境和实施多方面的干预措施可以减轻有毒的领导力影响,增强沟通,改善护士福祉和患者护理.
- 针对护士经验和教育的量身定制计划至关重要,因为这些因素影响了对有害领导力的易感性.
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