目的 调查护士感知的伦理型领导与护士组织沉默现状,分析伦理型领导对护士组织沉默的影响。方法 采用分层抽样法抽取河南省11所三级综合性医院896名护士作为研究对象,应用一般资料调查表、工作中伦理型领导问卷、护士组织沉默测评问卷进行问卷调查。结果 护士感知的伦理型领导总分为（148.14±22.92）分,护士组织沉默总分为（46.91±17.16）分。多重线性回归分析结果显示,学历、职称、月收入、伦理型领导是护士组织沉默的影响因素（P<0.01）,可解释总变异的38.2%（P<0.05）。结论 护士感知的伦理型领导处于较高水平,护士组织沉默处于中等水平,两者呈负相关关系。低学历、低职称、低月收入的护士组织沉默现象较为严重,而伦理型领导可减少护士组织沉默的发生。
Abstract
Objective To investigate the current status of nurse’s perceived ethical leadership and organizational silence, and to analyze the influence of ethical leadership on nurse’s organizational silence. Methods A stratified sampling method was used to select 896 nurses from 11 tertiary general hospitals in Henan Province as the study subjects, and the General Information Questionnaire, Ethical Leadership at Work Questionnaire, and Nurse’s Organizational Silence Measurement Questionnaire were applied to conduct the questionnaire survey. Results The total score of nurse’s perceived ethical leadership was 148.14±22.92, and that of organizational silence 46.91±17.16. Multiple linear regression analysis showed that education background, professional title, monthly income, and ethical leadership were influencing factors of nurse’s organizational silence (P<0.01), which explained 38.2% of the total variation (P<0.05). Conclusion Nurse’s perceived ethical leadership is at a high level and the organizational silence is at an intermediate level, with a negative correlation between the two. Organizational silence is more prevalent among nurses with lower educational levels, job title, and monthly income. Ethical leadership may reduce the occurrence of organizational silence among nurses.
关键词
伦理型领导 /
护士 /
组织沉默
Key words
ethical leadership /
nurse /
organizational silence
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Brown ME, Trevino LK, Harrison DA.Ethical leadership: a social learning perspective for construct development and testing[J]. Organizational Behavior and Human Decision Processes, 2005, 97(2):117-134. DOI:10.1016/j.obhdp.2005.03.002.
[2] Morrison EW, Milliken FJ.Organizational silence:a barrier to change and development in a pluralistic world[J]. Academy of Management Review, 2000, 25(4): 706-725.DOI:10.2307/259200.
[3] Yang J, Yang H, Wang B.Organizational Silence among hospital nurses in China: a cross-sectional study[J]. Biomed Res Int, 2022, 2022:9138644.DOI:10.1155/2022/9138644.
[4] Sadeghi M, Razavi MR.Organizational silence, organizational commitment and creativity: the case of directors of Islamic Azad University of Khorasan Razavi[J]. European Review of Applied Psychology-Revue Europeenne De Psychologie Appliquee, 2020, 70(5).DOI:10.1016/j.erap.2020.100557.
[5] Kwak S, Sujeong H.The effect of the nurses practice environment and organizational justice on organizational silence perceived by nurses[J].J Korean Acad Nurs,2021,27(4):270-281.
[6] Farghaly Abdelaliem SM, Abou Zeid M A G. The relationship between toxic leadership and organizational performance: the mediating effect of nurses’ silence[J]. BMC Nurs, 2023, 22(1): 4. DOI:10.1186/s12912-022-01167-8.
[7] 张娜, 江玉, 杨丽娜, 等. 713名临床护士团队效能感现状及影响因素[J]. 护理学报, 2024, 31(14): 69-73. DOI:10.16460/j.issn1008-9969.2024.14.069.
[8] Kalshoven K, Den Hartog DN, De Hoogh AHB.Ethical leadership at work questionnaire (ELW): development and validation of a multidimensional measure[J]. Leadership Quarterly, 2011, 22(1): 51-69.DOI:10.1016/j.leaqua.2010.12.007.
[9] 佘佳晨, 张金燕, 张瑞星, 等. 工作中伦理型领导问卷的汉化及在护士群体中的信效度检验[J]. 护理学报, 2023, 30(23): 29-34. DOI:10.16460/j.issn1008-9969.2023.23.029.
[10] 杨晶, 杨辉. 护士组织沉默测评问卷的信效度检验[J]. 中国医学创新, 2016, 13(25): 56-59. DOI:10.3969/j.issn.1674-4985.2016.25.016.
[11] El-Gazar HE, Zoromba MA.Ethical leadership, flourishing, and extra-role behavior among nurses[J]. SAGE Open Nurs,2021,7(1):1-11.DOI:10.1177/23779608211062669.
[12] 张斯清, 王玉玲, 张越, 等. 护士责任知觉在管理关怀感知与主动行为间的中介效应分析[J]. 护理学报, 2021, 28(19): 17-21.DOI:10.16460/j.issn1008-9969.2021.19.017.
[13] 柳琴, 刘娜, 张银玲. 美国《护士伦理守则》介绍及对我国护理伦理实践的启示[J]. 护理研究, 2017, 31(6): 655-657.DOI:10.3969/j.issn.1009-6493.2017.06.006.
[14] Pakizekho S, Barkhordari-Sharifabad M.The relationship between ethical leadership, conscientiousness, and moral courage from nurses’ perspective[J]. BMC Nurs, 2022, 21(1): 164.DOI:10.1186/s12912-022-00941-y.
[15] 刘彩云, 赖小星, 王晓晶, 等. 国内外护士伦理守则概况及启示[J]. 中国医学伦理学, 2022, 35(7): 778-782.DOI:10.12026/j.issn.1001-8565.2022.07.14.
[16] Zhang N, Bu X, Xu Z, et al.Effect of ethical leadership on moral sensitivity in Chinese nurses: a multilevel structural equation model[J]. ANS Advances in nursing science,2021,44(3):E78-E92.DOI:10.1097/ANS.0000000000000357.
[17] Salmela S, Koskinen C, Eriksson K.Nurse leaders as managers of ethically sustainable caring cultures[J]. J Adv Nurs, 2017, 73(4): 871-882.DOI:10.1111/jan.13184.
[18] 姚鑫, 文司棋, 沈媛媛, 等. 护士组织沉默现状及潜在剖面分析[J]. 中华护理杂志, 2023, 58(8): 921-928.DOI:10.3761/j.issn.0254-1769.2023.08.004.
[19] 尹志东, 张丽敏, 刘洪艳. 404名肿瘤医院护士组织沉默现状及影响因素分析[J]. 护理学报, 2020, 27(1): 43-46.DOI:10.16460/j.issn1008-9969.2020.01.043.
[20] Labrague LJ, De Los Santos JA. Association between nurse and hospital characteristics and organisational silence behaviours in nurses: a cross-sectional study[J].J Nurs Manag, 2020, 28(8): 2196-2204.DOI:10.1111/jonm.13101.
[21] Imam A, Kim D-Y.Ethical leadership and improved work behaviors: a moderated mediation model using prosocial silence and organizational commitment as mediators and employee engagement as moderator[J]. Current Psychology, 2023,42(13):10519-10532.DOI:10.1007/s12144-021-02631-5.
[22] Yurdakul M, BeşenǧMA, Erdo an S. The organisational silence of midwives and nurses:reasons and results[J].J Nurs Manag, 2016, 24(5): 686-694.DOI:10.1111/jonm.12374.
[23] 张新, 崔菡斐, 董凤齐, 等. 护理学硕士学历护士临床工作体验的Meta整合[J]. 护理学报, 2020, 27(4): 25-31.DOI:10.16460/j.issn1008-9969.2020.04.025.
[24] 杨飞, 黄蓉, 谢非, 等. 临床护士组织沉默影响因素的范围综述[J]. 济宁医学院学报, 2023, 46(5): 359-363.DOI:10.3969/j.issn.1000-9760.2023.05.012.
[25] 吴伟丹, 张金花, 张玉凤, 等. 低年资护士组织沉默行为体验的质性研究[J]. 医院管理论坛, 2023, 40(9): 57-59.DOI:10.3969/j.issn.1671-9069.2023.09.016.
[26] 张岩, 秦元梅, 邹小燕, 等. 岗位胜任力在我国新入职护士培训中的应用现状[J]. 护理研究, 2023, 37(3): 488-491.DOI:10.12102/j.issn.1009-6493.2023.03.019.
[27] Islam T, Ahmed I, Ali G.Effects of ethical leadership on bullying and voice behavior among nurses[J]. Leadership in health services, 2019, 32(1): 2-17.DOI:10.1108/lhs-02-2017-0006.
[28] McKenna J, Jeske D. Ethical leadership and decision authority effects on nurses’ engagement, exhaustion, and turnover intention[J]. J Adv Nurs, 2021, 77(1): 198-206.DOI:10.1111/jan.14591.
[29] 刘婷, 叶梦华, 潘玥, 等. 急诊科男护士组织沉默行为的现象学研究[J]. 中国护理管理, 2021, 21(6): 898-903.DOI:10.3969/j.issn.1672-1756.2021.06.019.
基金
河南省医学教育研究项目（Wjlx2018057）
PDF(1005 KB)
