Effects of Consensus on Leader–Member Exchange (LMX) Within Nursing Teams on the Relationship Between Abusive Supervision, Job Satisfaction, and Unit Turnover: A Multilevel Moderation Study

IF 3.7 2区医学 Q2 MANAGEMENT

Journal of Nursing Management Pub Date : 2025-04-02 DOI:10.1155/jonm/6220416

Andrea Caputo, Patricia Costa, Paola Gatti, Claudio G. Cortese, Aristides I. Ferreira

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Abstract

Aim: This study explores how consensus on leader–member exchange (LMX)—the degree of within-unit agreement regarding the LMX nurse leaders establish with each team member—moderates the effects of abusive supervision on job satisfaction and internal turnover intentions.

Method: Involving a sample of 1357 nurses nested into 130 groups (led by as many nurse leaders), cross-level moderations were tested.

Results: Results show that, on one hand, LMX consensus acts as a resource when it is stronger, dampening the effect of abusive supervision on job satisfaction. On the other hand, nurses with higher job satisfaction belonging to groups with higher LMX consensus report higher intentions to change wards than nurses in groups with lower LMX consensus. The discussion addresses the concept of “star employees,” i.e., employees with better performance, visibility, and relevant social capital.

Implications for Nursing Management: The discussion highlights the importance for nurse managers to consider both the quality of individual LMX and overall team consensus to enhance nurse well-being and reduce turnover intentions.

Abstract Image

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护理团队领导-成员交换（LMX）共识对虐待监督、工作满意度和单位离职关系的影响：一个多层次调节研究

目的：本研究探讨领导-成员交换（LMX）的共识，即护理领导与每个团队成员建立的LMX的单位内协议程度，如何调节虐待监督对工作满意度和内部离职意向的影响。方法：将1357名护士分为130组（由同样多名护士长领导），进行跨水平调节测试。结果：研究结果表明，一方面，当LMX共识较强时，它会成为一种资源，抑制虐待性监管对工作满意度的影响。另一方面，工作满意度较高的护士属于LMX共识较高的群体，其换病房意愿高于LMX共识较低的群体。讨论讨论了“明星员工”的概念，即具有更好绩效、可见度和相关社会资本的员工。对护理管理的启示：讨论强调了护理管理者考虑个体LMX质量和整体团队共识的重要性，以提高护士的幸福感和减少离职意图。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nursing Management NURSING-

CiteScore

9.40

自引率

14.50%

发文量

377

审稿时长

4-8 weeks

期刊介绍： The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses. The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide. The Journal of Nursing Management aims to: -Inform practitioners and researchers in nursing management and leadership -Explore and debate current issues in nursing management and leadership -Assess the evidence for current practice -Develop best practice in nursing management and leadership -Examine the impact of policy developments -Address issues in governance, quality and safety