Serial–multiple mediation of transformational and clinical leadership in the relationship between work overload and quality of work life among nurses: A Job Demands-Resources Framework
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Abstract
Background
Nurses’ quality of work life is a crucial factor in nurse, patient and organisational outcomes. Because work overload and leadership affect quality of work life, it is important to understand the relationship between them.
Aim
The aims of this study were to investigate the serial multiple mediation of transformational and clinical leadership in the relationship between work overload and quality of life among clinical nurses and to test a model designed to examine the fit and relations between these variables.
Methods
This study used a model-testing design with cross-sectional data. The sample consisted of 415 clinical nurses working in hospitals in Turkey. A questionnaire was used to collect data between August and September 2021. Data were analysed using descriptive and correlation analyses. Data analyses included model-testing approaches and were conducted using the Statistical Package for Social Sciences 26.0, Hayes’ PROCESS macro for SPSS v4.0, and Analysis of Moment Structures 24.0.
Findings
The serial–multiple mediation of transformational leadership perception and clinical leadership skills in the relationship between work overload and quality of work life was found to be statistically significant. The model fit indices were desirable.
Conclusion
The results of the study showed that decreased work overload perception was associated first with increased perception of transformational leadership, followed by increased clinical leadership skills, which in turn was related to increased quality of work life among clinical nurses.
护士的工作生活质量是影响护士、病人和组织结果的关键因素。因为超负荷工作和领导会影响工作生活的质量，所以理解它们之间的关系是很重要的。目的本研究旨在探讨变革型领导和临床型领导在临床护士工作负荷与生活质量关系中的多重中介作用，并检验这些变量之间的拟合和关系。方法采用横截面数据模型检验设计。样本包括在土耳其医院工作的415名临床护士。在2021年8月至9月期间，使用问卷收集数据。数据分析采用描述性和相关性分析。数据分析包括模型检验方法，使用Statistical Package for Social Sciences 26.0、Hayes’PROCESS macro for SPSS v4.0和Analysis of Moment Structures 24.0进行。发现变革型领导感知和临床型领导技能在工作负荷与工作生活质量关系中的多重中介作用显著。模型拟合指数是理想的。结论工作超负荷感知的降低首先与变革型领导感知的提高相关，其次与临床领导技能的提高相关，进而与临床护士工作生活质量的提高相关。
期刊介绍：
Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN).
The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues.
Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor.
The journal, online only from 2016, is available to members of ACN and also by separate subscription.
ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.
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