{"title":"双灵巧领导对临床护士领导的影响：心理授权在重症护理护士中的中介作用。","authors":"Baofeng Zhang, Ke Zhao, Zhan Yang","doi":"10.1111/nicc.13293","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In critical care departments, the clinical leadership of nurses who specialize in critical care nursing significantly influences care quality and clinical outcomes. The leadership styles of head nurses are closely associated with clinical nurse leadership. Ambidextrous leadership, which integrates transactional and transformational leadership, is a common leadership style.</p><p><strong>Aim: </strong>This study was conducted to determine whether psychological empowerment mediates the relationship between ambidextrous leadership and clinical nurse leadership among critical care nurses.</p><p><strong>Study design: </strong>A cross-sectional descriptive design was employed. Critical care nurses were recruited from five tertiary hospitals in Zhengzhou, China, using convenience sampling. Measures were the socio-demographic characteristics of participants, the Chinese version of the clinical leadership survey, the ambidextrous leadership style scale and the psychological empowerment scale. Data were analysed using IBM SPSS v. 21.0. IBM AMOS v. 24.0 was used to construct a structural equation model and bootstrap to test the mediating effect of psychological empowerment.</p><p><strong>Results: </strong>The results of the structural equation model analysis show that the direct effects of ambidextrous leadership on clinical nurse leadership were 0.173, p = .001, and the total effects were 0.225, p = .001; the indirect effects were 0.052, p = .035 (95% confidence intervals = 0.126-0.223), respectively. Furthermore, psychological empowerment moderated the relationship between ambidextrous leadership and clinical nurse leadership.</p><p><strong>Conclusion: </strong>The mediating effects of psychological empowerment on ambidextrous leadership and clinical nurse leadership were found among critical care nurses.</p><p><strong>Relevance to clinical practice: </strong>This study contributes to clinical nurse leadership among critical care nurses. By adopting ambidextrous leadership, head nurses in critical care departments can improve nurses' clinical leadership. Training is recommended for head nurses' ambidextrous leadership in critical care. In addition, head nurses should give critical care nurses more psychological empowerment to improve their clinical leadership.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13293"},"PeriodicalIF":3.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of ambidextrous leadership on clinical nurse leadership: The mediating role of psychological empowerment among critical care nurses.\",\"authors\":\"Baofeng Zhang, Ke Zhao, Zhan Yang\",\"doi\":\"10.1111/nicc.13293\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>In critical care departments, the clinical leadership of nurses who specialize in critical care nursing significantly influences care quality and clinical outcomes. The leadership styles of head nurses are closely associated with clinical nurse leadership. Ambidextrous leadership, which integrates transactional and transformational leadership, is a common leadership style.</p><p><strong>Aim: </strong>This study was conducted to determine whether psychological empowerment mediates the relationship between ambidextrous leadership and clinical nurse leadership among critical care nurses.</p><p><strong>Study design: </strong>A cross-sectional descriptive design was employed. Critical care nurses were recruited from five tertiary hospitals in Zhengzhou, China, using convenience sampling. Measures were the socio-demographic characteristics of participants, the Chinese version of the clinical leadership survey, the ambidextrous leadership style scale and the psychological empowerment scale. Data were analysed using IBM SPSS v. 21.0. IBM AMOS v. 24.0 was used to construct a structural equation model and bootstrap to test the mediating effect of psychological empowerment.</p><p><strong>Results: </strong>The results of the structural equation model analysis show that the direct effects of ambidextrous leadership on clinical nurse leadership were 0.173, p = .001, and the total effects were 0.225, p = .001; the indirect effects were 0.052, p = .035 (95% confidence intervals = 0.126-0.223), respectively. Furthermore, psychological empowerment moderated the relationship between ambidextrous leadership and clinical nurse leadership.</p><p><strong>Conclusion: </strong>The mediating effects of psychological empowerment on ambidextrous leadership and clinical nurse leadership were found among critical care nurses.</p><p><strong>Relevance to clinical practice: </strong>This study contributes to clinical nurse leadership among critical care nurses. 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引用次数: 0
摘要
背景：在重症监护室，专门从事重症护理的护士的临床领导能力对护理质量和临床结果有显著影响。护士长的领导风格与临床护士领导能力密切相关。双灵巧型领导是一种常见的领导风格，它将交易型领导和变革型领导结合在一起。目的：本研究旨在探讨心理授权是否在重症护理护士双手型领导与临床护士领导之间起中介作用。研究设计：采用横断面描述性设计。采用方便抽样的方法，从郑州市五所三级医院招募重症监护护士。测量方法为被试的社会人口学特征、中文版临床领导问卷、双手型领导风格量表和心理授权量表。数据分析采用IBM SPSS v. 21.0。采用IBM AMOS v. 24.0构建结构方程模型和自举法检验心理赋权的中介作用。结果：结构方程模型分析结果显示，双右手领导对临床护士领导的直接影响为0.173,p =。0.001，总效应为0.225,p = 0.001；间接效应为0.052,p = 0.035（95%置信区间= 0.126-0.223）。此外，心理授权调节了双灵巧领导与临床护士领导的关系。结论：心理授权在重症护理护士双灵巧领导和临床护士领导中存在中介作用。与临床实践的相关性：本研究有助于临床护士领导重症护理护士。重症监护室护士长采用双灵巧领导，可以提高护士的临床领导能力。建议培训护士长在重症监护中的灵活领导能力。此外，护士长应给予重症监护护士更多的心理赋权，以提高其临床领导能力。
Effect of ambidextrous leadership on clinical nurse leadership: The mediating role of psychological empowerment among critical care nurses.
Background: In critical care departments, the clinical leadership of nurses who specialize in critical care nursing significantly influences care quality and clinical outcomes. The leadership styles of head nurses are closely associated with clinical nurse leadership. Ambidextrous leadership, which integrates transactional and transformational leadership, is a common leadership style.
Aim: This study was conducted to determine whether psychological empowerment mediates the relationship between ambidextrous leadership and clinical nurse leadership among critical care nurses.
Study design: A cross-sectional descriptive design was employed. Critical care nurses were recruited from five tertiary hospitals in Zhengzhou, China, using convenience sampling. Measures were the socio-demographic characteristics of participants, the Chinese version of the clinical leadership survey, the ambidextrous leadership style scale and the psychological empowerment scale. Data were analysed using IBM SPSS v. 21.0. IBM AMOS v. 24.0 was used to construct a structural equation model and bootstrap to test the mediating effect of psychological empowerment.
Results: The results of the structural equation model analysis show that the direct effects of ambidextrous leadership on clinical nurse leadership were 0.173, p = .001, and the total effects were 0.225, p = .001; the indirect effects were 0.052, p = .035 (95% confidence intervals = 0.126-0.223), respectively. Furthermore, psychological empowerment moderated the relationship between ambidextrous leadership and clinical nurse leadership.
Conclusion: The mediating effects of psychological empowerment on ambidextrous leadership and clinical nurse leadership were found among critical care nurses.
Relevance to clinical practice: This study contributes to clinical nurse leadership among critical care nurses. By adopting ambidextrous leadership, head nurses in critical care departments can improve nurses' clinical leadership. Training is recommended for head nurses' ambidextrous leadership in critical care. In addition, head nurses should give critical care nurses more psychological empowerment to improve their clinical leadership.
期刊介绍：
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice
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