某三级甲等医院护士长领导力现状及其影响因素

摘要

Objective:To know the status quo and influencing factors of the leadership of head nurses in a three level first classes hospital,and to provide a basis for carrying out further targeted intervention and improving the leadership of head nurses.Methods:A questionnaire survey was conducted among 87 head nurses of a three level first classes hospital by general situation questionnaire and Leadership Questionnaires for Nursing Man-agers.Results:The total leadership score of the head nurses was (100.31±13.17)points,and there were three demission’s scores lower than the average score,including innovation ability (2.99±0.64 points),control power (3.22±0.64 points)and decision power (3.34±0.58 points).The univariate analysis showed that the head nur-ses with age equal and over 5 1 years old,work experience equal and over 3 1 years,and received training got sig-nificantly higher scores in leadership than those of the other groups.The differences were statistically significant (P<0.05).The head nurses’scores of work experience which less than 5 years were significantly lower than those of other groups.The differences were statistically significant (P<0.05).Multivariate linear regression a-nalysis showed that the length of work experience and whether received training have significant predictive effects for the leadership of head nurse.Conclusion:The leadership of head nurses was at a moderate level,and training can effectively improve leadership.The corresponding training and intervention should be done in crea-tive ability,control ability,and determination.%[目的]了解某三级甲等医院护士长领导力现状及其影响因素，为进一步开展针对性干预，提高护士长领导力提供依据。[方法]采用一般情况调查问卷、护理管理者领导力问卷对某三级甲等医院87名护士长进行问卷调查。[结果]护士长领导力总分为100.31分±13.17分，低于均分的维度为创新能力、控制力和决断力，条目均分分别为(2.99±0.64)分、(3.22±0.64)分和(3.34±0.58)分。单因素分析显示：年龄≥51岁、工作年限≥31年、接受过相关培训的护士长领导力得分明显高于其他组，担任护士长年限≤5年的护士长领导力得分明显低于其他组，且差异均有统计学意义(P<0.05)。多元线性回归分析显示，担任护士长年限和接受相关培训对护士长领导力有显著预测作用。[结论]护士长领导力得分处于中等水平，对护士长进行培训可有效提高护士长领导力水平，接下来可针对护士长创新能力、控制力和决断力方面进行相应的培训和干预。