摘要:
Objective To explore the effects of inclusive leadership on affective commitment of nurses and to test the mediating effect of leader-member exchange. Methods From November 2016 to December 2016, we investigated 293 nurses from two Class Ⅲ Grade A governmental hospitals of Harbin with the Inclusive Leadership Scale, Leader-member Exchange Scale and Affective Commitment Scale. Pearson correlation analysis and multiple hierarchical linear regression analysis were used to test the correlations and mediating effect among the variables. A total of 293 questionnaires were sent out and 251 valid questionnaires retained finally. Results Among 251 nurses, the scores of inclusive leadership scale, leader-member exchange scale and affective commitment scale were (5.283±1.184), (5.216±1.139) and (4.902±1.061) respectively. Pearson correlation analysis showed that inclusive leadership had positive correlations with the leader-member exchange (r=0.771,P< 0.01) and affective commitment (r=0.537,P< 0.01);leader-member exchange had a positive correlation with affective commitment (r=0.543,P< 0.01). Multiple hierarchical linear regression analysis indicated that inclusive leadership had positive effects on leader-member exchange and affective commitment of nurses;leader-member exchange played a partial mediating role between them. Conclusions As a whole, the inclusiveness of nursing managers on nurses is in the upper level and the leader-member exchange of nurses has a high level. Inclusive leadership has positive correlations with the leader-member exchange and affective commitment of nurses. Nursing managers should lead nurses to contribute their wisdoms with the manner of inclusive leadership so as to provide the high quality of nursing service.%目的 探讨包容型领导对护士感情承诺的影响,并检验领导-成员交换的中介作用.方法 2016年11—12月,采用包容型领导量表、领导-成员交换量表和感情承诺量表对哈尔滨市2所三级甲等公立医院293名在职护士进行调查.采用Pearson相关性分析及多元阶层线性回归分析法检验变量之间的关系及中介效应.共发放293份问卷,最终保留有效问卷251份.结果 251名护士包容型领导风格量表得分为(5.283±1.184)分,领导-成员交换量表得分(5.216±1.139)分,感情承诺量表得分(4.902±1.061)分.Pearson相关分析显示,包容型领导与领导-成员交换(r=0.771,P<0.01)、感情承诺(r=0.537,P<0.01)呈正相关,领导-成员交换和感情承诺呈正相关(r=0.543,P<0.01).多元线性阶层回归分析显示,包容型领导对护士领导-成员交换和感情承诺具有正向影响,领导-成员交换在两者之间扮演了部分的中介作用.结论 护理领导者对下属护士的包容型倾向总体处于中上水平,护士的领导-成员交换水平也较高,且包容型领导对护士领导-成员交换和感情承诺具有正向影响,建议护理管理者以包容型领导风格引导下属护士积极地为组织发展贡献智慧,以为患者提供更优质的护理服务.