Influence of toxic and transformational leadership practices on nurses' job satisfaction, job stress, absenteeism and turnover intention: A cross-sectional study

Influence of toxic and transformational leadership practices on nurses' job satisfaction, job stress, absenteeism and turnover intention: A cross-sectional study
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DOI:
10.1111/jonm.13053
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发表时间:
2020-06-16
影响因子:
5.5
通讯作者:
Tsaras, Konstantinos
Tsaras, Konstantinos
中科院分区:
医学2区
文献类型:
--
作者:
Labrague, Leodoro J.;Nwafor, Chidozie E.;Tsaras, Konstantinos

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目的本研究探讨有毒和变革型领导实践对护士的工作满意度,心理困扰,缺勤和意图离开组织或护理专业的影响。背景变革型领导归因于有利的护士的后果,然而,护理文献是沉默的毒性领导和护士的工作成果之间的因果关系。方法采用横断面研究方法,对菲律宾中部15所医院的770名注册护士进行调查。数据是在2019年12月至2020年2月期间使用七个自我报告量表收集的。结果变革型领导和有毒型领导的总分分别为4.22和1.59。有毒的领导预测工作满意度,缺勤,心理困扰和打算离开这个行业。变革型领导能预测工作满意度和离职意愿。结论与变革型领导共事的护士工作满意度较高,离职意愿较低。为表现出有毒领导行为的经理工作的护士表现出较低的工作满意度,较高的压力水平,频繁缺勤和更高的离开护理行业的意图。护理管理的影响护士保留策略应包括措施,以促进变革型领导和脱轨有毒的领导实践,护士管理人员通过循证教育,培训和专业发展。
Aim This study examined the influence of toxic and transformational leadership practices on nurses' job satisfaction, psychological distress, absenteeism and intent to leave the organisation or the nursing profession. Background Transformational leadership is attributed to favourable nurse consequences; however, the nursing literature is silent regarding the causal association between toxic leadership and nurses' job outcomes. Methods This is a cross-sectional study involving 770 registered nurses from 15 hospitals in Central Philippines. Data were collected using seven self-report scales during the months of December 2019 to February 2020. Results The composite scores for the transformational leadership scale and toxic leadership scale were 4.22 and 1.59, respectively. Toxic leadership predicted job satisfaction, absenteeism, psychological distress and intention to leave the profession. Transformational leadership predicted job satisfaction and intent to leave the profession. Conclusion Results suggest that nurses working with a transformational leader report higher job contentment and lower intent to leave the nursing profession. Nurses who work for a manager exhibiting toxic leadership behaviours demonstrated lower job contentment, higher stress levels, frequent absenteeism and higher intent to leave the nursing profession. Implication for Nursing Management Nurse retention strategies should include measures to foster transformational leadership and derail toxic leadership practices in nurse managers through evidence-based education, training and professional development.