Understanding the impact of transformational leadership on nurse compassion provision through a time-lagged field study.

IF 1.7 3区 医学 Q3 HEALTH POLICY & SERVICES Health Care Management Review Pub Date : 2023-07-01 DOI:10.1097/HMR.0000000000000374
Jeffrey D Larson, Benjamin G Perkins, Nitya Chawla, Aleksander P J Ellis
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Abstract

Background: A large volume of literature identifies positive, rejuvenating benefits associated with giving compassion to others. However, the relationship between giving compassion and feelings of exhaustion remains underexplored. Understanding when giving compassion can potentially lead to feelings of emotional exhaustion is particularly important for nurses who are called upon to provide high levels of compassion to suffering patients in their daily work. We suggest that by engaging in transformational leadership behaviors, frontline supervisors can help nurses realize the positive benefits associated with giving compassion.

Purpose: The aim of this study was to examine the impact of nurses' perceptions of transformational leadership offered by their supervisors on the relationship between the levels of compassionate behaviors nurses report engaging in with patients and feelings of emotional exhaustion and job satisfaction.

Methodology/approach: A time-lagged field survey was conducted across two waves of 112 full-time employed inpatient nurses within the United States.

Results: Providing high levels of compassionate behavior to patients was associated with reduced (increased) perceptions of emotional exhaustion and increased (decreased) job satisfaction when supervisors engaged in higher (lower) levels of transformational leadership.

Discussion: Transformational leadership serves as an important resource to help caregivers such that nurses feel invigorated and satisfied, as opposed to drained or fatigued, when engaging in high levels of compassionate behaviors toward suffering patients.

Practice implications: For nurses to fully reap the established positive benefits associated with providing compassion to patients, frontline supervisors should be encouraged to engage in behaviors reflective of transformational leadership.

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通过一项滞后的实地研究,了解变革型领导对护士同情心提供的影响。
背景:大量的文献表明,给予他人同情会带来积极的、使人恢复活力的好处。然而,给予同情和疲惫感之间的关系仍未得到充分探讨。了解什么时候给予同情可能会导致情绪衰竭的感觉对护士来说尤其重要,因为护士在日常工作中需要对受苦的病人提供高度的同情。我们建议,通过参与变革型领导行为,一线主管可以帮助护士认识到与给予同情相关的积极利益。目的:本研究的目的是考察护士对其主管提供的变革型领导的认知对护士报告的与患者的同情行为水平与情绪衰竭和工作满意度之间的关系的影响。方法/方法:对美国112名全职住院护士进行了两波滞后的实地调查。结果:当主管从事更高(更低)层次的变革型领导时,为患者提供高水平的同情行为与减少(增加)情绪衰竭的感知和增加(降低)工作满意度相关。讨论:变革型领导是一种重要的资源,可以帮助护理人员,使护士在对痛苦的病人进行高水平的同情行为时感到精力充沛和满足,而不是筋疲力尽或疲劳。实践启示:为了让护士充分获得与向患者提供同情心相关的既定积极利益,应该鼓励一线主管参与反映变革型领导的行为。
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来源期刊
Health Care Management Review
Health Care Management Review HEALTH POLICY & SERVICES-
CiteScore
4.70
自引率
8.00%
发文量
48
期刊介绍: Health Care Management Review (HCMR) disseminates state-of-the-art knowledge about management, leadership, and administration of health care systems, organizations, and agencies. Multidisciplinary and international in scope, articles present completed research relevant to health care management, leadership, and administration, as well report on rigorous evaluations of health care management innovations, or provide a synthesis of prior research that results in evidence-based health care management practice recommendations. Articles are theory-driven and translate findings into implications and recommendations for health care administrators, researchers, and faculty.
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