卫生保健组织中领导-成员交换关系的动态性质。

IF 1.7 Q3 HEALTH POLICY & SERVICES Leadership in Health Services Pub Date : 2022-12-23 DOI:10.1108/LHS-06-2022-0073
Sari Hirvi, Sanna Laulainen, Kristiina Junttila, Johanna Lammintakanen
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引用次数: 1

摘要

目的:本研究旨在揭示医疗保健领导领域变化中的领导-成员交换(LMX)的动态本质。设计/方法/方法:定性研究采用开放式问卷,在芬兰公立大学医院的护理人员和管理人员中分发。研究发现:参与者部分描述了LMX理论,但组织文化和现有管理实践也影响了领导-成员关系。研究发现,护理人员在LMX关系中扮演的角色比之前报道的更加可变和动态。因此,这项研究为保健研究领域提供了新的信息。研究局限性/启示:由于所收集的单一叙述相当短,因此所提出的研究受到数据内容的限制;然而,从不同的参与者收集了大量的叙述,这一事实加强了可靠地回答研究问题的能力。实践启示:虽然参与者部分描述了LMX理论,但领导-成员关系也受到组织文化和现有管理实践的影响;护士在医疗保健环境下的LMX关系中扮演更多可变角色的发现是这一领域的新见解。因此,提出的调查结果可以帮助决策者改变目前的,也许过时的,领导实践在卫生保健组织。原创性/价值:本研究从护理人员的重要作用、影响护理人员护理关系的组织因素、护理人员护理关系的动态性等方面为护理人员护理关系研究提供了新的视角。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The dynamic nature of leader-member exchange relationships in health-care organizations.

Purpose: This study aims to make visible the dynamic nature of leader-member exchange (LMX) in the changing realm of health-care leadership.

Design/methodology/approach: The qualitative study used an open questionnaire, which was distributed amongst nursing staff and managers at a Finnish public university hospital.

Findings: The participants described partly LMX theory, but the leader-member relationship was also influenced by the organizational culture and the existing management practices. Nursing staff were found to have a more variable and dynamic role in the LMX relationship than has previously been reported. The research therefore provided novel information for the field of health-care research.

Research limitations/implications: The presented research was limited by the content of the data, as the collected single narratives were rather short; however, the fact that a large number of narratives were collected from diverse participants strengthened the ability to reliably answer the research questions.

Practical implications: Although the participants described partly LMX theory, the leader-member relationship is also influenced by the organizational culture and existing management practices; the finding that nurses have more variable roles in LMX relationships in the health-care context was new insight in this field. Therefore, the presented findings can help decision-makers change the current, perhaps antiquated, leadership practices at health-care organizations.

Originality/value: This study provides new insight into the field of LMX research in terms of the important role of nursing staff, the organizational factors that influence the LMX relationship and the dynamic nature of LMX relationships.

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来源期刊
Leadership in Health Services
Leadership in Health Services HEALTH POLICY & SERVICES-
CiteScore
2.90
自引率
17.60%
发文量
51
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