华西医学

华西医学

情境领导理论培训对护士长护理管理领导风格的影响

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目的 观察情境领导理论培训对护士长护理管理领导风格的影响,并总结情境领导理论在护理管理中的应用方法。 方法 2013 年 11 月四川大学华西医院 154 名护士长中有 84 名护士长参加了情境领导理论培训。2013 年 12 月即培训 1 个月后,以领导风格自我问卷为调查工具,采用便利、整群抽样的方法测评 154 名护士长的领导风格,比较参加了培训(培训组)和未参加过培训(未培训组)的护士长领导风格得分。 结果 共发放问卷 154 份,收回有效问卷 109 份,其中培训组 72 人,未培训组 37 人。培训组护士长灵活性和有效性得分[(22.35±5.12)、(55.67±7.59)分]明显高于未培训组[(19.03±4.05)、(50.95±5.30)分],培训组护士长高灵活性、高有效性的人数占比(61.1%、31.9%)明显高于未培训组(32.4%、8.1%),差异均有统计学意义(P<0.05)。 结论 情境领导理论培训后护士长能较好地将理论知识应用于临床护理管理,使其管理下属的灵活性和有效性得到提升,进而促进团队成员的工作热情和个人成长,营造积极向上的团队氛围,提高护理团队凝聚力和团队成就感,使有限的人力资源得到合理、高效地利用。

Objective To evaluate the effect of Situational Leadership Theory training on head-nurses’ leadership style in nursing management and summarize the application methods of Situational Leadership Theory. Methods In December 2013, by means of convenience cluster sampling method, 154 head-nurses of West China Hospital of Sichuan University were selected for a Leadership Style Self-rating Questionnaire survey, of whom 84 attended the Situational Leadership Theory training one month ago. The questionnaire score was compared between the trained head-nurses (the trained group) and the non-trained ones (the non-trained group). Results A total of 154 questionnaires were issued, and 109 valid ones were recovered, in whom 72 were trained by the Situational Leadership Theory while the other 37 were not. The average scores of head-nurses’ flexibility and efficacy in the trained group (22.35±5.12 and 55.67±7.59) were higher than those in the non-trained group (19.03±4.05 and 50.95±5.30), and the proportions of head-nurses with high flexibility and high efficacy in the trained group (61.1%, 31.9%) were higher than those in the non-trained group (32.4%, 8.1%), and the differences above were statistically significant (P<0.05). Conclusions The training of the Situational Leadership Theory can improve the application of theory to clinical nursing management and promote the head-nurses’ flexibility and efficacy to accelerate their work enthusiasm and personal improvement. It can also promote team cohesion and sense of accomplishment by creating a positive team atmosphere to make the efficient usage of limited human resources.

关键词: 情境领导理论; 培训; 护理; 管理

Key words: Situational Leadership Theory; Training; Nursing; Management

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