安徽省873名中医院护士长变革型领导力影响因素分析

目的 了解安徽省内中医院护士长变革型领导力现状，并分析其影响因素，为提高护士长管理效能提供参考依据。方法 采用便利抽样法，选取安徽省内56所中医院873名护士长作为调查对象，使用一般资料调查表、护士长变革型领导力自评量表、护士长核心能力评估量表进行调查。采用多重线性回归分析护士长变革型领导力的影响因素。结果 中医院护士长变革型领导力得分为（109.43±12.40）分，多重线性回归分析结果显示：医院等级、护理管理能力、人际关系能力、护理科研能力及护理教育能力进入回归方程（P<0.001），共解释总变异的53.0%。结论 中医院护士长变革型领导力处于中上水平。中医院护士长护理管理能力、人际关系能力、护理科研能力、护理教育能力及所在医院等级是变革型领导力的影响因素。建议中医医院管理者重视对护士长核心能力的培养，促进护士长变革型领导行为,并采取有效措施对变革型领导力的提升效果进行评价、追踪，提高护理质量。

Influencing factors of transformational leadership of head nurses in Hospitals of Traditional Chinese Medicine in Anhui Province: a 873-case study

Objective To understand the current situation of the transformational leadership of head nurses in hospitals of traditional Chinese medicine (TCM) in Anhui Province, and analyze its influencing factors, and to provide reference for improving the management efficiency of head nurses. Methods A total of 873 head nurses from 56 TCM hospitals in Anhui Province were selected by convenient sampling, and they were investigated by using the general information questionnaire, head nurses' transformational leadership self-evaluation scale and head nurses' core competence evaluation scale. Multiple linear regression was used to analyze the influencing factors of head nurses' transformational leadership. Results The score of transformational leadership of head nurses in TCM hospitals was 109.43±12.40. Multiple linear regression analysis showed that hospital grade, nursing management ability, interpersonal relationship ability, nursing research ability and nursing education ability entered the regression equation (P<0.001), explaining 53.0% of the total variation. Conclusion Transformational leadership of head nurses in TCM hospitals is above the average. Nursing management ability, interpersonal relationship ability, nursing research ability, nursing education ability and hospital grade are the influencing factors of transformational leadership. It is suggested that hospital managers should attach importance to the cultivation of head nurses' core competence, promote head nurses' transformational leadership, and take effective measures to evaluate and track the improvement effect of transformational leadership, so as to improve the quality of nursing.