Mediating effect of coping style on the relationship between clinical leadership and quality of work life among nurses in tertiary-level hospitals in China: a cross-sectional study

Abstract

ObjectiveTo explore the association between clinical leadership and quality of work life, as well as the mediating role of coping style in this relationship.SettingThree tertiary-level hospitals in Liaoning Province, China.ParticipantsA total of 1209 nurses were recruited for this study. Registered nurses who work full time with at least 1 year of work experience were eligible as subjects. Exclusion criteria were nurses who work indirectly with patients, such as in education, administration or research.Primary and secondary outcome measuresQuestionnaires consisting of the work-related Quality of Life Scale, the Nurse Leadership Scale and the Simplified Coping Style Questionnaire, as well as a demographic data sheet, were used to collect participant information. Pearson’s correlation analysis, hierarchical multiple regression analysis, and asymptotic and resampling strategies were used to analyse the data.ResultsThe mean overall quality of work life score among Chinese nurses was 3.50±0.60. After adjusting for demographic characteristics, clinical leadership was positively associated with the score of quality of work life (β=0.55, p<0.01). Clinical leadership explained 27% of the variance in quality of work life. Coping style partially mediated the relationship between clinical leadership and quality of work life. The proportion of mediation of active coping was 21.82% and of passive coping was 5.79%.ConclusionsClinical leadership was positively associated with quality of work life and coping style partially mediated the relationship between clinical leadership and quality of work life among nurses in China. Implementing measures focusing on both clinical leadership and coping style may provide success in improving the quality of work life of nurses.

Post-traumatic Growth and Related Influencing Factors in Discharged COVID-19 Patients: A Cross-Sectional Study

“…A tendency score of less than zero, suggests that the subject tends to adopt a positive manner under pressure (Nie et al, 2017 ). This scale has been commonly used in Chinese, especially during the COVID-19 pandemic (Li, J. et al, 2020 ; Song et al, 2020 ; Li et al, 2021 ; Yao et al, 2021 ). In our sample, Cronbach's α was 0.90 for the SCSQ, and for two subscales, positive coping and negative coping, it was 0.89 and 0.78, respectively.…”

Digitization in Everyday Nursing Care: A Vignette Study in German Hospitals

“…Another explanation is that EO is crucial, especially in the context of digitization. Nursing staff that experience productivity and a good workflow are more satisfied and engaged, and vice versa [ 24 , 57 , 58 ]. Accordingly, PO and high-quality care for patients are only possible by working efficiently [ 1 , 59 ].…”

Digitization in Everyday Nursing Care: A Vignette Study in German Hospitals

“…Another explanation is that EO is crucial, especially in the context of digitization. A nursing staff that experiences productivity and a good workflow is more satisfied and engaged, and vice versa (16,42,43). Accordingly, PO and high-quality care for patients are only possible by working efficiently (1, 44).…”