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

Objective To explore the association between clinical leadership and quality of work life, as well as the mediating role of coping style in this relationship.Setting Three tertiary-level hospitals in Liaoning Province, China.Participants A total of 1209 nurses were recruited for this study. Register...

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Main Authors: Ying Shi, Dan Zhang, Hongli Li, Hui Chang, Zijun Tao, Xiaofei Li
Format: Article
Language:English
Published: BMJ Publishing Group 2021-02-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/2/e041862.full
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author Ying Shi
Dan Zhang
Hongli Li
Hui Chang
Zijun Tao
Xiaofei Li
author_facet Ying Shi
Dan Zhang
Hongli Li
Hui Chang
Zijun Tao
Xiaofei Li
author_sort Ying Shi
collection DOAJ
description Objective To explore the association between clinical leadership and quality of work life, as well as the mediating role of coping style in this relationship.Setting Three tertiary-level hospitals in Liaoning Province, China.Participants A 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 measures Questionnaires 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.Results The 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%.Conclusions Clinical 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.
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spelling doaj-art-3b1d79daf2e74f51a8d90efc9923c3102024-11-18T23:50:07ZengBMJ Publishing GroupBMJ Open2044-60552021-02-0111210.1136/bmjopen-2020-041862Mediating 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 studyYing Shi0Dan Zhang1Hongli Li2Hui Chang3Zijun Tao4Xiaofei Li51The First Affiliated Hospital, Jinan University, Guangzhou, ChinaShantou University Medical College, Shantou, China2 Department of Obstetrics and Gynecology, the First Hospital of Lanzhou University, Lanzhou, Gansu, ChinaDepartment of Health Promotion, Center for Health Services of Liaoning Province, Shenyang, ChinaSchool of Nursing, China Medical University, Shenyang, ChinaDepartment of Ultrasound, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing, ChinaObjective To explore the association between clinical leadership and quality of work life, as well as the mediating role of coping style in this relationship.Setting Three tertiary-level hospitals in Liaoning Province, China.Participants A 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 measures Questionnaires 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.Results The 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%.Conclusions Clinical 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.https://bmjopen.bmj.com/content/11/2/e041862.full
spellingShingle Ying Shi
Dan Zhang
Hongli Li
Hui Chang
Zijun Tao
Xiaofei Li
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
BMJ Open
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
url https://bmjopen.bmj.com/content/11/2/e041862.full
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