Mediating effect of professional quality of life between clinical leadership and care quality in clinical nurses

JIN Lihong; CHEN Yuanyuan; CHEN Minhua; SHANG Xuli; CHEN Xiaohong; CHEN Qinfen; JI Meifen

doi:10.3969/j.issn.1671-315x.2023.08.002

Abstract：Objective To understand the current status of clinical leadership,professional quality of life,and quality of care among clinical nurses,and to explore the mediating effect of professional quality of life between clinical leadership and care quality in clinical nurses.Methods A total of 457 clinical nurses from primary hospitals in three medical consortiums in Zhejiang Province were investigated by using General Data Questionnaire,Clinical Leadership Survey(CLS),Professional Quality of Life(ProQOL),and Quality of Nursing Care Scale(QNCS).Results The nurses scored(64.09±9.58)on CLS,(40.11±7.56)on compassionate satisfaction,(29.39±8.77)on occupational burnout,and 23.88(16.00,30.00)on secondary trauma of the ProQOL Scale,and(86.30±22.47)on the QNCS on average.The score of QNCS was positively correlated with CLS score(r=0.836,P＜0.01).And it had a positive correlation with the score of compassionate satisfac-tion(r=0.846,P＜0.01).But it had a negative correlation with the score of burnout and secondary trauma(r=-0.463,-0.792,P＜0.01).Compassionate satisfaction,occupational burnout and secondary trauma partially mediated the relationship between clinical leadership and quality of nursing care,with the size of effect of 0.568,0.123 and 0.373,respectively,accounting for 28.95%,6.27%and 19.01%of the total effect,respectively.Conclusion There is still large room for improvement in the professional quality of life of clinical nurses.To further im-prove the quality of care,nursing managers should take multiple interventions to cultivate the clinical leadership,improve the compassionate satisfaction,reduce burnout and secondary trauma in clinical nurses.