PDF(Pubmed)
Abstract：
This study aims to make visible the dynamic nature of leader-member exchange (LMX) in the changing realm of health-care leadership.
The qualitative study used an open questionnaire, which was distributed amongst nursing staff and managers at a Finnish public university hospital.
The participants described partly LMX theory, but the leader-member relationship was also influenced by the organizational culture and the existing management practices. Nursing staff were found to have a more variable and dynamic role in the LMX relationship than has previously been reported. The research therefore provided novel information for the field of health-care research.
The presented research was limited by the content of the data, as the collected single narratives were rather short; however, the fact that a large number of narratives were collected from diverse participants strengthened the ability to reliably answer the research questions.
Although the participants described partly LMX theory, the leader-member relationship is also influenced by the organizational culture and existing management practices; the finding that nurses have more variable roles in LMX relationships in the health-care context was new insight in this field. Therefore, the presented findings can help decision-makers change the current, perhaps antiquated, leadership practices at health-care organizations.
This study provides new insight into the field of LMX research in terms of the important role of nursing staff, the organizational factors that influence the LMX relationship and the dynamic nature of LMX relationships.
The qualitative study used an open questionnaire, which was distributed amongst nursing staff and managers at a Finnish public university hospital.
The participants described partly LMX theory, but the leader-member relationship was also influenced by the organizational culture and the existing management practices. Nursing staff were found to have a more variable and dynamic role in the LMX relationship than has previously been reported. The research therefore provided novel information for the field of health-care research.
The presented research was limited by the content of the data, as the collected single narratives were rather short; however, the fact that a large number of narratives were collected from diverse participants strengthened the ability to reliably answer the research questions.
Although the participants described partly LMX theory, the leader-member relationship is also influenced by the organizational culture and existing management practices; the finding that nurses have more variable roles in LMX relationships in the health-care context was new insight in this field. Therefore, the presented findings can help decision-makers change the current, perhaps antiquated, leadership practices at health-care organizations.
This study provides new insight into the field of LMX research in terms of the important role of nursing staff, the organizational factors that influence the LMX relationship and the dynamic nature of LMX relationships.
摘要：
目的：本研究旨在在不断变化的医疗保健领导领域中，使领导者-成员交换（LMX）的动态性质可见。
方法：定性研究采用开放式问卷，分布在芬兰公立大学医院的护理人员和管理人员中。
结果：参与者部分描述了LMX理论，但是领导者与成员的关系也受到组织文化和现有管理实践的影响。与以前的报道相比，发现护理人员在LMX关系中的作用更加可变和动态。因此，该研究为医疗保健研究领域提供了新的信息。
结论：所提出的研究受到数据内容的限制，因为收集的单一叙述相当短；然而，从不同的参与者那里收集了大量的叙述，这加强了可靠回答研究问题的能力。
结论：尽管参与者部分描述了LMX理论，领导-成员关系还受到组织文化和现有管理实践的影响;在医疗保健背景下,护士在LMX关系中扮演更多可变角色的发现是该领域的新见解.因此,所提出的调查结果可以帮助决策者改变现状，也许是过时的，医疗保健组织的领导实践。
结论：这项研究在护理人员的重要作用方面为LMX研究领域提供了新的见解，影响LMX关系的组织因素和LMX关系的动态性。
方法：定性研究采用开放式问卷，分布在芬兰公立大学医院的护理人员和管理人员中。
结果：参与者部分描述了LMX理论，但是领导者与成员的关系也受到组织文化和现有管理实践的影响。与以前的报道相比，发现护理人员在LMX关系中的作用更加可变和动态。因此，该研究为医疗保健研究领域提供了新的信息。
结论：所提出的研究受到数据内容的限制，因为收集的单一叙述相当短；然而，从不同的参与者那里收集了大量的叙述，这加强了可靠回答研究问题的能力。
结论：尽管参与者部分描述了LMX理论，领导-成员关系还受到组织文化和现有管理实践的影响;在医疗保健背景下,护士在LMX关系中扮演更多可变角色的发现是该领域的新见解.因此,所提出的调查结果可以帮助决策者改变现状，也许是过时的，医疗保健组织的领导实践。
结论：这项研究在护理人员的重要作用方面为LMX研究领域提供了新的见解，影响LMX关系的组织因素和LMX关系的动态性。
