「意義領導」於護理工作之應用

Application of Meaningful leadership in Nursing Work

10.29494/LN.202203_23(1).0003

林仁祥(Jen-Hsiang Lin)；曾文志(Wen-Chih Tseng)；張淑靜(Shu-Ching Chang)；解旻容(Min-Jung Hsieh)

意義領導 ； 意義 ； 護理工作 ； 護理領導 ； meaningful leadership ； meaning ； nursing work ； nursing leadership

領導護理

23卷1期（2022 / 03 / 01）

20 - 29

繁體中文

護理工作含攝助人特性，亟具意義性；但因長期處理與「人」之身心有關的問題，而易產生職業耗竭，乃至忘卻「關懷生命」之護理初衷。護理人員的「領導力」被視為是協助其同仁不忘護理初心之關鍵。本文旨在介紹以正向心理學為底蘊以及意義治療之追求意義意志而生之「意義領導」理念，並取其徑而提出可應用於護理場域的意義領導模式及運用，其含括意義、歸屬、理想、創造及責任，期能形成一正向而上的意義循環及由內而外地發展臨床護理人員對於護理工作之意義感，從而促進護病關係與照護品質。本文期以拋磚引玉之姿，為現今護理職業之人力資源挑戰，提供新視角。

The essence of nursing work is to care for others, which is of great significance. However, since nursing work deals with both the physical and mental issues of ＂human＂, it is easy to cause professional fatigue and hence neglect the initial intention of nursing work regarding ＂caring for life.＂ ＂Leadership＂ of the nursing staff is considered as the key to assist their colleagues not to abandon their initial intention of nursing. This article aims to introduce the concept of ＂meaningful leadership＂ based on positive psychology and the pursuit of meaning in logotherapy. Furthermore, apply these theories to propose a meaningful nursing leadership model and its application that can be utilized to the nursing fields; these include: meaning, belonging, ambition, creation and responsibility. We hope that the application of this model can develop a positive and upward meaningful cycle and develop the sense of significance to clinical nurses in their nursing works, thereby encourage workplace relationships and the quality of care to patients. The determination and implication of this article hopefully provides a new perspective regarding the human resource challenges faced by the contemporary nursing profession.

1. 洪瑞斌(2013)。職業倦怠研究在台灣之回顧與前瞻。人力資源管理學報，13(3)，107-140。
   連結：
2. Bailey, C.,Madden, A.(2016).What makes work meaningful or meaningless?.MIT Sloan Management Review,57(4),53-61.
3. Cameron, K. S.(Ed.),Spreitzer, G. M.(Ed.)(2012).The Oxford handbook of positive organizational scholarship.New York:Bantam Books.
4. Dinh, J. E.,Lord, R. G.,Gardner, W. L.,Meuser, J. D.,Liden, R. C.,Hu, J.(2014).Leadership theory and research in the new millennium: Current theoretical trends and changing perspectives.The Leadership Quarterly,25(1),36-62.
5. Frankl, V. E.(2014).The will to meaning: Foundations and applications of logotherapy: Penguin.New York:Penguin Group.
6. Frémeaux, S.,Pavageau, B.(2020).Meaningful leadership: How can leaders contribute to meaningful work?.Journal of Management Inquiry,31(1),54-66.
7. Galletta, M.,Portoghese, I.,Ciuffi, M.,Sancassiani, F.,D'Aloja, E,Campagna, M.(2016).Working and environmental factors on job burnout: A cross-sectional study among nurses.Clinical Practice & Epidemiology Mental Health,12,132-141.
8. Gandolfi, F.,Stone, S.(2018).Leadership, leadership styles, and servant leadership.Journal ofManagement and Research,18(4),261-269.
9. Hunsaker, W. D.(2019).Spiritual leadership and job burnout: Mediating effects of employee well-being and life satisfaction.Management Science Letters,9(8),1257-1268.
10. Kennett, P. (2020, June 19). Purposeful and meaningful leadership [Web blog message]. http://www.chiswick consulting.com/people-and-organi sations/leader-ship-organisationdevelopment/
11. Khan, Z. A.,Nawaz, A.,Khan, I.(2016).Leadership theories and styles: A literature review.Leadership,16(1),1-7.
12. Kolodinsky, R. W.,Ritchie, W. J.,Kuna, W. A.(2018).Meaningful engagement: Impacts of a ‘calling’work orientation and perceived leadership support.Journal of Management & Organization,24(3),406-423.
13. Lu, H.,Zhao, Y.,While, A.(2019).Job satisfaction among hospital nurses: A literature review.International Journal of Nursing Studies,94,21-31.
14. Malik, N.,Dhar, R.,Handa, S.C.(2016).Authentic leadership and its impact on creativity of nursing staff: A cross sectional questionnaire survey of Indian nurses and theirsupervisors.International journal of nursing studies,63,28-36.
15. McClure, M. L.(2005).Magnet hospitals: insights and issues.Nursing Administration Journal,29(3),198-201.
16. McClure, M. L.,Hinshaw, A. S.(2002).Magnet hospitals revisited: Attraction and retention of professional nurses.American Nurses Publishing.
17. McLeod, S. (2020, March 20). Maslow’s hierarchy of needs [Web blogmessage]. http://www.simplypsychology.org/maslow.html
18. Molero Jurado, M. D. M.,Pérez-Fuentes, M. D. C.,Gázquez Linares, J. J. G.,Márquez, S.,Del Mar, M.,Martos Martínez, Á .(2018).Burnout risk and protection factors in certified nursing aides.International Journal of Environmental Research and Public Health,15(6),1116.
19. Reid, L. (2018, October 1). 4 Essentials of Meaningful Leadership: Leading from Within [Web blog message]. https://trainingindustry.com/blog/leadership/4-essentials-of-meaning-ful-leadership-leading-from-within/
20. Rushton, C. H.,Batcheller, J.,Schroeder, K.,Donohue, P.(2015).Burnout and resilience among nurses practicing in high-intensity settings.American Journal of Critical Care,24(5),412-421.
21. Turner, N.,Barling, J.,Zacharatos, A.(2002).Handbook of positivepsychology.Oxford University Press.
22. Wong, P. T. P.(2014).s meaning-seeking model and positive psychology.Meaning in Positive and Existential Psychology
23. 胡佩怡,蕭淑銖,郭育良(2014).我國護理人員執業環境及身心健康之探討.新北市:勞動部勞動及職業安全衛生研究所.
24. 張碧芬,余玉眉,陳淑月(2007)。好的護理－護理人員的觀點。護理雜誌，54(4)，26-34。