【摘要】 目的 探讨结构授权在护士临床领导力与工作投入间的中介效应。方法 采用便利抽样法，于2023年1月至2月选取河南省3所三级甲等医院的1 557名临床护士作为研究对象，使用一般资料调查表、临床领导力量表、工作效能条件量表和工作投入量表进行调查。结果 护士临床领导力、结构授权、工作投入得分分别为（66.27±8.64）分、（70.38±15.67）分、（61.90±10.80）分；护士临床领导力与结构授权、工作投入呈两两正相关（r₁=0.510,r₂=0.475,r₃=0.651,P<0.01）,结构授权在其领导力与工作投入间发挥部分中介效应，占总效应的56.39%。结论 临床护士工作投入处于中等偏上水平，结构授权是护士临床领导力与工作投入的中介变量，护理管理者应制订培养护士临床领导力的有效措施，营造良好的授权实践环境氛围，以提高护士工作投入水平。更多还原

【Abstract】 Objective To explore the mediate role of structural empowerment between nurse leadership and work engagement.Methods From January to February 2023,a convenience sampling method was used to select 1 557 nurses from 3 tertiary grade-A general hospitals in He’nan Province as the research subjects, who were investigated by general information questionnaire, the Clinical Leadership Survey, the Conditions of Work Effectiveness Questionnaire-Ⅱ and the Utrecht Work Engagement Scale.Results The total score of nurses’ leadership, structural empowerment, and work engagement were（66.27±8.64）,（70.38±15.67） and（61.90±10.80）,respectively.Clinical nurse leadership was positively correlated with structural empowerment and work engagement and structural empowerment was positively correlated with work engagement（r₁=0.510,r₂=0.475,r₃=0.651,P<0.01）.Structural empowerment played a partial mediating role between nurse leadership and work engagement, accounting for 56.39% of the total effect.Conclusion The work engagement of clinical nurses is at an above-average level.Structural empowerment is an intermediary variable between nurse leadership and work engagement. Nursing managers should implement effective measures to cultivate clinical nurse leadership and create a supportive environment for structural empowerment, in order to enhance nurses’ work engagement.更多还原