Effect of role overload on missed nursing care in China: The role of work addiction and leader-member exchange

Nurs Open. 2023 May;10(5):3153-3163. doi: 10.1002/nop2.1565. Epub 2022 Dec 23.

Abstract

Aim: The aim was to examine the effect of role overload, work addiction and leader-member exchange on missed nursing care.

Design: A cross-sectional study.

Methods: Chinese registered nurses from five Sichuan province public hospitals were studied from March 2022-May 2022. The measurements were derived from a questionnaire on role overload, work addiction, missed nursing care, leader-member exchange and a sociodemographic datasheet. Descriptive statistics and inferential statistics were conducted (N = 403).

Results: Role overload was associated with missed nursing care, and work addiction played a mediation role. Leader-member exchange negatively predicted work addiction and played a moderating role between role overload and work addiction. The effect of role overload on work addiction was attenuated when the level of leader-member exchange was higher. Promoting leader-member exchange could mitigate how role overload undermines missed nursing care.

Keywords: leader-member exchange; missed nursing care; nursing management; role overload; work addiction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel
  • China
  • Cross-Sectional Studies
  • Humans
  • Leadership*
  • Nursing Staff, Hospital*