Multiple mediating effects of after-work shaping and perceived stress on toxic leadership behavior and organizational loyalty of medical staff in cardiology department
Objective To explore the multiple mediating roles of perceived stress and after-work shaping in the influence mechanism of toxic leadership behavior on organizational loyalty of medical staff in cardiology department.Methods In September 2023,a cross-sectional study design was used to conveniently select medical staff in the department of cardiology from five grade-A tertiary hospitals in Sichuan Province as the research object.A total of 297 cardiology medical staff were investigated by general information questionnaire,toxic leadership behavior questionnaire,organizational loyalty questionnaire,perceived stress questionnaire and after-work shaping questionnaire.Build a chain mediation model using the PROCESS plugin.Results The scores of toxic leadership behavior,organizational loyalty,perceived stress and after-work shaping of 297 medical staff in the cardiology department from grade-A tertiary hospitals were(74.97±16.69),(40.57±1 1.92),(29.42±8.73)and(27.11±7.12)points,respectively.The indirect effect of toxic leadership behavior of medical staff in cardiology department on organizational loyalty was established,with a total indirect effect of 0.473,accounting for 43.29%of the total effect.The specific mediating effects of after-work shaping and perceived stress on toxic leadership behavior accounted for 23.14%and 13.55%,respectively,and the chain mediating effect of the two accounted for 6.59%.Conclusion The multiple mediating effects of perceived stress and after-work shaping between toxic leadership behavior and organizational loyalty are established.It is suggested that hospital managers should pay more attention to medical staff with high level of toxic leadership behavior,reduce perceived stress,improve the level of after-work shaping,and then improve their organizational loyalty.