{"title":"Effect of ambidextrous leadership on clinical nurse leadership: The mediating role of psychological empowerment among critical care nurses.","authors":"Baofeng Zhang, Ke Zhao, Zhan Yang","doi":"10.1111/nicc.13293","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In critical care departments, the clinical leadership of nurses who specialize in critical care nursing significantly influences care quality and clinical outcomes. The leadership styles of head nurses are closely associated with clinical nurse leadership. Ambidextrous leadership, which integrates transactional and transformational leadership, is a common leadership style.</p><p><strong>Aim: </strong>This study was conducted to determine whether psychological empowerment mediates the relationship between ambidextrous leadership and clinical nurse leadership among critical care nurses.</p><p><strong>Study design: </strong>A cross-sectional descriptive design was employed. Critical care nurses were recruited from five tertiary hospitals in Zhengzhou, China, using convenience sampling. Measures were the socio-demographic characteristics of participants, the Chinese version of the clinical leadership survey, the ambidextrous leadership style scale and the psychological empowerment scale. Data were analysed using IBM SPSS v. 21.0. IBM AMOS v. 24.0 was used to construct a structural equation model and bootstrap to test the mediating effect of psychological empowerment.</p><p><strong>Results: </strong>The results of the structural equation model analysis show that the direct effects of ambidextrous leadership on clinical nurse leadership were 0.173, p = .001, and the total effects were 0.225, p = .001; the indirect effects were 0.052, p = .035 (95% confidence intervals = 0.126-0.223), respectively. Furthermore, psychological empowerment moderated the relationship between ambidextrous leadership and clinical nurse leadership.</p><p><strong>Conclusion: </strong>The mediating effects of psychological empowerment on ambidextrous leadership and clinical nurse leadership were found among critical care nurses.</p><p><strong>Relevance to clinical practice: </strong>This study contributes to clinical nurse leadership among critical care nurses. By adopting ambidextrous leadership, head nurses in critical care departments can improve nurses' clinical leadership. Training is recommended for head nurses' ambidextrous leadership in critical care. In addition, head nurses should give critical care nurses more psychological empowerment to improve their clinical leadership.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13293"},"PeriodicalIF":3.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing in Critical Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/nicc.13293","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
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Abstract
Background: In critical care departments, the clinical leadership of nurses who specialize in critical care nursing significantly influences care quality and clinical outcomes. The leadership styles of head nurses are closely associated with clinical nurse leadership. Ambidextrous leadership, which integrates transactional and transformational leadership, is a common leadership style.
Aim: This study was conducted to determine whether psychological empowerment mediates the relationship between ambidextrous leadership and clinical nurse leadership among critical care nurses.
Study design: A cross-sectional descriptive design was employed. Critical care nurses were recruited from five tertiary hospitals in Zhengzhou, China, using convenience sampling. Measures were the socio-demographic characteristics of participants, the Chinese version of the clinical leadership survey, the ambidextrous leadership style scale and the psychological empowerment scale. Data were analysed using IBM SPSS v. 21.0. IBM AMOS v. 24.0 was used to construct a structural equation model and bootstrap to test the mediating effect of psychological empowerment.
Results: The results of the structural equation model analysis show that the direct effects of ambidextrous leadership on clinical nurse leadership were 0.173, p = .001, and the total effects were 0.225, p = .001; the indirect effects were 0.052, p = .035 (95% confidence intervals = 0.126-0.223), respectively. Furthermore, psychological empowerment moderated the relationship between ambidextrous leadership and clinical nurse leadership.
Conclusion: The mediating effects of psychological empowerment on ambidextrous leadership and clinical nurse leadership were found among critical care nurses.
Relevance to clinical practice: This study contributes to clinical nurse leadership among critical care nurses. By adopting ambidextrous leadership, head nurses in critical care departments can improve nurses' clinical leadership. Training is recommended for head nurses' ambidextrous leadership in critical care. In addition, head nurses should give critical care nurses more psychological empowerment to improve their clinical leadership.
期刊介绍：
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice
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