The Effect of Inclusive Leadership on Nurses' Taking Charge Behaviour: The Mediating Role of Psychological Security and the Moderating Role of Power Distance

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-06-18 DOI:10.1111/ijn.70025

Min Shi, Yi Gao, Jie Jing, YunLian Wu, Xin Wen, Danju Liu

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引用次数: 0

Abstract

Aim

To explore the influence of inclusive leadership on nurses' taking charge behaviour by examining the mediating role of psychological security and the moderating role of power distance, and to provide a reference for nursing management practice.

Background

Nursing is facing a stage of high-quality development, where improvements in nurses' taking charge behaviour can enhance the quality of nursing care, ensuring nursing safety. Inclusive leadership has been shown to promote the maintenance and formation of a dynamic and harmonious two-channel relationship system. However, there are relatively few studies on the effects of inclusive leadership on nurses' taking charge behaviour, and it is unclear whether inclusive leadership affects nurses' taking charge behaviour and the specific pathways of its effects, which are worth exploring in depth.

Methods

A cross-sectional questionnaire survey was conducted among 532 nurses in five tertiary-level A public hospitals in Sichuan Province, China. Structural equation models and bootstrapping methods were utilized to examine the hypotheses. STROBE reporting guidelines were followed.

Results

Inclusive leadership positively influences nurses' taking charge behaviour (β = 0.46, p < 0.001). Inclusive leadership positively affects nurses' psychological security (β = 0.63, p < 0.001). Psychological security positively affects nurses' taking charge behaviour (β = 0.36, p < 0.001). The mediating effect value of psychological security between inclusive leadership and nurses' taking charge behaviour was 0.23, p < 0.001, 95% CI[0.14, 0.32]. The interaction effect of inclusive leadership and power distance reached statistical significance (β = −0.10, p < 0.05).

Conclusions

Inclusive leadership has a positive effect on increasing nurses' taking charge behaviour. Strengthening nurses' psychological security and minimizing nurses' power distance can foster nurses' proactive change behaviours.

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包容性领导对护士负责行为的影响：心理安全的中介作用和权力距离的调节作用

目的通过考察心理安全的中介作用和权力距离的调节作用，探讨包容性领导对护士负责行为的影响，为护理管理实践提供参考。护理学正面临着高质量发展的阶段，护士负责行为的改善可以提高护理质量，确保护理安全。研究表明，包容性领导有助于维持和形成动态和谐的双渠道关系体系。然而，关于包容性领导对护士管事行为影响的研究相对较少，包容性领导是否影响护士管事行为及其影响的具体途径尚不清楚，值得深入探讨。方法对四川省5家三级甲等公立医院532名护士进行横断面问卷调查。利用结构方程模型和自举方法对假设进行检验。遵循STROBE报告准则。结果包容性领导对护士负责行为有正向影响（β = 0.46, p < 0.001）。包容性领导对护士心理安全感有正向影响（β = 0.63, p < 0.001）。心理安全正向影响护士负责行为（β = 0.36, p < 0.001）。心理安全在包容性领导与护士负责行为之间的中介效应值为0.23,p < 0.001, 95% CI[0.14, 0.32]。包容性领导与权力距离的交互效应具有统计学意义（β = - 0.10, p < 0.05）。结论包容性领导对提高护士负责行为有积极作用。加强护士心理安全感，缩小护士权力距离，可以促进护士主动改变行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.