Servant Leadership and Nurses' Innovative Work Behavior: The Serial Mediation Role of Trust-In Leadership and Knowledge Sharing

IF 2.9 3区医学 Q1 NURSING

Journal of Nursing Scholarship Pub Date : 2026-03-19 DOI:10.1111/jnu.70081

Muhammad Waseem, Rohail Hassan, Umme Habiba, Khalid Khan, Muhammad Haroon Malik

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引用次数: 0

Abstract

Aim/Objective

The research investigated the relationship between servant leadership (SL) and innovative work behavior (IWB) among nurses in Pakistan. It also formulates and hypothesizes a serial mediation model, integrating trust-in leadership (TL) and knowledge sharing (KS) as mediated variables.

Background

Nurses' IWBs are critical for improving patient healthcare quality. Despite their significance, scant research has examined how leadership styles, especially SL, can trigger such behavior in nursing. The paper seeks to fill this gap by examining how SL can enhance innovation among nurses, while accounting for the mediating variables of TL and KS within the Pakistani healthcare system.

Design/Methodology/Approach

A quantitative, cross-sectional study was conducted, involving 269 nurses from hospitals in Islamabad and Rawalpindi. A time-lagged approach to data collection was used to reduce common method bias. Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM) were employed to test the proposed hypothesized relationships using SPSS (version 27) and AMOS (version 23).

Results

The hypotheses revealed a significant impact of the constructs. It was discovered that SL has both direct and indirect positive influences on IWB among nurses through TL and KS. Moreover, the findings support high serial mediation, implying that SL has a positive effect on IWB by first building trust, which then leads to knowledge sharing.

Conclusions

The paper contributes to the literature on servant leadership and innovative work behavior by examining mediating mechanisms within nursing teams in Pakistan. The paper also offers practical implications for nurse managers and hospital administrators on fostering a culture of innovation and trust among nurses.

Clinical Relevance

The findings offer actionable insights for nursing management by demonstrating that adopting a servant leadership style can directly and indirectly enhance nurses' innovative work behaviors. By prioritizing trust-building and fostering a culture of knowledge sharing, nurse managers can stimulate innovation, which is critical for improving patient care quality and overall healthcare outcomes.

查看原文本刊更多论文

服务型领导与护士创新工作行为：信任领导与知识共享的序列中介作用。

目的：研究巴基斯坦护士服务型领导（SL）与创新工作行为的关系。以信任领导（TL）和知识共享（KS）为中介变量，构建并假设了一个序列中介模型。背景：护士的iwb对提高患者医疗质量至关重要。尽管其意义重大，但很少有研究调查领导风格，尤其是SL，如何在护理中引发这种行为。本文试图填补这一空白，通过检查如何SL可以加强护士之间的创新，同时考虑巴基斯坦医疗保健系统内的TL和KS的中介变量。设计/方法/方法：进行了一项定量横断面研究，涉及伊斯兰堡和拉瓦尔品第医院的269名护士。采用时间滞后方法收集数据以减少常见方法偏差。采用验证性因子分析（CFA）和结构方程模型（SEM），使用SPSS（版本27）和AMOS（版本23）对提出的假设关系进行检验。结果：假设揭示了构念的显著影响。研究发现，学习对护士IWB有直接和间接的正向影响。此外，研究结果支持高序列中介，这意味着语言学习首先通过建立信任，然后导致知识共享，从而对IWB产生积极影响。结论：本文通过研究巴基斯坦护理团队中的中介机制，对服务型领导和创新工作行为的文献做出了贡献。本文还为护士管理者和医院管理者在培养护士之间的创新和信任文化提供了实际意义。临床意义：研究结果表明，采用服务型领导风格可以直接和间接地促进护士的创新工作行为，为护理管理提供可操作的见解。通过优先建立信任和培养知识共享文化，护士管理者可以激发创新，这对于提高患者护理质量和整体医疗保健结果至关重要。

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

Journal of Nursing Scholarship 医学-护理

CiteScore

6.30

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers. Reaching health professionals, faculty and students in 103 countries, the Journal of Nursing Scholarship is focused on health of people throughout the world. It is the official journal of Sigma Theta Tau International and it reflects the society’s dedication to providing the tools necessary to improve nursing care around the world.