{"title":"真实领导对护士伦理导向实践和患者导向结果的影响：一项多水平分析","authors":"Dina Metwally, Haroon Bakari, Mohamed Metwally","doi":"10.1155/jonm/5336957","DOIUrl":null,"url":null,"abstract":"<div>\n <p><b>Objectives:</b> Authentic leadership is considered to be a popular leadership style within the health sector. However, despite the team-oriented work context in hospitals, most research in the health sector is based on data collected from individuals and not teams. Utilizing a multilevel modeling approach, this study aimed to examine the impact of authentic leadership on nursing outcomes at both individual and team levels. It aims to explore the impact of team-level authentic leadership on nursing outcomes at both team and individual levels.</p>\n <p><b>Methods:</b> A survey was conducted in hospitals operating in Cairo, Egypt to test the proposed model. Data were collected from 40 nurse supervisors and 200 nurse subordinates in a time-lagged design. Given the multilevel nature of the data (individuals nested within groups), the study’s hypotheses were tested utilizing multilevel modeling that incorporates the nonindependence of observations obtained from lower levels nested within higher levels.</p>\n <p><b>Results:</b> Results suggest that the hypothesized model was a good fit to the data (CMIN/DF = 1.362, CFI = 0.957, TLI = 0.955, IFI = 0.958, and RMSEA = 0.049). Empirical results suggest that team-level authentic leadership positively predicted nursing teams’ performance in improving patient comfort (<i>β</i> = 2.17, <i>p</i> < 0.05) and their ethically oriented nursing practices (<i>β</i> = 0.664, <i>p</i> < 0.05). Nurses’ ethically oriented practices positively predicted nurses’ patient-oriented performance (<i>β</i> = 0.188, <i>p</i> < 0.05) and mediated the link between authentic leadership and patient-oriented performance (UCI-0.6744, LCI-0.0474). The relationship between authentic leadership and ethically oriented practices was moderated by nurses’ compassion at work (<i>β</i> = 0.129, <i>p</i> < 0.05), such that it was stronger when nurses had higher levels of compassion.</p>\n <p><b>Conclusion:</b> Nursing supervisors who practice authentic leadership can enhance nursing teams’ performance regarding patient comfort. Authentic leadership can also foster ethical orientation in nurses. Furthermore, a nurse’s compassion at work has a synergetic effect with authentic leadership to increase ethically oriented practices.</p>\n </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5336957","citationCount":"0","resultStr":"{\"title\":\"Impact of Authentic Leadership on Nurses’ Ethically Oriented Practices and Patient-Oriented Outcomes: A Multilevel Analysis\",\"authors\":\"Dina Metwally, Haroon Bakari, Mohamed Metwally\",\"doi\":\"10.1155/jonm/5336957\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n <p><b>Objectives:</b> Authentic leadership is considered to be a popular leadership style within the health sector. However, despite the team-oriented work context in hospitals, most research in the health sector is based on data collected from individuals and not teams. Utilizing a multilevel modeling approach, this study aimed to examine the impact of authentic leadership on nursing outcomes at both individual and team levels. It aims to explore the impact of team-level authentic leadership on nursing outcomes at both team and individual levels.</p>\\n <p><b>Methods:</b> A survey was conducted in hospitals operating in Cairo, Egypt to test the proposed model. Data were collected from 40 nurse supervisors and 200 nurse subordinates in a time-lagged design. Given the multilevel nature of the data (individuals nested within groups), the study’s hypotheses were tested utilizing multilevel modeling that incorporates the nonindependence of observations obtained from lower levels nested within higher levels.</p>\\n <p><b>Results:</b> Results suggest that the hypothesized model was a good fit to the data (CMIN/DF = 1.362, CFI = 0.957, TLI = 0.955, IFI = 0.958, and RMSEA = 0.049). Empirical results suggest that team-level authentic leadership positively predicted nursing teams’ performance in improving patient comfort (<i>β</i> = 2.17, <i>p</i> < 0.05) and their ethically oriented nursing practices (<i>β</i> = 0.664, <i>p</i> < 0.05). Nurses’ ethically oriented practices positively predicted nurses’ patient-oriented performance (<i>β</i> = 0.188, <i>p</i> < 0.05) and mediated the link between authentic leadership and patient-oriented performance (UCI-0.6744, LCI-0.0474). The relationship between authentic leadership and ethically oriented practices was moderated by nurses’ compassion at work (<i>β</i> = 0.129, <i>p</i> < 0.05), such that it was stronger when nurses had higher levels of compassion.</p>\\n <p><b>Conclusion:</b> Nursing supervisors who practice authentic leadership can enhance nursing teams’ performance regarding patient comfort. Authentic leadership can also foster ethical orientation in nurses. Furthermore, a nurse’s compassion at work has a synergetic effect with authentic leadership to increase ethically oriented practices.</p>\\n </div>\",\"PeriodicalId\":49297,\"journal\":{\"name\":\"Journal of Nursing Management\",\"volume\":\"2025 1\",\"pages\":\"\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-03-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5336957\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing Management\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1155/jonm/5336957\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MANAGEMENT\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Management","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/jonm/5336957","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MANAGEMENT","Score":null,"Total":0}
引用次数: 0
摘要
目标：真实的领导被认为是卫生部门内流行的领导风格。然而，尽管医院的工作环境以团队为导向，但卫生部门的大多数研究都是基于从个人而不是团队收集的数据。利用多层次建模方法，本研究旨在从个人和团队两个层面探讨真实领导对护理结果的影响。它旨在探讨团队层面的真实领导对团队和个人层面护理结果的影响。方法：对埃及开罗的医院进行调查，以检验所提出的模型。采用时间滞后设计，从40名护士主管和200名护士下属中收集数据。考虑到数据的多层次性质（个体嵌套在群体中），该研究的假设利用多层模型进行了检验，该模型结合了嵌套在较高水平中的较低水平获得的观察结果的非独立性。结果：假设模型与数据拟合较好（CMIN/DF = 1.362, CFI = 0.957, TLI = 0.955, IFI = 0.958, RMSEA = 0.049）。实证结果表明，团队层面的真实领导正向预测护理团队在改善患者舒适度方面的绩效(β = 2.17, p <；0.05)和道德导向护理实践(β = 0.664, p <；0.05)。护士伦理导向实践正向预测护士的病人导向绩效(β = 0.188, p <；真实领导与患者导向绩效之间的中介关系（UCI-0.6744, LCI-0.0474）。护士工作同情心对真实领导与伦理导向行为的关系有调节作用(β = 0.129, p <；0.05)，因此，当护士的同情心水平越高时，它就越强。结论：护理主管实施真实领导能提高护理团队在患者舒适度方面的绩效。真诚的领导也可以培养护士的道德取向。此外，护士在工作中的同情心与真实的领导有协同效应，以增加道德导向的实践。
Impact of Authentic Leadership on Nurses’ Ethically Oriented Practices and Patient-Oriented Outcomes: A Multilevel Analysis
Objectives: Authentic leadership is considered to be a popular leadership style within the health sector. However, despite the team-oriented work context in hospitals, most research in the health sector is based on data collected from individuals and not teams. Utilizing a multilevel modeling approach, this study aimed to examine the impact of authentic leadership on nursing outcomes at both individual and team levels. It aims to explore the impact of team-level authentic leadership on nursing outcomes at both team and individual levels.
Methods: A survey was conducted in hospitals operating in Cairo, Egypt to test the proposed model. Data were collected from 40 nurse supervisors and 200 nurse subordinates in a time-lagged design. Given the multilevel nature of the data (individuals nested within groups), the study’s hypotheses were tested utilizing multilevel modeling that incorporates the nonindependence of observations obtained from lower levels nested within higher levels.
Results: Results suggest that the hypothesized model was a good fit to the data (CMIN/DF = 1.362, CFI = 0.957, TLI = 0.955, IFI = 0.958, and RMSEA = 0.049). Empirical results suggest that team-level authentic leadership positively predicted nursing teams’ performance in improving patient comfort (β = 2.17, p < 0.05) and their ethically oriented nursing practices (β = 0.664, p < 0.05). Nurses’ ethically oriented practices positively predicted nurses’ patient-oriented performance (β = 0.188, p < 0.05) and mediated the link between authentic leadership and patient-oriented performance (UCI-0.6744, LCI-0.0474). The relationship between authentic leadership and ethically oriented practices was moderated by nurses’ compassion at work (β = 0.129, p < 0.05), such that it was stronger when nurses had higher levels of compassion.
Conclusion: Nursing supervisors who practice authentic leadership can enhance nursing teams’ performance regarding patient comfort. Authentic leadership can also foster ethical orientation in nurses. Furthermore, a nurse’s compassion at work has a synergetic effect with authentic leadership to increase ethically oriented practices.
期刊介绍：
The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses.
The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide.
The Journal of Nursing Management aims to:
-Inform practitioners and researchers in nursing management and leadership
-Explore and debate current issues in nursing management and leadership
-Assess the evidence for current practice
-Develop best practice in nursing management and leadership
-Examine the impact of policy developments
-Address issues in governance, quality and safety
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
