Effects of nurse managers' inclusive leadership on nurses' psychological safety and innovative work behavior: The moderating role of collectivism

IF 2.4 3区医学 Q1 NURSING Journal of Nursing Scholarship Pub Date : 2024-03-11 DOI:10.1111/jnu.12965

Seung Eun Lee PhD, RN, JK Seo PhD

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Abstract

Introduction

In the rapidly evolving healthcare landscape, the capacity to foster innovative work behavior among nurses is increasingly important. This study examined the dynamics between inclusive leadership, psychological safety, collectivism, and innovative work behavior among nurses.

Design

The study used a cross-sectional, correlational design.

Methods

This study utilized data from 730 medical-surgical nurses who provided direct care to patients. Standardized instruments were used to assess key study variables. Statistical analyses, including moderated mediation regressions, were employed to investigate the complex interplay among these variables.

Results

We found a positive association between inclusive leadership and innovative work behavior, and psychological safety mediated this relationship. Collectivism moderated inclusive leadership's direct relationship with psychological safety and its indirect relationship with innovative work behavior. The results revealed that nurses with lower levels of collectivism were more responsive to their managers' inclusive behaviors, strengthening the relation between inclusive leadership, psychological safety, and innovative work behavior.

Conclusion

Our findings suggest that promoting inclusive leadership behaviors among nurse managers to create a psychologically safe environment can motivate nurses to engage in innovative work behavior. However, it is also important to understand that the effectiveness of leadership may differ depending on the collectivist values of individual nurses.

Clinical Relevance

Nurse managers should adopt inclusive leadership behaviors, such as valuing trust, open communication, and diversity, in order to foster psychological safety and innovative work behavior among nurses.

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护士长包容性领导对护士心理安全和创新工作行为的影响：集体主义的调节作用。

导言：在快速发展的医疗保健领域，培养护士创新工作行为的能力越来越重要。本研究探讨了包容性领导、心理安全、集体主义与护士创新工作行为之间的动态关系：研究采用横断面相关设计：本研究利用了 730 名直接为患者提供护理服务的内外科护士的数据。使用标准化工具评估主要研究变量。结果：我们发现包容性领导力与护士的职业发展之间存在正相关：结果：我们发现包容性领导与创新工作行为之间存在正相关，而心理安全则是这种关系的中介。集体主义调节了包容性领导与心理安全的直接关系以及与创新工作行为的间接关系。结果显示，集体主义水平较低的护士对管理者的包容性行为反应更积极，从而加强了包容性领导、心理安全和创新工作行为之间的关系：我们的研究结果表明，促进护士管理者的包容性领导行为以创造一个心理安全的环境，可以激励护士参与创新工作行为。然而，同样重要的是要明白，领导力的有效性可能会因护士个人的集体主义价值观而有所不同：护士长应采取包容性领导行为，如重视信任、开放沟通和多样性，以促进护士的心理安全和创新工作行为。

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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.