Strengths Mindset as a Mediator in the Relationship Between Paradoxical Leadership and Nurses' Positive Attitudes Towards Artificial Intelligence: A Cross-Sectional Study

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-02-24 DOI:10.1111/jan.16841

Heba Emad El-Gazar, Mona Shawer, Atallah Alenezi, Mostafa Shaban, Mohammed Elsayed Zaky, Mohamed Ali Zoromba

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Abstract

Aim

To assess the relationship between paradoxical leadership and nurses' positive attitudes towards artificial intelligence in hospital settings through a strengths mindset as a mediator.

Design

A cross-sectional survey conducted from January to March 2024.

Methods

The study included 239 nurses from four hospitals in Port Said, Egypt. To measure the study constructs, three well-established scales were utilised: the Paradoxical Leadership Scale, the Strengths Mindset Scale and the Positive Attitudes Towards Artificial Intelligence Scale. Structural equation modelling was applied for data analysis.

Results

The analysis revealed a significant positive relationship between nurse managers' paradoxical leadership and nurses' positive attitudes towards artificial intelligence. Additionally, a strengths mindset partially mediated the relationship between paradoxical leadership and nurses' positive attitudes towards artificial intelligence.

Conclusion

The study findings suggest that developing paradoxical leadership behaviours—such as managing current work processes while simultaneously driving the exploration of new initiatives—among nurse managers can foster a strengths mindset in nurses, which in turn promotes a more positive attitude towards the integration of artificial intelligence in healthcare.

Implications for the Profession and/or Patient Care

This study enhances the understanding of how paradoxical leadership influences nurses' acceptance of artificial intelligence, underscoring the pivotal role of a strengths mindset in this process.

Impact

This study suggests that healthcare policymakers seeking smoother integration of artificial intelligence technologies among nurses should prioritise leadership development programmes that equip nurse managers with paradoxical leadership skills and implement training initiatives to strengthen nurses' mindsets.

Reporting Method

The study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology checklist.

Patient or Public Contribution

No patient or public contribution.

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优势心态在矛盾领导与护士对人工智能的积极态度之间的中介作用：一项横断面研究

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.