Leadership impact on innovation: A sequential mediation of trust and safety.

IF 1.5 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Work-A Journal of Prevention Assessment & Rehabilitation Pub Date : 2025-04-01 Epub Date: 2025-03-24 DOI:10.1177/10519815251321952
Qaiser Mohi Ud Din, Li Zhang
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Abstract

Background: While the influence of leadership on organizational innovation is known, the contribution of ethical leadership to innovation via the mediating factors of trust and safety behavior is less examined within the healthcare sector. This study examines the impact of ethical leadership on organizational innovation, mediated by trust and safety behavior, within the healthcare sectors of Pakistan and China.

Objectives: This study analyzes the comparative influence of ethical leadership on trust, safety behaviors, and organizational innovation in Pakistan and China. Specifically, it investigates the sequential mediating role of trust and safety behavior.

Methods: The current study employed a quantitative cross-sectional methodology and examined 302 nurses: 159 from Sindh, Pakistan, and 143 from Heilongjiang, China. The proposed relationships and cross-cultural differences were examined utilizing the structural equation model.

Results: The findings demonstrate that ethical leadership substantially affects trust, safety behavior, and innovation in both cultures, though with cultural variances. In China, ethical leadership exerts a more pronounced direct influence on followers' safety behavior and innovation than in Pakistan, where the collectivist and hierarchical culture enhances trust and safety behavior by mediating roles. In both scenarios, trust and safety behavior link ethical leadership to innovation.

Conclusion: This comparative study emphasizes the global importance of ethical leadership for trust, safety behavior, and innovation while highlighting cultural differences between Pakistan and China. In China, the influence of ethical leadership is more pronounced due to its organized administration. Still, in Pakistan, the collectivist and hierarchical society enhances the mediating effects of trust and safety behaviors. These findings are significant for healthcare firms to tailor ethical leadership to many cultures, enhancing trust, compliance, and innovation globally.

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领导对创新的影响:信任与安全的序贯中介作用。
虽然领导对组织创新的影响是已知的,但伦理领导通过信任和安全行为的中介因素对创新的贡献在医疗保健部门的研究较少。本研究考察了巴基斯坦和中国医疗保健行业中,以信任和安全行为为中介的道德领导对组织创新的影响。目的分析巴基斯坦和中国伦理型领导对信任、安全行为和组织创新的比较影响。具体而言,研究了信任与安全行为的序贯中介作用。方法采用定量横断面方法对302名护士进行调查,其中159名来自巴基斯坦信德省,143名来自中国黑龙江。利用结构方程模型检验了所提出的关系和跨文化差异。研究结果表明,尽管存在文化差异,但道德领导在两种文化中都对信任、安全行为和创新产生了实质性影响。在中国,伦理型领导对追随者安全行为和创新的直接影响比在巴基斯坦更为明显,在巴基斯坦,集体主义和等级文化通过中介作用增强信任和安全行为。在这两种情况下,信任和安全行为将道德领导与创新联系起来。这项比较研究强调了道德领导对信任、安全行为和创新的全球重要性,同时强调了巴基斯坦和中国之间的文化差异。在中国,由于有组织的管理,伦理领导的影响更为明显。然而,在巴基斯坦,集体主义和等级社会增强了信任和安全行为的中介作用。这些发现对于医疗保健公司根据不同文化量身定制道德领导力,增强全球信任、合规和创新具有重要意义。
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来源期刊
Work-A Journal of Prevention Assessment & Rehabilitation
Work-A Journal of Prevention Assessment & Rehabilitation PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.00
自引率
30.40%
发文量
739
期刊介绍: WORK: A Journal of Prevention, Assessment & Rehabilitation is an interdisciplinary, international journal which publishes high quality peer-reviewed manuscripts covering the entire scope of the occupation of work. The journal''s subtitle has been deliberately laid out: The first goal is the prevention of illness, injury, and disability. When this goal is not achievable, the attention focuses on assessment to design client-centered intervention, rehabilitation, treatment, or controls that use scientific evidence to support best practice.
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