El-Gazar Heba Emad, Baghdadi Nadiah A, Abdelaliem Sally Mohammed Farghaly, Zoromba Mohamed Ali
Port Said University.
Princess Nourah bint Abdulrahman University.
Nurs Ethics. 2025 May;32(3):837-850. doi: 10.1177/09697330241268922. Epub 2024 Aug 12.
Cultivating internal whistleblowing among nurses is of paramount importance to nurse leaders. Yet, the literature on how nurse leaders can foster this phenomenon among nurses is limited. Additionally, the underlying mechanisms linking leadership behaviors to internal whistleblowing intentions remain underexplored. This study aimed to examine how ethical leadership is linked to internal whistleblowing intentions among nurses through the mediating effect of psychological safety. A multicenter cross-sectional research design was used for this study. This study involved 201 nurses working in three tertiary governmental hospitals across three cities in Egypt. Data were collected between October and December 2023, using an introductory information form, the Ethical Leadership Scale, the Psychological Safety Scale, and the Internal Whistleblowing Intentions Scale. Structural equation modeling was used to evaluate study hypotheses. Research Ethics Committee of Faculty of Nursing, Port Said University, Egypt approved the study (reference number: NUR (6/8/2023)(28)), and each participant signed the informed consent form before participation in the study. Ethical leadership was positively linked to nurses' psychological safety and internal whistleblowing intentions. Psychological safety mediated the link between ethical leadership and nurses' internal whistleblowing intentions. Our study suggests that nurse leaders can foster nurses' intentions to blow the whistle internally by adopting ethical leadership behaviors and enhancing psychological safety among nurses.
在护士群体中培养内部举报意识对护士长来说至关重要。然而，关于护士长如何在护士中促成这种现象的文献却很有限。此外，将领导行为与内部举报意愿联系起来的潜在机制仍未得到充分探索。本研究旨在通过心理安全感的中介作用，探讨道德领导与护士内部举报意愿之间的联系。本研究采用多中心横断面研究设计。该研究涉及埃及三个城市的三家三级政府医院的201名护士。2023年10月至12月期间收集数据，使用介绍性信息表、道德领导量表、心理安全感量表和内部举报意愿量表。采用结构方程模型评估研究假设。埃及塞得港大学护理学院研究伦理委员会批准了该研究（参考编号：NUR(6/8/2023)(28)），每位参与者在参与研究前均签署了知情同意书。道德领导与护士的心理安全感和内部举报意愿呈正相关。心理安全感在道德领导与护士内部举报意愿之间起中介作用。我们的研究表明，护士长可以通过采取道德领导行为和增强护士的心理安全感，来促进护士内部举报的意愿。
