She Jiachen, Cai Zongao, Li Yanan, Zhang Ruixing, Mei Yongxia, Li Hongfeng
School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, China.
Department of Nursing, Peking Union Medical College Hospital, Beijing, China.
Nurs Open. 2025 Mar;12(3):e70197. doi: 10.1002/nop2.70197.
To investigate the level of ethical leadership among head nurses and its relationship with nurses' perceived organisational justice.
A cross-sectional study.
This cross-sectional study was conducted with a convenience sample of 501 clinical nurses from four tertiary-level hospitals in Zhengzhou, Henan Province of China, in May 2023. The Ethical Leadership at Work Questionnaire and the Organisational Justice Scale were used as data collection instruments. Multiple stratified linear regression was used to analyse the relationships.
The mean score of ethical leadership of head nurses was 4.13 ± 0.46, which is at a high level. Marital status, department and monthly income were the influencing factors of nurses' perceived ethical leadership. Head nurses' ethical leadership was positively correlated with nurses' organisational justice (r = 0.513, p < 0.01). Stratified linear regression analysis showed that the people orientation, power sharing and sustainability dimensions explained 23.0% of the variance in nurses' organisational justice (p < 0.05). Head nurses' ethical leadership plays a critical role in helping nurses improve their sense of organisational justice. Nurse managers need to pay more attention to nurses' personal development and needs, give them more opportunities to participate in decision-making and strengthen their organisational justice.
We would like to thank the nurses who were recruited and the hospital administrators who supported the study in the research process. Our study utilised the online questionnaire star platform to conduct an online questionnaire survey. After obtaining the consent of the hospital administrators, a nurse in the selected department was contacted as a research investigator, and after clarifying the purpose, methodology, significance and precautions for completing the questionnaire, the investigator distributed the electronic questionnaire in the form of a web link using a uniform guideline to nurses in the department who met the inclusion criteria.
调查护士长的道德领导力水平及其与护士感知的组织公正之间的关系。
横断面研究。
本横断面研究于2023年5月对来自中国河南省郑州市4家三级医院的501名临床护士进行了便利抽样。使用《工作中的道德领导力量表》和《组织公正量表》作为数据收集工具。采用多重分层线性回归分析两者之间的关系。
护士长道德领导力的平均得分为4.13±0.46，处于较高水平。婚姻状况、科室和月收入是护士感知道德领导力的影响因素。护士长的道德领导力与护士的组织公正呈正相关（r = 0.513，p < 0.01）。分层线性回归分析表明，人员导向、权力共享和可持续性维度解释了护士组织公正差异的23.0%（p < 0.05）。护士长的道德领导力在帮助护士提高组织公正感方面起着关键作用。护理管理者需要更加关注护士的个人发展和需求，给予他们更多参与决策的机会，并增强他们的组织公正感。
我们要感谢参与招募的护士以及在研究过程中支持本研究的医院管理人员。我们的研究利用在线问卷星平台进行在线问卷调查。在获得医院管理人员的同意后，联系所选科室的一名护士作为研究调查员，在向其阐明完成问卷的目的、方法、意义和注意事项后，调查员按照统一指南以网页链接的形式向符合纳入标准的科室护士发放电子问卷。
