Esmaeilbeigi Darya, Sahraei Beiranvand Mahdi, Mohammadipour Fatemeh
Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Educational Sciences, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran.
PLoS One. 2025 Apr 8;20(4):e0321131. doi: 10.1371/journal.pone.0321131. eCollection 2025.
Health-promoting leadership is a novel organizational strategy aimed at preventing the occurrence of diseases in the workplace and promoting the health needs of staff. The present study aimed to investigate the effect of health-promoting leadership of nursing managers on the nurses' withdrawal behaviors and psychological safety.
Structural equation modelling was used to verify the conceptual model.
A total of 346 nurses working in educational hospitals in the western provinces of Iran were included using stratified random sampling by 2023. The research instruments included a checklist of demographic and occupational characteristics, health-promoting leadership, withdrawal behaviors, and psychological safety questionnaires. Pearson's correlation and structural equation modelling were used to investigate the relationships between the variables. We followed the STROBE Checklist.
The findings showed a significant negative relationship between health-promoting leadership and withdrawal behaviors and a significant positive relationship with nurses' psychological safety. There was also a negative and significant relationship between the withdrawal behaviors and psychological safety. Health-promoting leadership can explain 45% and 52% of the variance in psychological safety and withdrawal behaviors, respectively.
While emphasizing the importance of leadership styles, the findings of this study indicate that nurse leaders should acknowledge the significance of health promotion leadership as a crucial set of behaviors to foster psychological safety and reduce withdrawal behaviors among nurses, thereby enhancing their quality of care and performance.
The results draw the attention of nursing managers to health-promoting leadership and its relationships, and create an impetus for changing leadership styles and addressing the lack of mutual understanding. Considering this finding, it appears necessary to create clearer prospect for the nursing profession by teaching health-promoting leadership principles to nursing managers and nurses without managerial positions.
促进健康的领导是一种新型组织策略，旨在预防工作场所疾病的发生并满足员工的健康需求。本研究旨在探讨护理管理者促进健康的领导对护士离职行为和心理安全感的影响。
采用结构方程模型验证概念模型。
截至2023年，通过分层随机抽样纳入了伊朗西部省份教学医院工作的346名护士。研究工具包括人口统计学和职业特征清单、促进健康的领导、离职行为及心理安全感问卷。采用Pearson相关性分析和结构方程模型研究变量之间的关系。我们遵循了STROBE清单。
研究结果表明，促进健康的领导与离职行为之间存在显著负相关，与护士的心理安全感存在显著正相关。离职行为与心理安全感之间也存在显著负相关。促进健康的领导分别可以解释心理安全感和离职行为中45%和52%的变异。
在强调领导风格重要性的同时，本研究结果表明，护士领导者应认识到促进健康的领导作为一套关键行为对于培养护士心理安全感和减少离职行为的重要性，从而提高护理质量和绩效。
研究结果引起护理管理者对促进健康的领导及其关系的关注，并为改变领导风格和解决缺乏相互理解的问题提供动力。考虑到这一发现，似乎有必要通过向护理管理者和无管理职位的护士传授促进健康的领导原则，为护理专业创造更清晰的前景。
