Alruwaili Abeer Nuwayfi
Department of Nursing Administration and Education, College of Nursing, Jouf University, Sakaka 72388, Saudi Arabia.
J Nurs Manag. 2025 Apr 1;2025:4577350. doi: 10.1155/jonm/4577350. eCollection 2025.
Transformational leadership is recognized as a crucial factor influencing nurses' work experiences and well-being. However, the mechanisms through which transformational leadership affects nurse well-being, especially concerning organizational justice and quality of work life, are not fully understood. This study investigates the direct and indirect effects of transformational leadership on nurse well-being, focusing on the mediating roles of organizational justice and quality of work life. Using a sequential explanatory mixed methods design, quantitative data were collected from 580 nurses across five hospitals in Saudi Arabia with validated tools: the Global Transformational Leadership Scale, Organizational Justice Scale, Quality of Nursing Work-Life Scale, Emotional Exhaustion Subscale of the Maslach Burnout Inventory, Job Satisfaction Scale, and Perceived Stress Scale. Qualitative data were obtained from 25 focus group discussions using a validated semistructured discussion guide. Quantitative analyses included hierarchical multiple regression and mediation analyses, while qualitative data wereanalyzed thematically. Transformational leadership significantly reduced emotional exhaustion ( = -0.48, < 0.001), increased job satisfaction ( = 0.53, < 0.001), and lowered perceived stress ( = -0.46, < 0.001). Mediation analyses showed significant indirect effects through organizational justice and quality of work life (indirect effects: -0.34 to 0.38, < 0.001). Qualitative findings highlighted the importance of inspirational motivation, individualized consideration, intellectual stimulation, and idealized influence. Transformational leadership directly and indirectly enhances nurses' well-being through improved organizational justice and quality of work life. These findings emphasize the need for healthcare organizations to foster transformational leadership and promote fair, supportive work environments to enhance nurse well-being.
变革型领导被认为是影响护士工作体验和幸福感的关键因素。然而，变革型领导影响护士幸福感的机制，尤其是在组织公正和工作生活质量方面，尚未得到充分理解。本研究调查变革型领导对护士幸福感的直接和间接影响，重点关注组织公正和工作生活质量的中介作用。采用顺序解释性混合方法设计，使用经过验证的工具从沙特阿拉伯五家医院的580名护士中收集定量数据：全球变革型领导量表、组织公正量表、护理工作生活质量量表、马氏倦怠量表中的情感耗竭子量表、工作满意度量表和感知压力量表。使用经过验证的半结构化讨论指南，从25次焦点小组讨论中获得定性数据。定量分析包括分层多元回归和中介分析，而定性数据则进行主题分析。变革型领导显著降低了情感耗竭（β = -0.48，p < 0.001），提高了工作满意度（β = 0.53，p < 0.001），并降低了感知压力（β = -0.46，p < 0.001）。中介分析显示，通过组织公正和工作生活质量存在显著的间接影响（间接效应：-0.34至0.38，p < 0.001）。定性研究结果强调了鼓舞性激励、个性化关怀、智力激发和理想化影响力的重要性。变革型领导通过改善组织公正和工作生活质量直接和间接地提高护士的幸福感。这些发现强调了医疗保健组织培养变革型领导并促进公平、支持性工作环境以提高护士幸福感的必要性。
