Atalla Amal Diab Ghanem, Mostafa Wafaa Hassan, Felemban Ebaa M, Alharazi Ruba M, Felemban Ohood, Mohamed Samia Mohamed Sobhi
Nursing Administration Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Nursing Administration Department, Faculty of Nursing, Damanhour University, El-Behira, Egypt.
BMC Nurs. 2025 Apr 30;24(1):477. doi: 10.1186/s12912-025-02890-8.
The expansion of nurses' career competencies and their capacity to adjust to changing healthcare needs are significantly influenced by effective leadership. Strategic flexibility helps nurses improve patient care outcomes, advance professional development, and acquire critical skills by creating a dynamic and responsive work environment.
To investigate the association between leadership practices and nurses' career competencies and strategic flexibility's role as an intermediary in this relationship.
A descriptive cross-sectional study design was used, adhering to STROBE principles.
Information was gathered from 400 nurses who worked in an Egyptian general hospital namely; El-Rahmania Hospital through structured questionnaires: the multifactor leadership questionnaire, the career competencies questionnaire, and the strategic flexibility questionnaire.
Interpreting the discoveries of this study, a significant direct effect (Estimate = 0.089, p = 0.026) between leadership behaviors and strategic flexibility. This suggests that strategic flexibility is positively influenced by leadership. Moreover, leadership behaviors have a significant direct influence on career competencies (Estimate = 0.128, p < 0.001), indicating that effective leadership directly enhances career competencies. Furthermore, A significant indirect effect (Estimate = 0.142, p = 0.002) is found in the relationship between strategic flexibility and career competencies, indicating that enhancing strategic flexibility enhances the impact of leadership on career development.
The statistically significant relationships between leadership practices, the nurses' career competencies, and strategic flexibility show how interconnected they are. According to the findings, strategic flexibility significantly mediates the connection between competent nursing practice and effective leadership.
The study's conclusions have important ramifications for healthcare policy, leadership development, and nursing practice. Effective leadership techniques that encourage strategic adaptability can equip nurses with the knowledge and abilities needed to successfully negotiate challenging and quickly evolving healthcare contexts. Nurse leaders may increase job satisfaction, lower burnout, and boost retention rates by encouraging resilience, problem-solving skills, and ongoing learning. Additionally, healthcare organizations may guarantee better patient care, more efficiency, and a more engaged nursing workforce by placing a strong priority on strategic flexibility and leadership training.
有效的领导力对护士职业能力的拓展及其适应不断变化的医疗保健需求的能力有重大影响。战略灵活性通过营造一个动态且响应迅速的工作环境，帮助护士改善患者护理结果、推动职业发展并获得关键技能。
调查领导行为与护士职业能力之间的关联，以及战略灵活性在这种关系中作为中介的作用。
采用描述性横断面研究设计，遵循STROBE原则。
通过结构化问卷从埃及一家综合医院即拉赫曼尼亚医院的400名护士那里收集信息，这些问卷包括：多因素领导问卷、职业能力问卷和战略灵活性问卷。
解读本研究的发现，领导行为与战略灵活性之间存在显著的直接效应（估计值 = 0.089，p = 0.026）。这表明战略灵活性受到领导力的积极影响。此外，领导行为对职业能力有显著的直接影响（估计值 = 0.128，p < 0.001），表明有效的领导力直接提升职业能力。此外，在战略灵活性与职业能力之间的关系中发现了显著的间接效应（估计值 = 0.142，p = 0.002），表明增强战略灵活性会增强领导力对职业发展的影响。
领导行为、护士职业能力和战略灵活性之间具有统计学意义的关系表明它们之间的相互联系程度。根据研究结果，战略灵活性显著中介了胜任的护理实践与有效领导力之间的联系。
该研究的结论对医疗保健政策、领导力发展和护理实践具有重要影响。鼓励战略适应性的有效领导技巧可以使护士具备在充满挑战且快速变化的医疗环境中成功应对所需的知识和能力。护士领导者通过鼓励适应力、解决问题的能力和持续学习，可以提高工作满意度、降低倦怠并提高留用率。此外，医疗保健组织通过高度重视战略灵活性和领导力培训，可以确保更好的患者护理、更高的效率以及更积极投入的护理人员队伍。
