ArticleInternational journal of nursing studies2020
Caring for the caregiver during COVID-19 outbreak: Does inclusive leadership improve psychological safety and curb psychological distress? A cross-sectional study.
Article in International journal of nursing studies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 6 of them syntheses that pooled it.
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Who cites it
59 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Exploring Individual and Organisational Factors Related to Inclusive Leadership Among Healthcare Professionals: A Systematic Review and Meta-Analysis.Journal of advanced nursing · 2026Pooled it
- Leadership in public administration amid crisis: a meta-analysis of leadership styles and crisis management related outcomes.Frontiers in psychology · 2026Pooled it
- Essential elements and outcomes of psychological safety in the healthcare practice setting: A systematic review.Applied nursing research : ANR · 2025Pooled it
- Organizational interventions to support and promote the mental health of healthcare workers during pandemics and epidemics: a systematic review.BMC health services research · 2025Pooled it
- Impact of Servant Leadership on the Work Environment and the Attitudes and Behavior of Nursing Professionals as a Function of Gender: A Systematic Review.Journal of nursing management · 2025Pooled it
- Nurses' barriers to caring for patients with COVID-19: a qualitative systematic review.International nursing review · 2021Pooled it
- Workplace violence against healthcare workers: a scoping review of reporting practices, barriers to reporting and institutional responses (2020-2025).BMC health services research · 2026Article
- Psychological Safety in Surgical Training.Cureus · 2026Article
- How nursing informatization impacts nurses' humanistic caring: a qualitative study based on Social Cognitive Theory.Frontiers in medicine · 2026Article
- A healthy work environment and psychological distress among Canadian Armed Forces men and women.Journal of military, veteran and family health · 2025Article
- Article
- Innovation adoption, use and implementation in emergency departments during the COVID-19 pandemic.BMJ innovations · 2024Article
- Psychological Safety: Creating a Transformative Culture in a Faculty Group Peer-Mentoring Intervention.The chronicle of mentoring & coaching · 2024Article
- Preventive behaviors of respiratory infections in staff of hospital in Kazeroon, Fars, Iran: An application of protection motivation theory.The clinical respiratory journal · 2024Article
- Managing the COVID-19 Pandemic: Experience of Managers in Healthcare: A Narrative Inquiry.Healthcare (Basel, Switzerland) · 2024Article
- Psychological Safety and Work Design as Mediators of Supervisors' Dark Triad Traits Impact on Nurses' Task Performance.International journal of public health · 2024Article
- Challenge-Oriented Organizational Citizenship Behaviors among Nurses: The Influence of Perceived Inclusive Leadership and Organizational Justice in High-Intensity Work Environment.Journal of nursing management · 2024Article
- An exploration of the emotional response among nurses in Bermuda, during the Covid-19 pandemic.PloS one · 2024Review
- Leading matters! Linking compassion and mindfulness in organizations through servant leadership.Frontiers in psychology · 2024Article
- Supporting Reassigned Hospital Staff During the COVID-19 Pandemic in the Montreal Region: What Does it say About Leadership Styles?The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2023Article
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Abstract
backgroundPublic health emergencies and epidemics shatter the assumptions of the world as a safe place. Healthcare workers are at the forefront of such pressures resulting from a persistent threat to their safety and well being. It is therefore important to study such mechanisms that can influence and predict the psychological distress of nurses
objectivesWhile there is an increasing number of studies on positive outcomes of leadership styles, their influence on curbing unwanted adverse outcomes is scarce. This study aims to observe the influence of an inclusive leadership style on psychological distress while assessing the mediating role of psychological safety. It uses the theoretical lens of job demands-resources theory and the theory of shattered assumptions to develop and test hypotheses.
designCross-Sectional Study with Temporal Separation SETTINGS AND
participantsThe researchers recruited 451 on-duty registered nurses from 5 hospitals providing patient care during the highly infectious phase of COVID-19 in January 2020 in Wuhan city, the epicentre of the outbreak in China
methodsAfter obtaining permission from hospital administration, data were collected through an online questionnaire survey in three stages with temporal separation to avoid common method bias. Partial least square structural equation modelling was used to analyze data. The study controlled for effects of age, gender, experience, working hours and education.
resultsHypothesized relationships proved significant. Inclusive leadership has an inverse relationship with psychological distress with a strong path-coefficient. Psychological safety mediates the relationship between inclusive leadership and psychological distress while explaining 28.6% variance. Multi-group analysis results indicate no significant differences between respondents based on these control variables
conclusionsRecurring or prolonged experiences of stress and anxiety at the workplace, without a mechanism to counter such effects, can culminate into psychological distress. Inclusive leadership style can serve as such a mechanism to curb psychological distress for healthcare workers by creating a psychologically safe environment.
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