ArticleBMC nursing2025
Examining the impact of leadership practices on nurses' career competencies: the role of strategic flexibility as a mediator.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed.
- Organisational and Governance Conditions Shaping Psychological Safety and Structural Vulnerability in Float Pool Nursing: A Qualitative Study.Journal of nursing management · 2026Article
- Association between social media influence and postoperative satisfaction following upper eyelid blepharoplasty: a 500-patient study.Frontiers in surgery · 2026Article
- Leading, Connecting and Coping: Nurses' Responses to Sustaining Well-Being During the COVID-19 Crisis-A Qualitative Study.Journal of nursing management · 2026Article
- Examining the mediating role of intrinsic motivation in Laissez-Faire leadership and nurses' task performance: a cross-sectional study.BMC nursing · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 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.
aimTo investigate the association between leadership practices and nurses' career competencies and strategic flexibility's role as an intermediary in this relationship.
designA descriptive cross-sectional study design was used, adhering to STROBE principles. METHODS AND TOOLS: 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.
resultsInterpreting 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.
conclusionThe 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. NURSING IMPLICATIONS: 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.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.