Evidence map›Paper›PMID 40399842›Full record

ArticleBMC nursing2025

The impact of head nurse empowerment on clinical nurses' innovative behavior: the mediating role of organizational climate and professional autonomy.

Yifan Lu, Shuqi Zhai, Qinqin Liu, Jie Liu, Chaoran Chen

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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 13 papers.

0numbers the graph read from it
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13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yifan LuNursing Department of Huaihe Hospital, Henan University, Kaifeng, China.
Shuqi ZhaiInstitute of Nursing and Health, College of Nursing and Health, Henan University, Jinming Avenue, Kaifeng, Henan, 475004, China.
Qinqin LiuInstitute of Nursing and Health, College of Nursing and Health, Henan University, Jinming Avenue, Kaifeng, Henan, 475004, China.
Jie LiuNursing Department of Huaihe Hospital, Henan University, Kaifeng, China. 603838964@qq.com.
Chaoran ChenNursing Department of Huaihe Hospital, Henan University, Kaifeng, China. kfccr@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs nursing evolves, innovations in management, technology, and services are critical. The innovative capacity of nurses directly influences healthcare quality, making it essential to explore the factors driving nurses' innovative behaviors.

aimsThis study aimed to examine the impact of head nurse empowerment on the innovative behavior of clinical nurses and to explore the mediating role of organizational climate and professional autonomy.

methodsThis study surveyed 676 clinical nurses from June to September 2024, using scales for head nurse empowerment, innovative behavior, organizational climate, and professional autonomy. Data analysis was conducted using SPSS 25.0, while AMOS 26.0 was utilized for model mapping and mediation path analysis.

resultsHead nurse empowerment was significantly and positively related to clinical nurses' innovative behavior, organizational climate and professional autonomy. Clinical nurses' organizational climate and professional autonomy acted as chain mediators between empowerment and innovative behavior. The overall effect of empowerment on clinical nurses' innovative behaviors (β = 0.635) consisted of both direct (β = 0.185) and indirect (β = 0.450) forms, with the mediating effect accounting for 70.70% of the total effect. The mediator model demonstrated a good fit (χ

conclusionsHead nurse empowerment positively predicts clinical nurses' innovative behaviors, with organizational climate and professional autonomy acting as chain mediators. This study constructs and validates both dual and chain mediation models, systematically revealing the mechanisms through which empowerment influences nurses' innovative behavior. These findings provide a new theoretical perspective and practical insights for research on innovation in the nursing field. Hospitals should enhance head nurse empowerment, optimize the organizational climate, and support professional autonomy to promote innovative behaviors among clinical nurses. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

EmpowermentInnovative behaviorOrganizational climateProfessional autonomy

Identifiers

PMID40399842
PMCPMC12096589

What OpenQuestion holds

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Registered trials

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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.