ArticleBMC nursing2025
The effect of psychological empowerment on clinical nurses' thriving at work: the mediating role of voice behavior.
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 7 papers.
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Who cites it
7 citing papers in PubMed.
- Employee Voice in Digital Service Platform Environments: The Roles of Perceived Digital System Support and Psychological Empowerment.Behavioral sciences (Basel, Switzerland) · 2026Article
- Article
- The impact of received support on distressing experiences among nurses as second victims: the mediating role of psychological capital.BMC nursing · 2026Article
- Examining the Mediating Role of Psychological Well-Being in the Relationship Between Organizational Virtuousness and Proactive Work Behavior Among Nurses.Journal of nursing management · 2026Article
- How perceived organizational support is associated with thriving at work: the chain-mediating roles of professional competence and psychological empowerment among mental health teachers.Frontiers in psychology · 2026Article
- The Mechanism of Ethical Leadership's Influence on Nurses' Voice Behavior: An Empirical Study Based on a Chain Mediation Model.Journal of nursing management · 2026Article
- Nurses' Perceptions of Authentic Leadership and Quality of Nursing Care: The Mediating Role of Psychological Empowerment.Journal of nursing management · 2025Article
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11 authors.
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Abstract
backgroundFacing the shortage of nurses and the surge in demand for nursing services, factors affecting the stability of the nursing workforce require urgent attention. Thriving at work, a positive psychological state, can improve the quality of nursing services and promote the development of the nursing workforce. Therefore, this study aims to determine the impact of psychological empowerment on nurses' thriving at work and confirm the mediating role of voice behavior.
methodsThis cross-sectional study recruited 590 clinical nurses from 11 hospitals in Guangdong Province, China. Data were collected using a demographic questionnaire, the Psychological Empowerment Scale, the Voice Behavior Scale, and the Thriving at Work Scale. Descriptive statistics, Pearson's correlation, and mediation analysis via SPSS 26.0 with Hayes' PROCESS Macro (Model 4) were employed for data analysis.
resultsThe clinical nurses' scores for psychological empowerment were 43.56 ± 7.21, for voice behavior were 34.45 ± 7.37, and for thriving at work were 35.75 ± 6.81. Pearson's correlation analysis revealed significant positive relationships: psychological empowerment was strongly correlated with voice behavior (r = 0.693, p < 0.01), with thriving at work (r = 0.735, p < 0.01), and voice behavior was also positively correlated with thriving at work (r = 0.666, p < 0.01). Furthermore, voice behavior was confirmed to mediate the relationship between psychological empowerment and thriving at work, with a significant mediating effect of 0.197 that accounted for 28.35% of the total effect.
conclusionsThis study confirms the validity of the "Resources → Individual Agentic Work Behaviors → Thriving at Work" pathway in the social embeddedness model of thriving at work in nursing. It shows that voice behaviors partially mediate the relationship between psychological empowerment and thriving at work. This finding provides a basis for nurse managers to develop intervention strategies that enhance nurses' positive work experiences and improve the quality of medical services. CLINICAL TRIAL NUMBER: Not applicable.
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