Evidence map›Paper›PMID 40913289›Full record

ArticleNursing ethics2026

Integrity links ethics and efficiency in nursing leadership: Nurse leaders' views.

Susanne Salmela, Jessica Hemberg

Abstract read
In one paragraph

Article in Nursing ethics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

2 authors.

Susanne SalmelaUnit of Research and Development, Vaasa Central Hospital, Vaasa, Finland.
Jessica HembergDepartment of Health Sciences, Faculty of Science and Engineering, Åbo Akademi University, Vaasa, Finland.ORCID 0000-0002-0829-8249

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundToday's healthcare organizations are organized to provide effective, efficient care that yields good patient outcomes. Healthcare leaders must be capable of engaging in both leadership relevant to human relationships and the management of processes.AimThe aim of this study was to explore nurse leaders' perceptions of integrity in enhancing nursing leadership that is both effective and ethical.Research design, participants, and research contextA qualitative exploratory design with qualitative content analysis as method was undertaken, including multistage focus group interviews with 9 nurse leaders in a hospital setting.Ethical considerationsThe study was conducted in accordance with the guidelines of the Finnish National Board on Research Integrity and the Declaration of Helsinki.FindingsOne main category and three subcategories were seen. The main category was "Integrity links ethics and efficiency".DiscussionIntegrity was seen as a part of ethical leadership. Integrity was also seen as nurse leaders' values shaped by personality and work experience. To lead with efficiency was seen as part of knowledge-based leadership.ConclusionsIntegrity allows nurse leaders to interweave ethical values and efficiency, thereby realizing nursing leadership that is ethical and effective and leading to care that is of good quality.

Indexed as

Efficiency, OrganizationalEthics, NursingLeadershipNurse AdministratorsAdultAttitude of Health PersonnelFemaleFinlandFocus GroupsHumansMaleMiddle AgedQualitative Researchcaringethicshealth caremoral perspectivesnursing administrationnursing management

Identifiers

PMID40913289
PMCPMC12907456

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.