Evidence map›Paper›PMID 41424985›Full record

ArticleJournal of nursing management2025

Nurses' Perceptions of Authentic Leadership and Quality of Nursing Care: The Mediating Role of Psychological Empowerment.

Chiu-Shu Fang, Cheng-Hsien Li, Su-Chiu Hsiao, Chun-Chang Lin, Fang-Ming Hwang, Fan-Hao Chou, Shu-Ching Ma

Abstract read
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Article in Journal of nursing management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
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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

7 authors.

Chiu-Shu FangDepartment of Nursing, Shu-Zen Junior College of Medicine and Management, Kaohsiung, Taiwan, szmc.edu.tw.ORCID 0000-0001-9807-0485
Cheng-Hsien LiInstitute of Human Resource Management, National Sun Yat-sun University, Kaohsiung, Taiwan.ORCID 0000-0002-7423-2280
Su-Chiu HsiaoDepartment of Nursing, Chi-Mei Medical Center, Liouying, Tainan, Taiwan, chimei.org.tw.ORCID 0009-0002-0714-638X
Chun-Chang LinDepartment of Nursing, Chi-Mei Medical Center, Chiali, Tainan, Taiwan, chimei.org.tw.
Fang-Ming HwangDepartment of Education, National Chiayi University, Chiayi, Taiwan, ncyu.edu.tw.
Fan-Hao ChouCenter for Medical Education and Humanizing Health Professional Education, Kaohsiung Medical University, Kaohsiung, Taiwan, kmu.edu.tw.ORCID 0000-0002-1756-5054
Shu-Ching MaDepartment of Nursing, Chi-Mei Medical Center, Yongkang, Tainan, Taiwan, chimei.org.tw.ORCID 0000-0003-2128-173X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Psychological empowerment plays a crucial role in influencing both the quality of nursing care and nurses' self-perceptions. However, limited research has examined its mediating effect on the relationship between nurses' perceptions of authentic leadership and the quality of care provided. This study aimed to test whether psychological empowerment mediates the relationship between nurses' perceptions of their supervisors' authentic leadership and the perceived nursing care quality. The findings are intended to provide both practical strategies and theoretical insights for improving the quality of nursing care. Methods: This cross-sectional study followed the STROBE reporting guidelines. An online survey was conducted between July and August 2022, yielding 944 complete responses (response rate: 65.42%) from nurses at three hospitals in Taiwan. Data were collected using a structured online questionnaire measuring authentic leadership, psychological empowerment, and perceived nursing care quality. Structural equation modeling (Mplus 8.10) was used to assess the mediating effect of psychological empowerment. Results: Significant positive relationships were found between nurses' perceptions of authentic leadership and psychological empowerment, as well as between psychological empowerment and perceived nursing care quality. Psychological empowerment fully mediated the relationship between authentic leadership and perceived nursing care quality, indicating a significant indirect effect. Conclusions: Nurses' perceptions of authentic leadership positively influenced their psychological empowerment, which, in turn, enhanced their evaluation of nursing care quality. Psychological empowerment thus serves as a key mediator in shaping nurses' perceptions of nursing care quality. Implications for Nursing Management: Nursing managers should foster authentic leadership practices and implement empowerment-oriented interventions to strengthen nurses' motivation, autonomy, and engagement, thereby improving the overall quality of nursing care.

Indexed as

EmpowermentLeadershipNursesNursing CarePerceptionPower, PsychologicalQuality of Health CareAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesTaiwanauthentic leadershipcross-sectional studyhospital nursespsychological empowermentquality of nursing carestructural equation modeling

Identifiers

PMID41424985
PMCPMC12714084

What OpenQuestion holds

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LicenceCC BY
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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.