ArticleThe Journal of nursing administration2026
Workplace Upward Networking Between Affective Leadership and Voice Behavior.
Article in The Journal of nursing administration, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- 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
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Authors and funding
7 authors.
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Abstract
backgroundPsychological safety, leadership support, and organizational climate frequently limit the primary nurses' voice behavior. Nurses then tend to remain silent when assessing the possible risks associated with vocalizing concerns (voice behavior). Research predominantly confirms a top-down structure between leadership and voice behavior from clinical nurses, with less research on the mechanism of upward management. This study aimed to validate the mediating role of workplace upward networking between affective leadership and the voice behaviors of clinical nurses.
methodsThis study was a cross-sectional survey, using purposeful sampling to select 639 nurses from all primary hospitals in Hangzhou. Measurement tools included the demographic information questionnaire, affective leadership scale, voice behavior scale, and workplace upward networking scale.
resultsThe relationship between affective leadership and voice behavior mediated by upward networking in the workplace was confirmed. Affective leadership affected workplace upward networking, with an explained variation of 37%. Affective leadership and workplace upward networking affected voice behavior, with an explained variation of 61%.
conclusionsThis study provides support for a nursing management model in primary care, emphasizing the cultivation of affective leadership behaviors and style and the enhancement of upward management strategies to foster clinical nurses voicing concerns to management about safety issues or ideas for innovation.
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