Evidence map›Paper›PMID 41639861›Full record

ArticleBMC nursing2026

The relationships between clinical nurse leadership and emotional labor, psychological detachment, and perceived organizational support: a cross-sectional study.

Rongsai Wei, Qiaomei Zhang, Xumiao Li, Zhuolin Liang, Jingying Liu, Hongwen Ma

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Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Rongsai Wei *School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Qiaomei Zhang *Department of Cardiovascular Medicine, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Xumiao LiSchool of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Zhuolin LiangSchool of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Jingying LiuSchool of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China. 15102295393@163.com.
Hongwen MaDepartment of Nursing, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China. geilivable_mhw@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical leadership is crucial for healthcare quality, but its predictors among nurses in China are not well understood. This study investigated the independent predictive power of emotional labor, psychological detachment, and perceived organizational support on clinical nurse leadership, guided by Conservation of Resources theory.

methodUsing a convenience sampling method, 212 registered nurses from three tertiary hospitals in Tianjin were recruited for a cross-sectional survey. Data were collected using a set of standardized questionnaires, which assessed demographic characteristics, emotional labor, psychological detachment, perceived organizational support, and clinical leadership. Descriptive statistics and linear regression analysis were employed to analyze the data.

resultsThe average leadership score of the clinical nurses was 4.53 ± 0.54 points. Clinical leadership was positively correlated with emotional labor (r = 0.432, p < 0.01) and perceived organizational support (r = 0.538, p < 0.01). Clinical leadership is negatively correlated with psychological detachment (r=-0.186, p < 0.01). However, in the hierarchical regression model controlling for demographic variables, only emotional labor (β = 0.304, p < 0.001) and perceived organizational support (β = 0.439, p < 0.001) remained significant predictors, collectively explaining 44.5% of the variance in leadership scores (adjusted R²=0.445). The initially observed association with psychological detachment became non-significant in the final model (p = 0.063).

conclusionEmotional labor and Perceived Organizational Support are critical, modifiable factors that significantly predict clinical nurse leadership. Healthcare organizations should prioritize fostering a supportive environment and providing emotion regulation training to cultivate nursing leadership.

Indexed as

Conservation of resources theoryEmotional laborLeadershipNursesRelationship

Identifiers

PMID41639861
PMCPMC13067667

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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.