Evidence map›Paper›PMID 41767792›Full record

ArticleJournal of nursing management2026

Assessing the Impact of Ambidextrous Leadership on Nurses' Presenteeism: A Latent Profile and Mediation Analysis Study.

Xiuran Zhou, Ying Yu, Xiaoying Yan

Abstract readMulticenter Study
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Xiuran ZhouSchool of Nursing, Guangdong Pharmaceutical University, Guangzhou, Guangdong, China, gdpu.edu.cn.ORCID https://orcid.org/0009-0002-2830-3401
Ying YuGuangzhou Municipal Health Commission, Guangzhou, Guangdong, China.
Xiaoying YanSchool of Nursing, Guangdong Pharmaceutical University, Guangzhou, Guangdong, China, gdpu.edu.cn.ORCID https://orcid.org/0000-0003-1193-9884

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The high incidence of nurse presenteeism significantly impact quality of care delivery. Leader-member exchange and clinical leadership have been identified as factors influencing nurses' presenteeism. However, there are few studies investigating the relationship between these variables. This study aimed to investigate the heterogeneity of ambidextrous leadership and its relationships with nurses' presenteeism using latent profile analysis, while also examining the mediating role of leader-member exchange. Methods: A multicenter cross-sectional survey was conducted from December 2024 to January 2025, involving clinical nurses from three tertiary general hospitals in Guangzhou. Sociodemographic Characteristics Questionnaire, Ambidextrous Leadership Scale, Leader-Member Exchange Scale, and Stanford Presenteeism Scale were used. Latent profile analysis was performed using Mplus 8.3, and mediation effects were tested through PROCESS 4.2 in SPSS 27.0. Results: A total of 513 valid questionnaires were collected. Three ambidextrous leadership profiles were identified: ambidextrous lagging, vision-oriented, and ambidextrous synergistic. These profiles showed significant differences in the leader-member exchange and presenteeism scores. Moreover, leader-member exchange significantly mediated the relationship between ambidextrous leadership and nurses' presenteeism. Conclusions: Ambidextrous leadership is heterogeneous. The leader-member exchange mediates ambidextrous leadership and nurses' presenteeism. Therefore, nursing managers should be flexible in changing their leadership styles to reduce nurses' presenteeism. Implications for Nursing Management: There should be further intensive training for nursing managers to implement scientifically sound leadership functions, enhance clinical nurse-manager relationships, and increase nurses' motivation, thereby reducing the incidence of presenteeism.

Indexed as

LeadershipNursesPresenteeismAdultChinaCross-Sectional StudiesFemaleHumansMaleMediation AnalysisMiddle AgedSurveys and Questionnairesambidextrous leadershiplatent profile analysisleader–member exchangemediation analysisnurses’presenteeism

Identifiers

PMID41767792
PMCPMC12946810

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Registered trials

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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.