Evidence map›Paper›PMID 42590919›Full record

ArticleJournal of nursing management2026

Self-Leadership Based on Caring in Primary Nursing: Developing and Validating a Conceptual Model Through a Delphi Study.

Mahmud Ady Yuwanto, Iyus Yosep, Iqbal Pramukti, Ati Surya Mediawati

Abstract read
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

4 authors.

Mahmud Ady YuwantoDoctoral Study Program in Medical Science, Faculty of Medicine, Universitas Padjadjaran, Sumedang, Indonesia, unpad.ac.id.ORCID https://orcid.org/0000-0002-3173-4977
Iyus YosepDepartment of Community and Mental Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia, unpad.ac.id.ORCID https://orcid.org/0000-0003-2200-9180
Iqbal PramuktiDepartment of Community and Mental Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia, unpad.ac.id.ORCID https://orcid.org/0000-0002-0645-0534
Ati Surya MediawatiDepartment of Fundamental Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia, unpad.ac.id.ORCID https://orcid.org/0000-0002-3071-902X

Funding

Universitas Padjadjaran 1719/UN6.RKT/Kep/HK/2025
6 · The paper itself

Abstract

aimTo develop and validate a conceptual model of self-leadership based on caring for primary nursing practice by integrating empirical findings with self-leadership (Manz-Neck) and caring (Watson-Swanson) theories.

designA preliminary model was developed through the integration of empirical findings from previous qualitative and quantitative studies and informed by self-leadership theory and caring theories.

methodsA preliminary model was developed by synthesising empirical findings from previous qualitative and quantitative studies with self-leadership (Manz-Neck) and caring (Watson-Swanson) theories to generate an initial conceptual framework, which was subsequently evaluated by an expert panel comprising nursing academics, nurse managers, senior clinical nurses, and primary nurses.

resultsThe Delphi process refined the model by positioning caring enactment as the central mechanism through which self-leadership capacities are translated into accountable professional agency and practice outcomes, while reflexive feedback supports continuous leadership development through reflective learning and practice experience.

conclusionThe model advances nursing leadership scholarship by extending self-leadership theory beyond its traditional intrapersonal focus and conceptualising caring enactment as the mechanism through which leadership capacities become accountable professional practice. It provides a theoretically grounded framework for understanding how frontline nurses translate self-leadership capacities into accountable professional action and sustained practice outcomes. IMPLICATIONS FOR NURSING MANAGEMENT: The model offers nursing managers a practical framework for strengthening frontline leadership through the development of self-leadership capacities, caring enactment, and accountable professional agency. Its application may inform leadership development programmes, reflective supervision, mentorship initiatives, and organisational resources such as leadership support, protected time for reflective practice, and role clarity to strengthen primary nursing implementation aimed at improving continuity of care, quality of nursing care, and workforce sustainability.

Indexed as

EmpathyLeadershipPrimary Care NursingDelphi TechniqueHumanscaringDelphi studynursing leadershipprimary nursingprofessional agencyself-leadership

Identifiers

PMID42590919
PMCPMC13469757

What OpenQuestion holds

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LicenceCC BY
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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.