ArticleFrontiers in psychology2026
How responsible leadership fosters ICU nurses' innovation in China: a mediated model of perceived insider status and voice behavior.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Responsible leadership may be associated with ICU nurses' innovative behavior, but the underlying mechanisms remain unclear. This study examined the mediating roles of perceived insider status and voice behavior. Methods: A cross-sectional survey was conducted between January and February 2025 in three tertiary hospitals in northern China. A total of 372 ICU nurses were recruited using convenience sampling. Validated instruments were used to measure responsible leadership, perceived insider status, voice behavior, and innovative behavior. Structural equation modeling was employed to test the hypothesized model and mediating pathways. Results: The results indicated significant positive correlations among responsible leadership, perceived insider status, voice behavior, and innovative behavior (all Conclusion: This study highlights the critical role of responsible leadership in enhancing ICU nurses' innovative behavior within the Chinese healthcare context. By fostering a strong sense of insider identity and encouraging upward communication, responsible leadership can create an inclusive, psychologically safe environment that empowers nurses to generate and implement innovative ideas. Hospital administrators should promote leadership practices that emphasize ethical responsibility, stakeholder engagement, and open communication to stimulate innovation and improve care outcomes in intensive care settings.
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