Akkoç İ, Türe A, Arun K, Okun O. Mediator effects of Psychological Empowerment between Ethical Climate and Innovative Culture on Job Performance and Innovative Behavior in Nurses.
J Nurs Manag 2022;
30:2324-2334. [PMID:
36200751 DOI:
10.1111/jonm.13849]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 09/09/2022] [Accepted: 09/28/2022] [Indexed: 11/29/2022]
Abstract
AIMS
This study investigates the effects of ethical climate and innovative culture on the hospital nurses' job performance and innovative behavior with the mediating factor of psychological empowerment. To investigate the influence of a leader's innovation expectation on a nurse's innovation behavior and the mediating chain effect of job control and creative self-efficacy between a leader's innovation expectation and a nurse's innovation behavior.
BACKGROUND
Hospital nurses have an opportunity to embrace innovative behaviors and increase their performance only through a positive ethical climate and innovative culture. Unfortunately, increasing nurses' psychological empowerment as a workspace context has not been focused on the potential for hospital leadership.
METHODS
A cross-sectional study based on a questionnaire design was used for data collection and analysis. The data is collected through a voluntary survey -selected by a convenience sampling method- of 393 nurses from University Hospital. The Structural Equation Model and Bootstrap method test the study's hypotheses. A STROBE checklist was used for reporting.
RESULTS
Ethical climate and innovative culture predict job performance and innovative behavior with the mediating role of psychological empowerment. Moreover, psychological empowerment decreases the predictive power of ethical climate and innovative culture separately but increases the nurses' job performance and innovative culture.
CONCLUSIONS
Ethical climate and innovative culture significantly positively affect job performance and innovative behavior. Additionally, the mediating effect of psychological empowerment increases job performance and innovative behavior more than the effects of ethical climate and innovative culture.
IMPLICATIONS FOR NURSING MANAGEMENT
Nurses need to be prepared to practice safely, accurately, and compassionately by translating moral values into rules of the nursing profession, where innovation increases at an astonishing rate. Nurse leaders and hospital managers should establish ethical norms as the consensus of ultimate criteria of validity of the rational analysis of tasks or particular nursing practice concepts, with an innovative culture by empowering nurses exceedingly in their workplace.
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