Mediating effect of clinical nurses' self-care between perceived ethical leadership and work engagement in grade-A tertiary hospitals in Xi'an city

Abstract

Abstract: Objective To investigate the mediating role of clinical nurses’ self-care between perceived ethical leadership and work engagement. Methods A convenience sampling method was used to select 539 clinical nurses from four grade-A tertiary hospitals in Xi'an City,Shaanxi Province from April to May 2024 to investigate using the perceived ethical leadership scale,the self-care scale,and the work engagement scale,and the data were analyzed. Results Clinical nurses' perceived ethical leadership scores were （37.97±7.36）points,self-care scores were （82.35±9.66）points,and work engagement scores were （34.67±6.63）points,with positive correlations between all three（all P<0.01）. Clinical nurses' self-care partially mediated between perceived ethical leadership and work engagement,with a mediation effect of 31.9%. Conclusion Clinical nurses' perceived ethical leadership can indirectly affect their work engagement by improving nurses' level of self-care. It is recommended that nursing administrators strengthen their own ethical leadership skills and create a favorable environment for clinical nurses to practice self-care,which in turn improves nurses' work engagement.

Key words: Perceived ethical leadership, Self-care, Work engagement, Nurses, Mediating effect

CLC Number:

R192.6

LIU Xingxing, HE Fang, ZHANG Jun, TIAN Tian, JI Yuanjiao, ZHONG Yuexia. Mediating effect of clinical nurses' self-care between perceived ethical leadership and work engagement in grade-A tertiary hospitals in Xi'an city. [J]OCCUPATION AND HEALTH, 2025, 41(19): 2679-2684.

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