Head nurse ethical competence and transformational leadership: a cross-sectional study

作者：Qiang Yu, Ling Liu, Yusheng Tian, Xuting Li, Jiaxin Yang, Qiaomei Liu, Zengyu Chen, Meng Ning, Fan Wang, Yamin Li, Chongmei Huang · 发表于：BMC Nursing · 年份：2024 · DOI：10.1186/s12912-024-02484-w · 被引用次数：7 · 研究领域：Ethics in medical practice、Nursing education and management、Ethics in Business and Education

BACKGROUND: Ethical competency is important to head nurses' transformational leadership, however, few researches have explored their correlation, Additionally, most studies used variable-oriented approach to examine ethical competence, without considering it as a multidimensional concept. This study aimed to identify the latent profiles of head nurses' ethical competence and examine differences in transformational leadership across latent profiles. METHODS: Convenience sampling was used to recruit 329 head nurses from four tertiary hospitals in Changsha, Hunan province, China. This study collected data by using social-demographic survey, Ethical Competence Questionnaire, and Head Nurse's Transformational Leadership Self-rating Scale between July and August 2023. Latent profile analysis (LPA) was employed to identify latent profiles of ethical competency. One-way ANOVA test and the Kruskal-Wallis test were used to compare the transformational leadership scores across latent profiles of ethical competency. RESULTS: The mean scores of ethical competence and transformational leadership were 4.045 ± 0.394 and 4.555 ± 0.419, respectively. This study identified three latent profiles of head nurses' ethical competence, and those profiles labelled "low ethical competence" (n = 60, 18.2%), "moderate ethical competence" (n = 217, 66.0%) and "high ethical competence" (n = 52, 15.8%). The average score of transformational leadership was also statistically different (F = 26.446, p = 0.000)...