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La leadership etica del coordinatore come fattore determinante i comportamenti organizzativi degli infermieri, nei luoghi di cura - The ethical leadership of the nursing ward managers as a key determinant of nurses’ organisational behaviours in the healthcare settings

Francesco Zaghini, Valentina Biagioli, Roberta Fida, Alessandro Sili

Abstract

OBIETTIVO: L’obiettivo principale di questo studio è quello di esaminare l’influenza della leadership etica del coordinatore sulle emozioni (positive e negative) degli infermieri e sui comportamenti agiti durante la loro attività clinica.

METODO: E’ stato somministrato un questionario in modalità cartacea, composto da scale validate e presenti in letteratura a un campione di 347 infermieri di una realtà ospedaliera universitaria. I dati sono stati analizzati con il test di correlazione di Pearson e con un modello di equazioni strutturali.

RISULTATI: Lo stile di leadership etico del coordinatore ha una stretta relazione con la messa in atto di comportamenti di cittadinanza organizzativa e dei comportamenti controprodut- tivi degli infermieri, dove le emozioni giocano un ruolo centrale. Le emozioni positive svol- gono un ruolo di mediazione totale nella relazione tra leadership etica e comportamenti di cittadinanza organizzativa, mentre le emozioni negative sono un mediatore parziale nella relazione tra la leadership etica e comportamenti controproduttivi.

CONCLUSIONI: La leadership etica agisce sui comportamenti agiti dagli infermieri, come definito nei processi di modeling. I comportamenti organizzativi degli infermieri sono cruciali per gli outcome delle strutture sanitarie. Pertanto la leadership etica del coordinatore condi- ziona indirettamente la qualità dell’assistenza e delle cure offerte ai malati.

PAROLE CHIAVE: Comportamenti controproduttivi, comportamenti di cittadinanza organiz- zativa, Etica, Infermieri, Leadership

 

ABSTRACT

AIM: The main aim of this study is to examine the influence of the coordinator’s ethical leadership on nurses’ emotions (i.e., positive and negative) and work behaviours. METHOD: A questionnaire was administered in paper format, including well-validated scales reported in literature, to a sample of 347 nurses working in a university hospital. A struc- tural equation model has been tested after examining Pearson’s correlations among study variables.

RESULTS: The coordinator’s ethical leadership is strongly related to the implementation of nurses’ organisational citizenship behaviour and counterproductive work behaviour, which are influenced by their emotions. Positive emotions fully mediate the relationship between ethical leadership and organisational citizenship behaviour, while negative emotions partially mediate the relationship between ethical leadership and counterproductive work behaviour.

CONCLUSIONS: Ethical leadership acts on nurses’ organisational behaviour, as described in the modelling process. The nurses’ organisational behaviour is crucial to the outcome of the health care service. Therefore, the ethical leadership indirectly affects the quality of the care and the cure offered to the patients.

KEYWORD: Counterproductive Work Behavior, Ethical, Leadership, Nurses, Organizational Citizenship behavior

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