Research on the Impact Mechanism of Leadership Development on Surgeons' Innovation Behavior: Based on The Mediating Role of Psychological Empowerment
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The primary objective of this study is to explore how leadership development fosters innovation behavior among surgeons through psychological empowerment. Data was gathered from 452 surgeons in China. The proposed hypothesis was tested using the AMOS structural equation model. Our findings reveal a significant correlation between leadership development, psychological empowerment, and surgeons' innovation behavior. Furthermore, our results suggest that psychological empowerment partially mediates the relationship between leadership development and surgeons' innovation behavior. Consequently, our research indicates that hospital leaders should prioritize enhancing the leadership development of surgeons and bolstering their sense of psychological empowerment to promote their innovation behavior. This approach can encourage active innovation in surgical diagnosis and treatment, ultimately leading to improved patient satisfaction.
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Abbas, A. A. H., & Khali, H. H. (2016). Effect of the empowerment leadership on job involvement reinforcement through a mediator role for strategic thinking skills. International Journal of Academic Research in Business and Social Sciences, 6(6), 2222–6990. http://dx.doi.org/ 10.6007/IJARBSS/v6-i6/2193
Abubakar, S. K., & Sanda, M. A. (2024). The influence of front-line employees’ engagement and psychological empowerment on job satisfaction and organizational citizenship behavior in 1-and 2-star hotels in Ghana. Journal of Human Resources in Hospitality & Tourism, 23(1), 101-127.https://doi.org/10.1080/15332845.2023.2253681
Alshawabkeh, I., Ahmad, N. N., Rashid, A. H. A., Panatik, S. A., Al-Rusan, A., & Liyana, A. (2024). The Role of Transformational Leadership and Psychological Empowerment Toward Employee Creativity. Advances in Social Sciences Research Journal, 11(2.2). https://doi.org/10.14738/ assrj.112.2.16425
Benitez, J., Arenas, A., Castillo, A., & Esteves, J. (2022). Impact of digital leadership capability on innovation performance: The role of platform digitization capability. Information & Management, 59(2), 103590. https://doi.org/10.1016/j.im.2022.103590
Day, D. V., & Dragoni, L. (2015). Leadership development: An outcome-oriented review based on time and levels of analyses. Annu. Rev. Organ. Psychol. Organ. Behav., 2(1), 133-156. https://doi.org/10.1146/annurev-orgpsych-032414-111333
Day, D. V., Fleenor, J. W., Atwater, L. E., Sturm, R. E., & McKee, R. A. (2014). Advances in leader and leadership development: A review of 25 years of research and theory. The Leadership Quarterly, 25(1), 63–82. https://doi.org/10.1016/j.leaqua.2013.11.004
Deci, E. L., & Ryan, R. M. (1985). Intrinsic Motivation and Self-Determination in Human Behavior. Plenum.
Ergun, E., Tunca, S., Cetinkaya, G., & Balcıoğlu, Y. S. (2025). Exploring the Roles of Work Engagement, Psychological Empowerment, and Perceived Organizational Support in Innovative Work Behavior: A Latent Class Analysis for Sustainable Organizational Practices. Sustainability, 17(4), 1663.https://doi.org/10.3390/su17041663
Geerts, J. M., Goodall, A. H., & Agius, S. (2020). Evidence-based leadership development for physicians: A systematic literature review. Social Science & Medicine, 246, 112709. https://doi.org/10.1016/ j.socscimed.2019.112709
Goldman, E., & Scott, A. R. (2016). Competency models for assessing strategic thinking. Journal of Strategy and Management, 9(3), 258-280. https://doi.org/10.1108/JSMA-07-2015-0059
Ibrahim, I. A., El-Monshed, A. H., Altheeb, M., & El-Sehrawy, M. G. (2024). Transformational leadership, psychological empowerment, and organizational citizenship behaviors among nursing workforce: A single mediation analysis. Journal of Nursing Management, 2024(1), 9919371. http://dx.doi.org/10.1155/2024/9919371
James, M. M., Hughes, M., Ramos, H. M., & Melanie, R. H. (2023). Middle-managers’ innovation behavior: The roles of psychological empowerment and personal initiative. The International Journal of Human Resource Management,34(18). http://dx.doi.org/10.1080/09585192. 2022.2126946
Jun, K., & Lee, J. (2023). Transformational leadership and followers’ innovative behavior: Roles of commitment to change and organizational support for creativity. Behavioral Sciences, 13(4), 320. https://doi.org/10.3390/bs13040320
Lee, Y., & Kim, J. (2021). Cultivating employee creativity through strategic internal communication: The role of leadership, symmetry, and feedback seeking behaviors. Public Relations Review, 47(1), 101998. https://doi.org/10.1016/j.pubrev.2020.101998
Li, B., Yin, S., & Zhang, B. (2024). Incentive mechanism of multiple green innovation behaviors of equipment manufacturing enterprises: A managers, green coordination groups and employees perspective. PloS one, 19(3), e0300533-e0300533. https://doi.org/10.1371/journal.pone.0300533
Mohammed, A. A., & Al-Abrrow, H. (2024). The impact of empowering and transformational leadership on innovative behaviour: the mediating role of psychological empowerment in health-care sector. Leadership in Health Services, 37(2), 231-246. https://doi.org/10.1108/LHS-05-2023-0036
Nurhidayati, N., & Sabrina, M. N. (2023). The Effect of Personality and Knowledge Sharing Toward Innovation Behavior of Employees. IJIBE (International Journal of Islamic Business Ethics), 8(2), 129-143. http://dx.doi.org/10.30659/ijibe.8.2.129-143
Qalati, S. A., Barbosa, B., & Ibrahim, B. (2023). Factors influencing employees’ eco-friendly innovation capabilities and behavior: the role of green culture and employees’ motivations. Environment, Development and Sustainability, 1-22. https://doi.org/10.1007/s10668-023-03982-8
Saira, S., Mansoor, S., & Ali, M. (2021). Transformational leadership and employee outcomes: The mediating role of psychological empowerment. Leadership & Organization Development Journal, 42(1), 130–143. https://doi.org/10.1108/LODJ-05-2020-0189
Schumpeter, J. A., & Swedberg, R. (2021). The theory of economic development. Routledge.
Schermuly, C. C., Creon, L., Gerlach, P., Graßmann, C., & Koch, J. (2022). Leadership styles and psychological empowerment: A meta-analysis. Journal of Leadership & Organizational Studies, 29(1), 73-95. https://doi.org/10.1177/15480518221075568
Soenens, G., Marchand, B., Doyen, B., Grantcharov, T., Van Herzeele, I., & Vlerick, P. (2023). Surgeons’ leadership style and team behavior in the hybrid operating room: prospective cohort study. Annals of surgery, 278(1), e5-e12. https://doi.org/10.1097/SLA.0000000000005645
Spreitzer, G. M. (1995). Psychological empowerment in the workplace: Dimensions, measurement, and validation. Academy of Management Journal, 38(5), 1442–1465. https://doi.org/10.5465/256865
State Council of China. (2016). Healthy China 2030 Planning Outline. http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm
Stanescu, D. F., Zbuchea, A., & Pinzaru, F. (2021). Transformational leadership and innovative work behaviour: The mediating role of psychological empowerment. Kybernetes, 50(5), 1041–1057. https://doi.org/10.1108/K-07-2019-0491
Tuan, L. T. (2022). Transformational leadership and employee innovation in healthcare: The mediating roles of empowerment and organizational learning. Journal of Health Organization and Management, 36(2), 174–193. https://doi.org/10.1108/JHOM-07-2021-0270
Tikas, G. (2024). Towards measuring strategic leadership capabilities for innovation: an empirical validation. Evidence-based HRM, 12 (3), 704-723. https://doi.org/10.1108/EBHRM-03-2023-0054
Yamane, T. (1967). Statistics: An introductory analysis (2nd ed.). Harper & Row.
Wang, D., Wang, L., Wei, S., Yu, P., Sun, H., Jiang, X., & Hu, Y. (2022). Effects of authoritarian leadership on employees' safety behavior: A moderated mediation model. Frontiers in Public Health, 10, 846842. https://doi.org/10.3389/fpubh.2022.846842
Wang, K., Ma, D., Jin, P., & Guo, X. (2023). The mediating effect of psychological empowerment between structural empowerment and innovation behaviors among pediatric nurses. Journal of Clinical Psychosomatic Disorders, 29(04), 30–34+47. https://doi.org/10.3389/fpubh.2022.846842
Weissman, C., Hollingsworth, E., & Yule, S. (2020). Surgical leadership: Contextual challenges and necessary competencies. Annals of Surgery Open, 1(2), e018. https://doi.org/10.1097/AS9. 0000000000000018
Yang, Y. (2019). Our hospital's middle-level cadres participated in overseas training: Mayo Clinic leadership program successfully completed. Peking Union Medical College Hospital. https://www.pumch.cn/detail/22333.html
Zhang, S., Liu, Y., Li, G., Zhang, Z., & Fa, T. (2022). Chinese nurses' innovation capacity: The influence of inclusive leadership, empowering leadership and psychological empowerment. Journal of Nursing Management, 30(6), 1990–1999. https://doi.org/10.1111/jonm.13654