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. 2025 May 19;24(1):564.
doi: 10.1186/s12912-025-03173-y.

Measured nursing perception of the working environment through authentic leadership with technology support and OCB among Chinese public hospitals

Abid Hussain  1 , Wang Ruowei  1 , Xu Xia  1 , Shahida Kanwel  2 , Shen Chunhong  1 , Arif Jameel  3
Affiliations

Measured nursing perception of the working environment through authentic leadership with technology support and OCB among Chinese public hospitals

Abid Hussain et al. BMC Nurs. .

Abstract

Nursing is a comprehensive discipline that applies principles from the natural and social sciences to diagnose and address existing or potential health problems and their responses. The morale and productivity of nurses are essential for providing quality healthcare services in busy and high-stress environments. However, nurses' perceptions of the hospital working environment (PHWE) can hinder these goals. This study examines the role of nursing authentic leadership (NAL) in mitigating perceptions of the hospital working environment and its subsequent effects on nurses' organizational citizenship behaviors as organizational and individuals (NOCBO&I), nurses' technological support (NTS), and nurses' task-oriented performance (NTP) among hospital employees. The research involved 557 nurses from public sector hospitals in Shandong Province, China. Data was collected between August and November 2024 and analyzed using structural equation modeling (SEM). The findings reveal that perceptions of the hospital working environment significantly affect nurses' technological support, nurses' organizational citizenship behaviors (NOCBO&I), and task-oriented performance. Additionally, authentic leadership is significantly correlated with perceptions of the hospital working environment, positively influencing technological support, task-oriented performance, and NOCBO&I. This study underscores the vital role of authentic leadership in moderating the profound impacts of the working environment, fostering a positive atmosphere in hospitals, and enhancing nurse productivity with the support of technology. The insights gained from this research provide valuable implications for nurse leaders seeking to improve hospital performance through effective leadership practices.

Keywords: China; Hospital working environment; NOCBO&I; Nurses task-oriented performance; Nurses technological support; Shandong.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: This study was approved by the Ethics Committee of Jiangsu University, Zhenjiang, China (No. 2379 HREC/2024), in accordance with the principles outlined in the Declaration of Helsinki. Participants were informed about the study’s objectives and were free to withdraw at any time. All collected data were anonymized and handled with strict confidentiality, adhering to ethical guidelines. Informed consent was obtained from all participants. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

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Fig. 1
Study conceptual framework
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SEM moderation results
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Fig. 3
NAL moderates the positive relationship between PHWE and NTP
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NTL moderates the positive relationship between PHWE and NTS
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Fig. 5
NTL moderates the positive relationship between the PHWE and NOCBO&I
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