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Nurses' negative affective states, moral disengagement, and knowledge hiding: The moderating role of ethical leadership.
J Nurs Manag. 2019 Mar; 27(2):357-370.JN

Abstract

AIM

This study aims to investigate the influence of nurses' negative affective states on their knowledge-hiding behaviours through moral disengagement, and especially the moderating role of ethical leadership.

BACKGROUND

Researchers have paid much attention to the harmfulness of knowledge hiding, yet the mechanisms of why and how nurses' negative affective states have an impact on their knowledge-hiding behaviours are less clear.

METHOD

Two different questionnaire surveys were used in two different studies. In Study 1, a research design with three stages, including 323 nurses (64.47% response rate, 51.70% male) working in a hospital in Shanghai, China, was used. Study 2 involved 317 nurses (63.40% response rate, 51.74% male) working in five hospitals in Shanghai, China. The two studies shared the same statistical method, in which hierarchical regression analyses, the Sobel test, and bootstrap estimates were used to test hypotheses.

RESULTS

We found that (a) nurses' negative affective states were positively related to their knowledge-hiding behaviours; (b) moral disengagement partially mediated this relationship in Study 1, but fully mediated it in Study 2; and (c) ethical leadership mitigated the indirect relationship between negative affective states and knowledge hiding via moral disengagement.

CONCLUSION

Nurses with negative affective states are more likely to activate moral disengagement as a secondary cognitive process to make personal moral rules momentarily obscure, which, in turn, leads them to hide knowledge that is requested by other members. The above relationships will depend on the levels of ethical leadership.

IMPLICATIONS FOR NURSING MANAGEMENT

Nurse managers should try to reduce nurses' knowledge-hiding behaviours by addressing nurses' negative affective states, decreasing nurses' moral disengagement, and performing ethical leadership behaviours.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Zhao H
School of Management, Shanghai University, Shanghai, China.
Xia Q
School of Management, Shanghai University, Shanghai, China. School of Economics and Management, Tongji University, Shanghai, China.

MeSH

AdultAffectAttitude of Health PersonnelChinaCompassion FatigueEthics, NursingFemaleHumansJob SatisfactionLeadershipMaleNursesPsychometricsSurveys and Questionnaires

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30288835

Citation

Zhao, Hongdan, and Qing Xia. "Nurses' Negative Affective States, Moral Disengagement, and Knowledge Hiding: the Moderating Role of Ethical Leadership." Journal of Nursing Management, vol. 27, no. 2, 2019, pp. 357-370.
Zhao H, Xia Q. Nurses' negative affective states, moral disengagement, and knowledge hiding: The moderating role of ethical leadership. J Nurs Manag. 2019;27(2):357-370.
Zhao, H., & Xia, Q. (2019). Nurses' negative affective states, moral disengagement, and knowledge hiding: The moderating role of ethical leadership. Journal of Nursing Management, 27(2), 357-370. https://doi.org/10.1111/jonm.12675
Zhao H, Xia Q. Nurses' Negative Affective States, Moral Disengagement, and Knowledge Hiding: the Moderating Role of Ethical Leadership. J Nurs Manag. 2019;27(2):357-370. PubMed PMID: 30288835.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nurses' negative affective states, moral disengagement, and knowledge hiding: The moderating role of ethical leadership. AU - Zhao,Hongdan, AU - Xia,Qing, Y1 - 2018/10/05/ PY - 2017/05/15/received PY - 2018/03/14/revised PY - 2018/05/31/accepted PY - 2018/10/6/pubmed PY - 2019/5/21/medline PY - 2018/10/6/entrez KW - ethical leadership KW - knowledge hiding KW - moral disengagement KW - negative affective states KW - nurses KW - unethical behaviour SP - 357 EP - 370 JF - Journal of nursing management JO - J Nurs Manag VL - 27 IS - 2 N2 - AIM: This study aims to investigate the influence of nurses' negative affective states on their knowledge-hiding behaviours through moral disengagement, and especially the moderating role of ethical leadership. BACKGROUND: Researchers have paid much attention to the harmfulness of knowledge hiding, yet the mechanisms of why and how nurses' negative affective states have an impact on their knowledge-hiding behaviours are less clear. METHOD: Two different questionnaire surveys were used in two different studies. In Study 1, a research design with three stages, including 323 nurses (64.47% response rate, 51.70% male) working in a hospital in Shanghai, China, was used. Study 2 involved 317 nurses (63.40% response rate, 51.74% male) working in five hospitals in Shanghai, China. The two studies shared the same statistical method, in which hierarchical regression analyses, the Sobel test, and bootstrap estimates were used to test hypotheses. RESULTS: We found that (a) nurses' negative affective states were positively related to their knowledge-hiding behaviours; (b) moral disengagement partially mediated this relationship in Study 1, but fully mediated it in Study 2; and (c) ethical leadership mitigated the indirect relationship between negative affective states and knowledge hiding via moral disengagement. CONCLUSION: Nurses with negative affective states are more likely to activate moral disengagement as a secondary cognitive process to make personal moral rules momentarily obscure, which, in turn, leads them to hide knowledge that is requested by other members. The above relationships will depend on the levels of ethical leadership. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers should try to reduce nurses' knowledge-hiding behaviours by addressing nurses' negative affective states, decreasing nurses' moral disengagement, and performing ethical leadership behaviours. SN - 1365-2834 UR - https://www.unboundmedicine.com/medline/citation/30288835/Nurses'_negative_affective_states_moral_disengagement_and_knowledge_hiding:_The_moderating_role_of_ethical_leadership_ DB - PRIME DP - Unbound Medicine ER -