Purpose
This study aimed to identify the effects of shared leadership, communication skills, and team effectiveness, as perceived by nurses and nursing assistants in comprehensive nursing service units.
Methods
A cross-sectional research design was adopted, and the sample included 306 nurses, nurse assistants, and caregivers working in nine hospitals with fewer than 500 beds in two South Korean cities. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson’s correlation coefficient, and four-step hierarchical regression analysis.
Results
The factors influencing team effectiveness in the hierarchal multiple regression analysis were shared leadership (β=.57, p<.001) and communication skills (β=.18, p<.001). These factors explained 49% of the total variance.
Conclusion
To enhance team effectiveness in compressive nursing service units, educational programs focusing on shared leadership and communication skills among nurses, nursing assistants, and caregivers must be developed.

PURPOSE
The objective of this study was to verify a mediating effect of followership in the relationship of organizational citizenship behavior and nurse managers' empowering leadership as perceived by nurses.
METHODS
The study was a descriptive research involving 222 nurses working on nursing units in a university hospital. Data were analyzed using independent t-test, one way ANOVA, Mann-Whitney U, Scheffé test, Pearson correlation coefficients, and simple and multiple regression techniques with the SPSS 23.0 program. Mediation analysis was performed according to the Baron and Kenny method and Sobel test.
RESULTS
Nurse managers' empowering leadership and followership showed a positive correlation (r=.22, p=.001), and a significantly positive correlation with organizational citizenship behavior (r=.32, p<.001). Also, followership and organizational citizenship behavior showed a positive correlation (r=.52, p<.001). The results of the study verified that nurses' followership had a mediating effect on organizational citizenship behavior in nurse unit managers' empowering leadership, a positive effect on organizational citizenship behavior and ultimately an increase in organizational achievement.
CONCLUSION
Nurse managers need to be aware of the importance of empowering leadership, and endeavor to enhance it further. As for the organizational level, support to strengthen empowering leadership is required.

Citations

• Effects of Resilience, Nursing Managers’ Empowering Leadership on Turnover Intention among New Nurses: Mediating role of Transition Shock
  Hyun Jin Jung, Hyun Kyung Kim, Seok Hee Jeong
  Journal of Korean Academy of Nursing Administration.2024; 30(3): 212.     CrossRef
• The role of followership on organizational citizenship behavior in the service industry: A double mediation model
  Noermijati Noermijati, Ema Zahra Firdaus, Desi Tri Kurniawati, Masyhuri
  Problems and Perspectives in Management.2024; 22(2): 124.     CrossRef
• Followership in health care clinicians: a scoping review
  Sulaiman Alanazi, Richard Wiechula, David Foley
  JBI Evidence Synthesis.2023; 21(9): 1764.     CrossRef
• Effect of Authentic Leadership to Organizational Citizenship Behavior of Nurses Mediated by Team Trust
  Eungju Kim, Eungyung Kim
  Journal of Korean Academy of Nursing Administration.2022; 28(4): 451.     CrossRef