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      Can resilience promote calling among Chinese nurses in intensive care units during the COVID-19 pandemic? The mediating role of thriving at work and moderating role of ethical leadership

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          Abstract

          Background

          Nurses working in the intensive care unit (ICU) clung tenaciously to their job during the COVID-19 pandemic in spite of enduring stressed psychological and physical effects as a result of providing nursing care for the infected patients, which indicates that they possessed a high degree of professionalism and career calling. The aim of this study was to explain the associations between resilience, thriving at work, and ethical leadership influencing the calling of ICU nurses.

          Methods

          From December 2020 to January 2021 during the COVID-19 pandemic, a cross-sectional survey of 15 provinces in China was conducted using an online questionnaire. A total of 340 ICU nurses (effective response rate: 64.89%) completed sufficient responses to be used in the study. Sociodemographic factors, job demographic factors, resilience, calling, thriving at work, and ethical leadership were assessed using the questionnaire. General linear modeling (GLM), hierarchical linear regression (HLR) analysis, and generalized additive model (GAM) were performed to examine all the considered research hypotheses.

          Results

          Resilience was positively and significantly associated with calling. Moreover, thriving at work partially mediated the relationship between resilience and calling. The indirect effect of resilience on calling was 0.204 ( p < 0.0001), and the direct effect of resilience on calling through thriving at work was 0.215 ( p < 0.0001). The total effect of resilience on calling was 0.419 ( p < 0.0001). In addition, ethical leadership played a moderating role in the relationship between resilience and calling (β = 0.16, p < 0.05).

          Conclusion

          Greater resilience can positively predict increased calling among Chinese ICU nurses during the COVID-19 pandemic. Moreover, thriving at work is a mechanism that partly transmits the positive effects of resilience on calling. Overall, nurses possessing greater resilience tend to maintain thriving at work in the face of such adversity, further resulting in subsequently increased calling. Besides, findings suggest that there is stronger influence of resilience on calling among nurses working in an organization managed by an ethical leader. The current findings may offer two insights for nursing practitioners and policymakers in the postpandemic world. First, resilience training and intervention are necessary to foster nurses' sense of thriving at work in the nursing industry, further promoting career calling. Second, better training and effort on the development of ethical leadership for leaders in nursing practice are essential to encourage followers to engage in social learning of ethical behaviors and abiding by normatively appropriate conduct, further enacting prosocial values and expressing moral emotions.

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          Most cited references105

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          Common method biases in behavioral research: A critical review of the literature and recommended remedies.

          Interest in the problem of method biases has a long history in the behavioral sciences. Despite this, a comprehensive summary of the potential sources of method biases and how to control for them does not exist. Therefore, the purpose of this article is to examine the extent to which method biases influence behavioral research results, identify potential sources of method biases, discuss the cognitive processes through which method biases influence responses to measures, evaluate the many different procedural and statistical techniques that can be used to control method biases, and provide recommendations for how to select appropriate procedural and statistical remedies for different types of research settings.
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            Sources of method bias in social science research and recommendations on how to control it.

            Despite the concern that has been expressed about potential method biases, and the pervasiveness of research settings with the potential to produce them, there is disagreement about whether they really are a problem for researchers in the behavioral sciences. Therefore, the purpose of this review is to explore the current state of knowledge about method biases. First, we explore the meaning of the terms "method" and "method bias" and then we examine whether method biases influence all measures equally. Next, we review the evidence of the effects that method biases have on individual measures and on the covariation between different constructs. Following this, we evaluate the procedural and statistical remedies that have been used to control method biases and provide recommendations for minimizing method bias.
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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                07 September 2022
                2022
                07 September 2022
                : 13
                : 847536
                Affiliations
                [1] 1Department of Health Policy and Management, School of Public Health, Hangzhou Normal University , Hangzhou, China
                [2] 2Department of Health Management, School of Health Management, Harbin Medical University , Harbin, China
                [3] 3Department of Humanities and Social Sciences, Harbin Medical University , Daqing, China
                [4] 4Department of Administration, School of Law, Zhejiang University City College , Hangzhou, China
                [5] 5Institute of Hospital Management, Qingdao University , Qingdao, China
                [6] 6Department of Laboratorial Science and Technology and Vaccine Research Center, School of Public Health, Peking University , Beijing, China
                Author notes

                Edited by: Osman Titrek, Sakarya University, Turkey

                Reviewed by: Muhammad Usman, National University of Sciences and Technology, Pakistan; Rosa Lutete Geremias, Universidade de Lisboa, Portugal

                *Correspondence: Bei Liu 18827380717@ 123456163.com

                This article was submitted to Organizational Psychology, a section of the journal Frontiers in Psychology

                †These authors have contributed equally to this work

                Article
                10.3389/fpsyg.2022.847536
                9491387
                36160539
                1e64c0e5-5930-40d3-9b3c-fc6626282cb6
                Copyright © 2022 Sun, Zhang, Yin, Li, Li, Li, Gao, Huang and Liu.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 02 January 2022
                : 11 August 2022
                Page count
                Figures: 3, Tables: 4, Equations: 0, References: 105, Pages: 16, Words: 11645
                Funding
                Funded by: National Natural Science Foundation of China, doi 10.13039/501100001809;
                Categories
                Psychology
                Original Research

                Clinical Psychology & Psychiatry
                icu nurse,resilience,calling,thriving at work,ethical leadership,covid-19 pandemic

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