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☐ ☆ ✇ Journal of Advanced Nursing

The Relationship Between Nurse Leadership and Structural Empowerment With Clinical Teaching Competencies: A Cross‐Sectional Study

Por: Heli Zhang · Xianjing Hu · Rongmei Geng · Quanying Qu · Jingpin Wang · Xin Wang · Hongbo Chen · Hongyue Dai · Baohua Li — Enero 16th 2026 at 16:16

ABSTRACT

Aims

To examine the relationship among leadership, clinical teaching competencies, and structural empowerment of nursing clinical instructors in China.

Design

A cross-sectional study.

Methods

A total of 152 nurses who come from three Grade A tertiary hospitals located in Beijing, Kunming, and Liaoning Province, China, completed an online questionnaire that included general information, clinical teaching information, the Conditions of Work Effectiveness Questionnaire-II, nurse leadership, and structural empowerment. SPSS 26.0 and AMOS 26.0 were used for normality test, descriptive statistics, correlation analysis, regression analysis, and structural equation model.

Results

The study revealed that nurse leadership (r = 0.402) and structural empowerment (r = 0.568) both positively correlated with clinical teaching competencies. Specifically, the level of nurse leadership exhibited a low but direct positive effect on these competencies (β = 0.22), while the level of structural empowerment demonstrated a moderate direct positive effect (β = 0.56).

Conclusion

Enhancing nurse leadership and structural empowerment positively influence the clinical teaching competencies of nursing instructors.

Impact

Constructing a structural equation model to describe the relationship between leadership, structural empowerment, and teaching ability can provide the most intuitive direction for future research, so as to better improve the teaching ability of clinical nursing teachers.

Patient or Public Contribution

No patient or public contribution.

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