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Self-Leadership Based on Caring Among Primary Nurses: A Qualitative Study in Hospital Settings
Mahmud Ady Yuwanto1,2, Iyus Yosep3, Iqbal Pramukti3
1Doctoral Study Program in Medical Science, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia, unpad.ac.id.
Journal of Nursing Management
|June 24, 2026
Summary
Primary nurses enact leadership through self-regulation and caring interactions, impacting care quality. Organizational support is crucial for nurses
Area of Science:
- Nursing Management
- Clinical Leadership
- Healthcare Quality
Background:
- Healthcare organizations increasingly demand nurses demonstrate leadership in daily practice.
- Complex environments and resource constraints necessitate sustained care quality.
- Self-leadership, rooted in caring, is a key focus for primary nurses.
Purpose of the Study:
- To explore how primary nurses enact self-leadership grounded in caring.
- To examine the organizational and relational factors influencing this leadership enactment.
- To understand the perceived impact of this integrated leadership on care quality.
Main Methods:
- Qualitative descriptive design.
- Semistructured interviews with ten primary nurses.
- Thematic analysis of interview data.
Main Results:
- Self-regulation forms the basis of self-leadership.
- Caring practices provide a relational framework for care delivery.
- Professional identity, autonomy, barriers, and organizational support influence leadership.
- Leadership integrated with caring may enhance care quality and nurse satisfaction.
Conclusions:
- Leadership in everyday care is a relational, context-specific process, not just an individual trait.
- Organizational strategies supporting nurses' leadership and caring are relevant.
- Empirical insights into nursing management scholarship.
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