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The Association Between Inclusive Leadership and Job Performance in Nurses: Exploring the Mediation Roles of Grit and
Yue Wen1, Jing Liao1, Chunyan Lu1
1Department of Gastrointestinal Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China, scu.edu.cn.
Journal of Nursing Management
|June 30, 2026
Summary
Inclusive leadership enhances nurses job performance through grit and work engagement. These factors, individually and sequentially, are key mediators in improving nurse performance and patient safety.
Area of Science:
- Nursing
- Organizational Psychology
- Healthcare Management
Background:
- Nursing job performance is crucial for patient safety.
- Inclusive leadership positively impacts nurse outcomes.
- Mechanisms linking inclusive leadership to job performance require further investigation.
Purpose of the Study:
- To examine the mediating roles of grit and work engagement in the relationship between inclusive leadership and nurse job performance.
- To understand how inclusive leadership influences nurses' job performance through psychological mechanisms.
Main Methods:
- A cross-sectional survey of 429 registered nurses in Sichuan Province, China.
- Validated measures for inclusive leadership, grit, work engagement, and job performance were used.
- Multiple mediation analyses were conducted using SPSS PROCESS macro.
Main Results:
- Inclusive leadership positively correlated with grit, work engagement, and job performance (p < 0.001).
- Grit and work engagement fully mediated the relationship between inclusive leadership and job performance.
- Significant indirect effects were observed through grit alone, work engagement alone, and sequentially via grit then work engagement.
Conclusions:
- Inclusive leadership significantly enhances nurses' job performance via grit and work engagement.
- Healthcare organizations should promote inclusive leadership and develop nurses' grit and engagement.
- Investing in these areas can indirectly improve patient outcomes by boosting nurse performance.
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