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Authentic Leadership and Nursing Practice Environments: A Structural Equation Modeling
Ana Paula Faustino Gilio1, Andrea Bernardes, Isabel Cristina Kowal Olm Cunha
1Author Affiliations: Nursing Manager (Gilio), Federal University of São Paulo (UNIFESP), São Paulo, Brazil; Professor (Bernardes), Ribeirão Preto College of Nursing, University of São Paulo (EERP-USP), Ribeirão Preto, São Paulo, Brazil; Professor (Cunha), Paulista School of Nursing, Federal University of São Paulo (UNIFESP), São Paulo, Brazil; Professor (Gasparino), School of Nursing, University of Campinas (UNICAMP), Campinas, São Paulo, Brazil; Professor (Leite Filho), University of São Paulo (USP), São Paulo, Brazil; Professor (Balsanelli), Paulista School of Nursing, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
Objective:
To examine how authentic leadership influences the nursing practice environment in a multihospital system.
Methods:
A cross-sectional assessment of 431 nurses across 7 hospitals used validated leadership and work environment measures. Data were analyzed using structural equation modeling.
Results:
Leadership behaviors explained up to 45.8% of nurses' perceived leadership support and were associated with participation, staffing perception, and collaboration.
Conclusions:
Authentic leadership is a strategic lever to improve workforce stability, engagement, and care outcomes.
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