Article Text

Download PDFPDF
Leadership to improve nurse engagement and empowerment: evidences to improve the training of nurses
  1. Rosa García-Sierra1,2,3,4,
  2. Fermín Martínez-Zaragoza5,
  3. Jordi Fernández-Castro6
  1. 1 Research Support Unit Metropolitana Nord, Primary Care Research Institute Jordi Gol (IDIAPJGol), Mataró, Spain
  2. 2 Department of Nursing, Faculty of Medicine, Universitat Autònoma de Barcelona, Cerdanyola del Vallès (Barcelona), Spain
  3. 3 Grup de Recerca Multidisciplinar en Salut i Societat (GREMSAS) (2017 SGR 917), Barcelona, Spain
  4. 4 Primary Care Group.Germans Trias i Pujol Research Institute (IGTP), Badalona, Spain
  5. 5 Department of Behavioral Sciences and Health, Universidad Miguel Hernández, Elche (Alicante), Spain
  6. 6 Departament de Psicologia Bàsica, Evolutiva i de l'Educació, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, (Barcelona), Spain
  1. Correspondence to Dr Rosa García-Sierra, USR Metropolitana Nord, IDIAP Jordi Gol, Mataró 08303, Spain;{at}


Aim The objective of this study was to identify the key dimensions of transformational leadership that influence the promotion of engagement and structural empowerment in a population of nurses from different care settings.

Method A cross-sectional survey study asking about engagement, leadership style and structural empowerment was used. Descriptive and correlational statistics were applied followed by hierarchical regression. 131 nurses were recruited from a Spanish health organisation using random sampling.

Results Individualised consideration and intellectual stimulation were predictors of structural empowerment in a hierarchical regression of transformational leadership dimensions controlled by demographic variables (R2=0.467). In addition, intellectual stimulation was a predictor of engagement (R2=0.176).

Conclusion The results are the starting point for the design of an organisationwide educational intervention to increase the engagement of nurses and staff development.

  • management
  • engagement
  • leadership assessment
  • nurse
  • learning

Data availability statement

Data are available upon reasonable request.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Data availability statement

Data are available upon reasonable request.

View Full Text


  • Contributors RG-S and JF-C: substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data; FM-Z: drafting the article or revising it critically for important intellectual content. RG-S:guarantor.

  • Funding Grant SLT002/16/00283 from Pla Estratègic de Recerca i Innovació en Salut 2016-2020 of Generalitat de Catalunya.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.