J Korean Acad Nurs Adm JKANA Journal of Korean Academy of Nursing Administration 1225-9330 2288-4955 Korean Academy of Nursing Administration 10.11111/jkana.2019.25.1.25 Original Article Effect of Head Nurses' Authentic Leadership on Nurses' Job Satisfaction and Nursing Performance: Focusing on the Mediating Effects of Empowerment https://orcid.org/0000-0002-8112-5344 Kim Mi-Jeong 1 https://orcid.org/0000-0001-7659-4376 Han Ji-Young 2 Bumin Hospital, Korea. Department of Nursing, Silla University, Korea. Corresponding author: Han, Ji-Young. Department of Nursing, Silla University, 140 Baegyang-daero, 700 beon-gil, Sasang-gu, Busan 46958, Korea. Tel: +82-51-999-5872, Fax: +82-51-999-5176, hanjy@silla.ac.kr 01 2019 31 01 2019 25 1 25 34 10 10 2018 28 12 2018 31 12 2018 Copyright © 2019 Korean Academy of Nursing Administration 2019 Korean Academy of Nursing Administration This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose

The purpose of this study was to explore the effects of head nurses' authentic leadership and empowerment on job satisfaction, and nursing performance of nurses and to identify the mediating effect of empowerment in the relationships of head nurses' authentic leadership, with nurses' job satisfaction, and nursing performance.

 Methods

The sample for this study was 149 nurses from 2 general hospitals located in Busan. Data were collected using self-administered questionnaires and the SPSS/WIN 23.0 program was used for analysis. Mediation analysis was performed according to the Baron and Kenny method and Sobel test.

 Results

Head nurses' authentic leadership showed positive correlations with empowerment, job satisfaction, and nursing performance. Empowerment showed partial mediating effects in the relationship between head nurses' authentic leadership and nurses job satisfaction, and a perfect mediating effect in the relationship between head nurses' authentic leadership and the performance of nursing.

 Conclusion

The results indicate that it is necessary to develop strategies and applications to enhance nurses' empowerment for improved job satisfaction and nursing performance.

 Nurses Leadership Power Job satisfaction Work performance

This article is a revision of the first author's master' thesis from Silla University.

 Han JR Ahn SH The effects of nurses' satisfaction on hospital performance -focused on the patient satisfaction and revisit intention, recommendation intention- Journal of Digital Convergence 2015 13 9 419 430 10.14400/JDC.2015.13.9.419 Joo YS Han SS The effect of nurses' emotional intelligence on organizational commitment and organizational citizenship Journal of Korean Academic Society of Nursing Education 2013 19 2 194 202 10.5977/jkasne.2013.19.2.194 Kim JO Kim SY Person-organization value congruence between authentic leadership of head nurses and organizational citizenship behavior in clinical nurses Journal of Korean Academy of Nursing Administration 2017 23 5 515 523 10.11111/jkana.2017.23.5.515 Jeong YJ Lee SJ Kim MJ Transformational leader vs. authentic leader: Transformational leadership revisited Korean Management Review. 2012 41 3 539 573 Yoon SH Kim HR The effects of superior's authentic leadership on trust and job crafting: focused on nurses of general hospitals in U area KASBA 2016 Integration Korea Business Management Association Conference Seoul Korean Academic Society of Business Administration 2016 8 1358 1388 Wong CA Laschinger HKS Cummings GG Authentic leadership and nurses' voice behaviour and perceptions of care quality Journal of Nursing Management 2010 18 8 889 900 10.1111/j.1365-2834.2010.01113.x Walumbwa FO Avolio BJ Gardner WL Wernsing TS Peterson SJ Authentic leadership: Development and validation of a theory-based measure Journal of Management 2008 34 1 89 126 Kuokkanen L Leino-Kilpi H Power and empowerment in nursing: Three theoretical approaches Journal of Advanced Nursing 2000 31 1 235 241 10.1046/j.1365-2648.2000.01241.x Oh EH Chung BY The effect of empowerment on nursing performance, job satisfaction, organizational commitment, and turnover intention in hospital nurses The Journal of Korean Academy of Nursing Administration 2011 17 4 391 401 10.11111/jkana.2011.17.4.391 Choi JY Kim EK Kim SY Effects of empowerment and job satisfaction on nursing performance of clinical nurses The Journal of Korean Academy of Nursing Administration 2014 20 4 426 436 10.11111/jkana.2014.20.4.426 Lee SY The relationships of superior's leadership to supervisory trust and organizational commitment of nurses Journal of Korean Academy of Nursing Administration 2007 13 2 208 218 Kim MS Park SA Comparison of nursing performance by career levels in a nurse career ladder system The Journal of Korean Academic Society of Nursing Education 2012 8 2 284 292 10.5977/jkasne.2012.18.2.284 Song BR Seomun GA The influential factors related to organizational citizenship behavior of nurses: With focus on authentic leadership and organizational justice Journal of Korean Academy of Nursing Administration 2014 20 2 237 246 10.11111/jkana.2014.20.2.237 Choi HG Ahn SH Influence of nurse managers' authentic leadership on nurses' organizational commitment and job satisfaction: Focused on the mediating effects of empowerment Journal of Korean Academy of Nursing 2016 46 1 100 108 10.4040/jkan.2016.46.1.100 Cho JH Yu JH Seo KW Influence of authentic leadership and coworker support on the psychological well-being of staff nurses Korean Journal of Occupational Health Nursing 2018 27 2 89 98 10.5807/kjohn.2018.27.2.89 Avolio BJ Gardner WL Walumbwa FO Authentic leadership questionnaire [Internet] Menlo Park, CA Mind Garden Inc. 2015 cited 2015 January 26 Available from: http://www.mindgarden.com/69-authentic-leadership-questionnaire Spreizer A Psychological empowerment in the workplace: dimension, management and validation The Academy of Management Journal 1995 38 5 1442 1465 10.2307/256865 Jung HJ A study on the influence of empowerment on job satisfaction and organizational commitment [master's thesis] Seoul Seoul National University 1998 1 98 Slavitt DB Stamps PL Piedmont EB Hesse AM Nurses' satisfaction with their work situation Nursing Research 1978 27 42 114 120 Park SA Yun SN Measurement of job satisfaction of nurses and health workers in health centers Korean Society of Nursing Science 1992 22 3 316 324 Kim MS The influence of career ladder system on nursing performance, job satisfaction, organizational commitment, turnover intention [dissertation] Seoul Seoul National University 2013 1 115 Park SA An exploratory study on the relationship between leadership style and performance in Korean nursing units The Seoul Journal of Nursing 1990 4 1 45 61 Kim YI A study on leadership style of head nurses and staff nurses' job satisfaction and nursing performance [master's thesis] Daejeon Daejeon University 2002 1 67 Baron RM Kenny DA The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations Journal of Personality and Social Psychology 1986 51 1173 1182 Song MS The relationships between the empowerment, nursing performance, job satisfaction and turnover intention of long-term care hospital nurses Journal of the Korea Academia-Industrial cooperation Society 2013 14 5 2304 2314 10.5762/KAIS.2013.14.5.2304 Yoo SO Lee SY Han SO Chang NS Kim YO Hu JY Empowerment, performance and job satisfaction perceived by hospital nurses Journal of Korean Academy of Nursing Administration 2006 12 3 406 414 Wong CA Laschinger HKS Authentic leadership, performance, and job satisfaction: The mediating role of empowerment Journal of Advanced Nursing 2013 69 4 947 959 10.1111/j.1365-2648.2012.06089.x Park HH Park KS Yom YH Kim KH Impact of clinical nurses' power and empowerment on job satisfaction and organizational commitment Journal of Korean Academy of Nursing 2006 36 2 244 254 Jung M Influence of head nurses' ethical leadership on job satisfaction among staff nurses: mediating effect of affective commitment Journal of Korean Academy of Nursing Administration 2016 22 5 553 561 10.11111/jkana.2016.22.5.553 Kim YM Yi YJ Influence of job stress and empowerment on clinical nurses' performance in small and medium hospitals Korean Journal of Occupational Health Nursing 2012 21 3 258 265 10.5807/kjohn.2012.21.3.258 Differences in Variables according to General Characteristics (<italic>N</italic>=149)

a,b,c=Scheffé test (same letter means significantly difference), *Mann-Whitney U test, †Kruskall Wallis H test.

 Head Nurses' Authentic Leadership and Nurses' Empowerment, Job Satisfaction, and Nursing Performance (<italic>N</italic>=149) Correlation among Variables (<italic>N</italic>=149) Mediating Effects of Empowerment in the Relationship between Head Nurses' Authentic Leadership and Job Satisfaction of Nurses (<italic>N</italic>=149) Mediating Effects of Empowerment in the Relationship between Head Nurses' Authentic Leadership and Nursing Performance of Nurses (<italic>N</italic>=149)