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Confidence is the plant of slow growth: a moderated mediation model for predicting voice behavior among power distance orientation and team-based self-esteem in Taiwanese nurses

Authors Chang WY, Hsu CT, Yu PY

Received 25 March 2019

Accepted for publication 11 July 2019

Published 5 August 2019 Volume 2019:12 Pages 609—617


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Igor Elman

Wen Ying Chang,1,2 Chin-Tien Hsu,1 Pei Yun Yu1,3

1Department of Counseling and Industrial-Organizational Psychology, Ming Chuan University, Taoyuan District, Taiwan; 2Taipei Veterans General Hospital, Taoyuan Branch Registered Nurse, Taoyuan District, Taiwan; 3Tri-Service General Hospital Nurse Anesthetist, Taipei, Taiwan

Background: According to the social identity theory and Chinese cultural influences, power distance orientation may play an important role in this relationship, and thus the examined model investigates the mediating role of team-based self-esteem relations between voice behavior and team trust.
Purpose: This study explores how voice behavior in the nursing workplace correlates to changes in team-based self-esteem and trust. We also examine the power distance orientation level in this process to test for any moderated mediation in these linkages.
Patients and methods: Employing convenient sampling of 247 registered nurses from a medical center in northern Taiwan. Nurses received envelopes including self-report questionnaires from the researchers, which were immediately sealed after interviews.
Results: Structural equation modeling indicates all model fits are acceptable, suggesting that team-based self-esteem has partial mediation between team trust and voice behavior. Power distance orientation also moderates the indirect effect of team trust upon self-esteem, such that the relationship is stronger among those who have a high power distance orientation.
Conclusion: This study highlights the usefulness of continued research into how nurses display promoting behavior through team-based self-esteem with a distinct level of power distance orientation under differing sources of team trust from peers, managers, and organizations, as well as how nurses, especially fresh graduates and those who underwent a job transfer, shape their social identity through psychological factors in the sense-making process.

Keywords: nurses, power distance orientation, team trust, team-based self-esteem, voice behavior

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