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Introduction: This study investigates the dual-path effects of shared leadership on employee voice behavior through the Empowerment-Servitude Model, with a focus on uncovering the underlying psychological mechanisms. Additionally, it identifies key organizational and individual factors influencing employee voice behavior, offering theoretical insights for strategies aimed at behavioral enhancement.
Methods: This study adopted a multi-method approach, integrating online questionnaires and on-site enterprise visits across two time phases. Data collection yielded 624 valid responses from 13 corporations in Dalian, which were subsequently analyzed statistically.
Results: The results suggest that, on the one hand, shared leadership, as an empowerment mechanism, positively influences employee voice behaviors through the empowerment pathway associated with organizational status perception. On the other hand, shared leadership, as a depletion mechanism, negatively impacts employee voice behaviors via the servitude pathway, characterized by emotional exhaustion. Employee empowerment expectations play a critical role in triggering these contrasting mechanisms. Specifically, higher levels of employee empowerment expectations mitigate the negative impact of the depletion mechanism while enhancing the positive effects of the empowerment mechanism.
Discussion: This study makes three key contributions to the literature: first, it advances a nuanced understanding of the relationship between shared leadership and employee voice behavior. Second, by examining the moderating role of employee empowerment expectations, it elucidates boundary conditions influencing this relationship. Third, the findings underscore the criticality of empowerment expectations in organizational practice, suggesting that managers implementing shared leadership should systematically assess employees' subjective empowerment expectations, and leverage these expectations to enhance the model's positive effects on voice behaviors.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142339 | PMC |
http://dx.doi.org/10.3389/fpsyg.2025.1560554 | DOI Listing |
J Telemed Telecare
September 2025
School of Medicine, The University of Queensland, St Lucia, QLD, Australia.
In this case, we describe the remote telehealth leadership of emergent tube thoracostomy in a patient with a critical respiratory status. The patient had presented to a small rural health care facility with breathlessness and hypoxia despite supplemental oxygen. A subsequent chest x-ray revealed a large pneumothorax requiring emergent treatment to prevent respiratory demise.
View Article and Find Full Text PDFJ Am Coll Surg
September 2025
Department of Surgery, Division of Cardiothoracic Surgery, University of Colorado, Aurora, CO.
Background: Gender disparities exist in cardiothoracic surgery (CT), though qualitative investigations are lacking. We aimed to explore the impact of workplace culture on belonging, burnout, and career exit for women in CT.
Study Design: We conducted virtual semi-structured interviews with women cardiothoracic surgeons in practice for ≥5 years across the United States from 9/2024 to 12/2024.
Innov Aging
August 2025
Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island, United States.
Background And Objectives: Increased referrals to skilled nursing facilities (SNFs) from hospitalized people with opioid use disorder (OUD) carry risk for financial, safety, and legal consequences for poor transitions in care. We aimed to better understand the hospital to SNF referral process and identify opportunities to improve transitions and care for people with OUD, an increasing share of whom are older adults.
Research Design And Methods: Participants included administrative, executive leadership, and clinical staff involved in SNF admission decisions across the United States.
Clin Interv Aging
September 2025
Gravitational Physiology and Medicine Research Unit, Division of Physiology and Pathophysiology, Otto Löwi Research Center of Vascular Biology, Immunity and Inflammation, Medical University of Graz, Graz, Austria.
Purpose: The development of home-based clinical interventions and healthcare supported by digital tools has rapidly advanced in recent years, promising improvements in preventive and personalized treatment, especially for aging chronic patients. However, many systems are launched without feedback from healthcare experts, essential for understanding their strengths, limitations, and areas for improvement. This study had two objectives: first, to gather expert opinions on the qualities and limitations of current home-centred healthcare trends for aging patients; second, as a case study, to obtain feedback on a novel system, (TI-Health), integrating these trends.
View Article and Find Full Text PDFHealth Serv Res
September 2025
Begun Center for Violence Prevention Research and Education, Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Objective: To explore the experiences of providers from two community behavioral health agencies involved in the implementation of Certified Community Behavioral Health Clinics (CCBHCs).
Study Setting And Design: This qualitative study was conducted as part of a larger evaluation of CCBHC implementation outcomes in two community-based behavioral health agencies. Ninety-one participants, including case managers, counselors, care coordinators, and leadership teams from both agencies, participated in focus group discussions to share their experiences regarding the implementation of the CCBHC model within their organizations.