Purpose
This study aimed to examine the relationships between participative decision-making, psychological empowerment, and organizational citizenship behavior of nurses working in hospitals; moreover, we verified the moderated mediating effect of power distance orientation in these relationships.
Methods
A total of 201 nurses working at a university hospital in South Korea responded to the survey. Self-report surveys were used to gather data from July 15-August 15, 2021. SPSS 22.0, AMOS 22.0, and SPSS PROCESS macro were used for data analysis.
Results
Psychological empowerment significantly mediated the relationship between participative decision making and organizational citizenship behavior. Moreover, the moderating effect of power distance orientation on the relationship between participative decision making and psychological empowerment was also significant when the power distance orientation was at a low and average levels. However, the moderated mediating effect of power distance orientation on the relationship between participative decision making, psychological empowerment, and organizational citizenship behavior was insignificant.
Conclusion
Involving nurses with lower power distance orientation in decision making is crucial to elicit positive work performance and different strategies are necessary for those with higher power distance orientation. Finally, further studies are needed to understand the power distance orientation and positive work outcomes of nurses.

Citations

• Influence of Clinical Nurses’ Organizational Silence on Organizational Citizenship Behavior: Mediating Effect of Organizational Commitment Moderated by Organizational Justice
  Shin Ae Hwang, Haeyoung Min
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 416.     CrossRef
• Effects of Emotional Labor and Self-efficacy on Psychosocial Stress of Nurses
  Jeong Hee Kim, Young Suk Park
  Journal of Korean Academy of Nursing Administration.2015; 21(1): 111.     CrossRef
• The Effect of Emotional Intelligence on Self-efficacy and Job Stress of Nurses - Mediating Role of Self-efficacy -
  Kyung Hee Lee, Jung Su Song
  Journal of Korean Academy of Nursing Administration.2010; 16(1): 17.     CrossRef