Ethical Leadership of Head Nurses and Organizational Citizenship Behaviors as Perceived by Nurses in Regional Hospitals


  • kleebkaew songmuang Faculty of Nursing, Chiang Mai University
  • Petsunee Thungjaroenkul Faculty of Nursing, Chiang Mai University
  • Apiradee Nantsupawat Faculty of Nursing, Chiang Mai University


Ethical leadership, Organizational citizenship behaviors, Nurses, Regional hospital


Ethical leadership refers to leaders’ behaviors in their job resulting in the common good and inspiring followers to behave ethically. The purpose of this cross-sectional correlation study was to examine the ethical leadership of head nurses as perceived by nurses and the organizational citizenship behaviors of nurses, as well as the relationships between them. The study sample was comprised of 460 nurses working in southern regional hospitals. The research instruments included: 1) a demographic data form; 2) a Ethical Leadership questionnaire (5-point rating scale); and 3) an Organizational Citizenship Behaviors questionnaire (7-point rating scale). The reliability of the second and third instruments was .98 and .87, respectively. Data were analyzed using descriptive statistics and Spearman’s rank correlation analysis.

          The results revealed that the overall ethical leadership of head nurses as perceived by nurses was at a high level. The overall organizational citizenship behaviors of nurses were at a high level. The findings also showed that the ethical leadership of head nurses was moderately positively and statistically correlated with the organizational citizenship behaviors of nurses (r = .526, p = .001).

Based on the findings of this study, head nurses who demonstrate a commitment to ethical leadership will inspire nurses to display organizational citizenship behaviors. Therefore, it is necessary to develop programs and strategies for helping head nurses to better understand ethical leadership and foster ethical climates in their units.


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Research Article