title: Confidence in delegation and leadership of registered nurses in long-term-care hospitals.
abstract: OBJECTIVE
  Effective delegation improves job satisfaction, responsibility, productivity and development. The ageing population demands more nurses in long-term-care hospitals. Delegation and leadership promote cooperation among nursing staff. However, little research describes nursing delegation and leadership style. We investigated the relationship between registered nurses' delegation confidence and leadership in Korean long-term-care hospitals.
  
  
  METHODS
  Our descriptive correlational design sampled 199 registered nurses from 13 long-term-care hospitals in Korea. Instruments were the Confidence and Intent to Delegate Scale and Multifactor Leadership Questionnaire.
  
  
  RESULTS
  Confidence in delegation significantly aligned with current-unit clinical experience, length of total clinical-nursing experience, delegation-training experience and leadership. Transformational leadership was the most statistically significant factor influencing delegation confidence.
  
  
  CONCLUSIONS
  When effective delegation integrates with efficient leadership, staff can deliver optimal care to long-term-care patients.
authors.affiliation: Division of Nursing, College of Nursing, Ewha Womans University, Seoul, Korea.
authors.forename: Jungmin
authors.initials: J
authors.lastname: Yoon
authors.affiliation: Division of Nursing, College of Nursing, Ewha Womans University, Seoul, Korea.
authors.forename: Miyoung
authors.initials: M
authors.lastname: Kim
authors.affiliation: Division of Nursing, College of Nursing, Ewha Womans University, Seoul, Korea.
authors.forename: Juhhyun
authors.initials: J
authors.lastname: Shin
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D032022:Delegation, Professional / Q000592:standards*; D006801:Humans; D007588:Job Satisfaction; D007857:Leadership; D008134:Long-Term Care; D008875:Middle Aged; D009718:Nurse Administrators / Q000592:standards; D009726:Nurses / Q000523:psychology* / Q000592:standards*; D011594:Psychometrics / Q000379:methods; D011787:Quality of Health Care / Q000592:standards; D056910:Republic of Korea; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D000078329:Workforce
keywords: delegation; leadership; long-term-care hospital; registered nurses