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Ambidextrous leadership, which integrates explorative and exploitative styles, may enhance nurses\u2019 innovation capacity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine the influence of ambidextrous leadership behaviors on innovative work behavior among critical care nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional correlational study was conducted with 360 nurses in critical care units at a major educational hospital in Egypt. Data was collected over 2 months in 2024 using the Ambidextrous Leadership Questionnaire and the Innovative Behavior Inventory. Descriptive statistics, Pearson correlation, and regression analyses were used to assess relationships between study variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean score for nurses\u2019 perception of ambidextrous leadership was 40.10\u2009\u00b1\u20095.69, and for innovative work behavior was 66.03\u2009\u00b1\u20098.35. Both values reflect moderate levels. Ambidextrous leadership was positively correlated with IWB (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.483,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Exploitative leadership showed a stronger correlation with IWB (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.466) compared with explorative leadership (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.381). Regression analysis further confirmed that ambidextrous leadership significantly predicted IWB (\u03b2\u2009=\u20090.304, R\u00b2 = 0.625,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ambidextrous leadership is a significant driver of innovative behavior among critical care nurses. By balancing creativity with clinical discipline, nurse leaders can foster innovation without compromising care quality. These findings highlight the importance of developing ambidextrous leadership skills to promote innovation in critical care practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial number<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12912-025-04232-0","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T16:34:39Z","timestamp":1767026079000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The impact of ambidextrous leadership on innovative work behavior among critical care nurses: a cross-sectional study"],"prefix":"10.1186","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9124-0808","authenticated-orcid":false,"given":"Ahmed Abdelwahab Ibrahim","family":"El-Sayed","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doaa Fawzy Hassan","family":"Ghazy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gehan Galal","family":"Elbialy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8433-6139","authenticated-orcid":false,"given":"Nadia Hassan Ali","family":"Awad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7994-2169","authenticated-orcid":false,"given":"Heba Mohamed Al-anwer Ali","family":"Ashour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,29]]},"reference":[{"issue":"1","key":"4232_CR1","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1108\/EJIM-05-2018-0088","volume":"22","author":"B S\u00f6nmez","year":"2019","unstructured":"S\u00f6nmez B, Y\u0131ld\u0131r\u0131m A. 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Nurs Open. 2024;11(3):e2126. https:\/\/doi.org\/10.1002\/nop2.2126.","journal-title":"Nurs Open"}],"container-title":["BMC Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12912-025-04232-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12912-025-04232-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12912-025-04232-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T15:56:11Z","timestamp":1781625371000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12912-025-04232-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,29]]},"references-count":45,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4232"],"URL":"https:\/\/doi.org\/10.1186\/s12912-025-04232-0","relation":{},"ISSN":["1472-6955"],"issn-type":[{"value":"1472-6955","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,29]]},"assertion":[{"value":"9 May 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Official approval for conducting the study was obtained from the Research Ethics Committee (IRB00013620, SN:13-9-2023) Faculty of Nursing, Alexandria University, Egypt. Official permission for conducting the study was obtained from the hospital administrators to collect the necessary data. The study was conducted according to the requirements of the Helsinki Declaration. Written informed consent from nurses was obtained after providing an appropriate explanation about the aim of the study. The confidentiality of the data was maintained. The anonymity of the study subjects was maintained. Subjects participated in the study voluntarily and had the right to withdraw at any time from the study without any consequences.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"94"}}