scholarly journals Culture and Quality in Government General Hospitals in Kuwait: A Multimethod Study of their Association with the Transformational Leadership

Author(s):  
Talal AlFadhala ◽  
Hossam Elamir ◽  
Hoda Zaki Helmy

Background Although there are many healthcare leaders and an ongoing quality programme in the national healthcare system in Kuwait, study of the relationship of leadership style to organisational culture and quality of care is lacking. Methods We report a multi-centre study that used cross-sectional and retrospective quantitative approaches in the government-sponsored secondary care setting in Kuwait. A sample of 1,626 was drawn from a frame of 9,863 physicians, nurses, and pharmacists in 6 general hospitals. Followers were surveyed using the Multifactor Leadership and the Organizational Description Questionnaires. We reviewed and analysed the past one year of quarterly and annual quality indicators of the studied hospitals. Data were analysed using Statistical Package for the Social Sciences (SPSS) Version 15.0. Results According to followers, 66.4% to 87.1% of participants in the six hospitals identified their hospital organisational culture as transformational, while 41 out of 48 departments were identified as having a transformational culture. The participants who rated their leader and organisational culture as transformational ranged from 60.5% to 80.4% in different hospitals, and 8.5% of participants in only 1 hospital scored their leader as transformational and their culture as transactional. The differences between leadership style and organizational culture were statistically significant for four hospitals. Regarding the quality indicators, there was an indirect non-significant correlation between a transformational leadership style and most hospitals' indicators. Conclusions Transformational leaders are definers and givers of culture. The prevailing transformational leadership style creates and maintains the kind of transformational organisational culture. Our work here indicates how a given leadership style affects statistics of indicators that reflect the quality of care delivery observed in hospitals. However, this relationship is statistically insignificant. This relationship needs further research.

2021 ◽  
pp. 174498712097617
Author(s):  
Linda E den Breejen-de Hooge ◽  
Harmieke van Os-Medendorp ◽  
Thóra B Hafsteinsdóttir

Background Nurses need to exhibit stronger leadership by taking more responsibility and accountability to improve healthcare quality and patient safety. Aims The aim of this study was to determine the association between quality of care and leadership styles and practices, and whether the characteristics of nurses influence this interaction. Methods We conducted a multicentre cross-sectional survey of 655 nurses working on clinical wards in Dutch university medical centres in 2018. Results Transformational leadership was significantly associated with quality of care which explained 5.9% of the total variance ( R2 = 0.059 F = (11,643) = 3.726, p = 0.011), and the nurse characteristics gender, profession and type of practice area were significant influencing factors. Nurses rated the quality of care (mean (M) = 7.7, standard deviation (SD) = 1.3) as moderate and they showed moderate levels of transformational leadership style (M = 3.7, SD = 0.5) and transformational leadership practices (M ≥ 6.2 and ≤ 7.6). Conclusions When considering quality improvement on clinical wards strategic managers need to be aware of the fact that leadership is associated with quality of care and that nurse characteristics influence this association. The findings indicate a pressing need for education and training for nurses in how to develop leadership and raising the awareness among strategic managers about the importance of leadership in health care is recommended.


2019 ◽  
Vol 18 (3) ◽  
pp. 209
Author(s):  
Bachruddin Saleh Luturlean ◽  
Arif Partono Prasetio ◽  
Anisa Firli ◽  
Gilang Ananda Mikola ◽  
Muhammad Adnan Darmawan

Affective commitment is a commitment that comes from within and it needs quite some time to develop. Organizations need to ensure that their employees have strong affective commitment. Transformational leadership style can help employees to feel valued and develop strong commitment. On the other hand the positive atmosphere inside the organization will also enrich the positive experience of employees which in the end will increase the affective commitment. This study analyses the effect of transformational leadership and job satisfaction on employee’s affective commitment. We study one of the state companies in Medan using 72 participants. The explanatory method and path analysis are used to explain relationships and influences between variables. The results of the study prove that transformational leadership style and job satisfaction simultaneous and partial have effects in improving the quality of employee affective commitment. Business organizations need to apply transformational leadership styles and develop human resources program that can enhance job satisfaction. By carefully focus on these two elements, the organization is expected to be able to increase employee affective commitment. Keywords—Transformational Leadership, Job satisfaction, Affective Commitment Abstrak Komitmen afektif adalah komitmen yang muncul dari dalam diri sendiri dan dibangun seiring berjalannya waktu. Organisasi perlu memastikan bahwa karyawan mereka memiliki komitmen afektif yang kuat. Unsur kepemimpinan khususnya yang bersifat transformasional diyakini dapat membuat karyawan merasa dihargai dan pada akhirnya memiliki komitmen yang kuat. Di samping itu, suasana dalam organisasi yang menyenangkan akan memperkaya pengalaman positif karyawan yang juga berdampak pada peningkatan komitmen afektif. Penelitian ini menganalisis pengaruh kepemimpinan transformasional dan kepuasan kerja terhadap terbentuknya komitmen afektif karyawan di salah satu perusahaan negara di Medan. 72 Responden yang berpartisipasi dalam penelitian ini. Metode eksplanatori dan analisis jalur digunakan untuk menjelaskan hubungan dan pengaruh antar variabel. Hasil penelitian membuktikan bahwa gaya kepemimpinan transformasional dan kepuasan kerja memiliki pengaruh simultan dan parsial terhadap peningkatan kualitas komitmen afektif karyawan. Organisasi bisnis perlu mengaplikasikan gaya kepemimpinan transformasional serta mengembangkan program sumberdaya manusia yang bisa meningkatkan kepuasan kerja karyawan. Dengan mengoptimalkan kedua unsur ini, organisasi diharapkan mampu meningkatkan komitmen afektif karyawan. Kata kunci—Kepemimpinan Transformasional, Kepuasan Kerja, Komitmen Afektif


2021 ◽  
Author(s):  
Denis Warri

Abstract Background Leadership and quality of services have been linked together, where both influence each other in a significant manner. Effective leadership in the field of healthcare has attracted research attention over the last few years. One of the key areas of focus by the Cameroon government, which is believed to better the country's health care sector, has been the quality of leadership. Claims have been made that the most effective way of achieving high-quality service delivery would be through strong leadership. On the other hand, the strength of the leadership within an organization was linked to the type of leadership style adopted by the organization. Therefore, it is paramount that research is conducted to assess the link between the type of leadership style and the quality of services among health workers. Methods The study used a descriptive research design with a simple random size of 150 health workers of the CBCHS. Data were collected using closed-ended questions and analyzed using IBM SPSS Statistics™ Version 20. Inferential statistics were used to determine the effects of leadership style on the performance of health workers. The mean comparison of quality scores across the different types of leadership styles was using One Way ANOVA. Results The most common leadership style among the hospitals of the CBCHS is the transformational leadership style followed by task-focused, person-focused, transactional, and passive-laissez-faire. Transformational leadership style was associated with higher scores for maintaining good public relations and customer care than other leadership styles. The effect of leadership styles on the quality of work was not confirmed as the results were not statistically significant. Conclusion Leadership styles play a critical role in improving the quality of work in healthcare settings. Health-related outcomes differ from one setting to another based on the different leadership styles. Although the effect of leadership style on the quality of work was not statistically significant, further studies should explore the role of leadership in influencing other organizational parameters such as motivation and quality of care expectations.


2020 ◽  
Vol 17 (1) ◽  
pp. 49
Author(s):  
Eko Subagia ◽  
Dylmoon Hidayat

<p>Employee performance plays an important role in determining the quality of an organization. Thus, one of the main reasons for evaluating employee performance is to maintain and even improve the quality of the organization. The transformational leadership style and the emotional intelligence of the principal can play an important role in building employee motivation within a school which can then influence employee performance. The aim of this research is to determine if the transformational leadership style of the principal, the principal’s emotional intelligence, and the <span id="docs-internal-guid-6da33e44-7fff-32e9-29ef-f57c05b8999b"><span>motivation</span></span> of the employees have a positive influence on the employees’ job performance. The research used a quantitative approach with a path analysis to determine whether the coefficient effect of each variable was significant. Data was collected from 75 employees in a school using a <span id="docs-internal-guid-560219b1-7fff-d549-3ecb-5fc650f939d5"><span>questionnaire</span></span>. The results show that the principal's emotional intelligence and employee motivation have a positive effect on employee performance whereas the transformational leadership style of the principal has no effect on employee performance.</p><p><strong>BAHASA INDONESIA ABSTRACT: </strong>Kinerja karyawan memegang peranan penting dalam menentukan kualitas sebuah organisasi. Oleh sebab itu, alasan utama dilakukannya penilaian kinerja karyawan adalah untuk mempertahankan, bahkan meningkatkan kualitas organisasi. Kepemimpinan transformasional dan kecerdasan emosional kepala sekolah memegang peranan penting di dalam membangun motivasi karyawan sehingga dapat memiliki pengaruh pada kinerja karyawan di sekolah. Penelitian ini dilakukan dengan tujuan untuk mengetahui pengaruh positif kepemimpinan transformasional, kecerdasan emosional kepala sekolah, dan motivasi kerja karyawan terhadap kinerja para karyawan. Pendekatan dalam penelitian ini menggunakan pendekatan kuantitatif dengan metode analisis jalur untuk mengetahui apakah pengaruh koefisien dari masing-masing variable adalah signifikan. Pengumpulan data dilakukan dengan metode survei melalui kuesioner kepada 75 karyawan yang ada di suatu sekolah. Hasil penelitian menunjukkan bahwa kecerdasan emosional kepala sekolah dan motivasi kerja karyawan berpengaruh positif terhadap kinerja karyawan. Sedangkan kepemimpinan transformasional kepala sekolah tidak berpengaruh terhadap kinerja karyawan.</p>


Author(s):  
Agil Rizki Nugroho ◽  
Widjajaning Budi ◽  
Bachtiar Susanto

<p><strong>A</strong><strong>bstract</strong><strong>. </strong>Human resources have an important role as the driving wheel of the company in order to achieve a goal owned by the company. Therefore, the purpose of this research is to know the influence of quality of work life and transformational leadership style together to employee engagement on employee CV. X Branches Tulungagung and Blitar districts. Hypothesis proposed in this research is There is influence of quality of work life and transformational leadership style to employee engagement at employee CV. X Branches Tulungagung and Blitar districts. The population in this study amounted to 43 people, with a total sample of 37 people. Sampling technique in this research is by purposive sampling technique. Based on the value of significance 0.000 &lt; 0,05 so it can be concluded that the value of regression coefficient is significant (significant model) which means together independent variable that is Quality of Work Life (X1) and Transformational Leadership (X2) have influence which is significant to the dependent variable that is Employee Engagement (Y). Based on the summary table can be seen that the value of R Square shows 0.687. Thus it can be seen that the magnitude of influence variable quality of work life and transformational leadership together to employee engagement is equal to 68.7%. In other words, the hypothesis in this study is accepted.</p>


2021 ◽  
Vol 2 (1) ◽  
pp. 11-24
Author(s):  
M. Jen Ismail Ismail

This research is a qualitative descriptive study about the transformational leadership style of principals in improving the quality of human resources in schools. The location of this research is SMP Negeri 1 Tomini. So the description in this study departs from the problem of how the principal's transformational leadership style in improving the quality of human resources at SMP Negeri 1 Tomini? And what are the opportunities and challenges of the principal's transformational leadership at SMP Negeri 1 Tomini? This research uses qualitative research. The data collection techniques that the writer did, namely through observation, interviews, and documentation. Meanwhile, the data analysis techniques used in this study were data reduction, data presentation, and conclusion drawing. The results of the study found a concept, that the principal's transformational leadership style in improving the quality of human resources at SMP Negeri 1 Tomini is that the principal improves the quality of teachers, staff and students not only through education but provides the widest possible opportunity for employees to participate in activities. outside of school such as seminars and workshops to increase their knowledge. Then develop the skills of students such as extracurricular activities. In addition, it also complements school facilities because it can increase creativity in active teaching and learning. Opportunities and challenges for the transformational leadership of the principal at SMP Negeri 1 Tomini, namely by delivering the program consistently and transparently, and 80% of the teachers and staff at the school are adequate and have an undergraduate level and are temporarily continuing their master's degree. Then the facilities and infrastructure are very supportive and when problems occur at school, such as learning problems and misunderstandings (personality with a bit of ego) between teachers and staff to anticipate this, the principal gives limits and warnings at the evaluation meeting which is held every three months.


2021 ◽  
Vol 19 (1) ◽  
pp. 77
Author(s):  
Gusti Noorlitaria Achmad ◽  
Fitriansyah Fitriansyah

This study aims to find out: 1) The Effect of Transformational Leadership Style on Employee Performance of oil processing companies in Balikpapan; 2) Effect of Transactional Leadership Style on Employee Performance of oil processing companies in Balikpapan; 3) Transformational Leadership Style on Quality of Work Life of oil processing companies in Balikpapan; 4) Effect of Transactional Leadership Style on Quality of Work Life of oil processing companies in Balikpapan. This research is a quantitative descriptive study with a total sample of 80 respondent nurses' employees. Data collection techniques using questionnaires and purposive sampling methods. Data analysis techniques in this study used Simple Linear Regression. The results showed the Transformational Leadership Style affects the Employee Performance of oil processing companies in Balikpapan(H1); the Transactional Leadership Style affects the Performance of Employees of oil processing companies in Balikpapan(H2). From these results, it can be concluded that all indicators have a positive and significant effect.


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