Transformational leadership and social identity as predictors of team climate, perceived quality of care, burnout and turnover intention among nurses

Purpose The purpose of this paper is to examine the role of transformational leadership (TL) in developing social identity and its subsequent impact on team climate, intention to leave, burnout and quality of patient care among nurses. Design/methodology/approach Data for this cross-sectional study were collected from a sample of 201 registered nurses in Australia through questionnaires. Structural equation modelling was used to test the hypotheses. Findings Results illustrate that social identification appears to be the psychological mechanism through which TL impacts important employee outcomes, including perceived quality of patient care. Practical implications This study provides valuable insights into understanding the critical role of human resource management (HRM) practice and policy in healthcare environments. Findings from this study indicate that human resource managers can assist nurse unit managers to deliver their HRM roles effectively when adequate support and relevant HRM infrastructures are put in place. Originality/value This research considers the role of first-line nurse managers in healthcare organisations. It provides evidence-based knowledge about the type of leadership style required to achieve desirable employee outcomes and the essential HRM opportunities to facilitate this.

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“Pixie dust”

Journal of Health Organization and Management ◽

10.1108/jhom-03-2018-0092 ◽

2019 ◽

Vol 33 (5) ◽

pp. 635-646

Author(s):

Susan Brandis ◽

Stephanie Schleimer ◽

John Rice

Keyword(s):

Patient Safety ◽

Quality Of Care ◽

Health Service ◽

Patient Care ◽

Safety Culture ◽

Patient Safety Culture ◽

Content Type ◽

Quality Of Patient Care

Purpose Creating a culture of patient safety and developing a skilled workforce are major challenges for health managers. However, there is limited information to guide managers as to how patient safety culture can be improved. The purpose of this paper is to explore the concept of reflexivity and develop a model for magnifying the effect of patient safety culture and demonstrating a link to improved perceptions of quality of care. Design/methodology/approach This research employed a correlational case study design with empirical hypothesis testing of quantitative scores derived from validated survey items. Staff perceptions of patient safety, reflexivity and quality of patient care were obtained via a survey in 2015 and analysed using inferential statistics. The final sample included 227 health service staff from clinical and non-clinical designations working in a large Australian tertiary hospital and health service delivering acute and sub-acute health care. Findings Both patient safety culture and reflexivity are positively correlated with perceived quality of patient care at the p<0.01 level. The moderating role of reflexivity on the relationship between patient safety culture and quality of care outcomes was significant and positive at the p<0.005 level. Practical implications Improving reflexivity in a health workforce positively moderates the effect of patient safety culture on perceptions of patient quality of care. The role of reflexivity therefore has implications for future pre-professional curriculum content and post-graduate licencing and registration requirements. Originality/value Much has been published on reflection. This paper considers the role of reflexivity, a much less understood but equally important construct in the field of patient safety.

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Modeling patient care quality: an empirical high-performance work system approach

Personnel Review ◽

10.1108/pr-03-2015-0068 ◽

2016 ◽

Vol 45 (6) ◽

pp. 1176-1199 ◽

Cited By ~ 4

Author(s):

Dimitrios M. Mihail ◽

Panagiotis V. Kloutsiniotis

Keyword(s):

Social Identity ◽

Patient Care ◽

High Performance ◽

Psychological Empowerment ◽

Social Identification ◽

Content Type ◽

Quality Of Patient Care ◽

The Relationship ◽

Social Identity Approach

Purpose Following a social identity approach focussed in the Greek healthcare sector, the purpose of this paper is to investigate the mediating effects of social identification on the relationship between high-performance work systems (HPWS) and psychological empowerment, and the mediating role of psychological empowerment between HPWS and quality of patient care. Design/methodology/approach Partial least squares-structural equation modeling was used in a sample of 297 nurses, doctors, and allied health professionals across seven hospitals in Greece. Findings The findings suggest that HPWS has a strong effect on healthcare professionals’ social identification, which in turn partially mediates the relationship between HPWS and psychological empowerment. In addition, psychological empowerment indirectly mediates the relationship between HPWS and quality of patient care. Practical implications The findings not only validate previous studies’ conclusions, but also provide evidence for the potential fruitfulness of the HPWS approach from a social identity perspective. In addition, it is also confirmed that without the presence of psychological empowerment, HPWS may have limited impact on the quality of patient care. Originality/value Although HPWS have been generally connected with positive employee attitudes and behaviors, few studies choose to follow a social identity approach in examining these relationships. Finally, this study confirms the argument that HPWS can be a fruitful approach even in a country severely affected by Europe’s debt crisis over the last five years.

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G380(P) The role of a ‘one stop shop’ adhd service electronic liaison communication tool in reducing patient journeys and contributing to quality of patient care

10.1136/archdischild-2018-rcpch.369 ◽

2018 ◽

Author(s):

S Ozer

Keyword(s):

Patient Care ◽

Communication Tool ◽

Quality Of Patient Care ◽

One Stop

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Retirement and organizations: perspectives and challenges for both workers and human resource management

Working with Older People ◽

10.1108/wwop-04-2020-0014 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Diogo Henrique Helal ◽

Cleverson Vasconcelos da Nóbrega ◽

Tatiana Aguiar Porfírio de Lima

Keyword(s):

Quality Of Life ◽

Resource Management ◽

Human Resource Management ◽

Human Resource ◽

Design Methodology ◽

Active Role ◽

Theoretical Framework ◽

Content Type

Purpose This paper aims to reflect on retirement, showing its different viewpoints, advocating the need to understand the issue from a procedural and multidimensional perspective, and especially, defending a more active role of human resource management in the process. Design/methodology/approach This paper presents a theoretical framework of retirement, based on a procedural and multidimensional perspective. Findings To study how individuals adapt to retirement permits the discovery, for example, of how they obtain the quality of life after the transition and how they manage the internal and external aspects of the process. Human resource management must treat retirement as a complex and multidimensional phenomenon. This means it should consider retirement not only as a decision but also as a process. Originality/value This essay seeks to reflect on retirement, advocating the need to understand the issue from a procedural and multidimensional perspective, and especially, defending a more active role of human resource management in the process.

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The role of the psychological contract in the motivation of nurses

Leadership in Health Services ◽

10.1108/lhs-02-2017-0008 ◽

2018 ◽

Vol 31 (1) ◽

pp. 62-76 ◽

Cited By ~ 5

Author(s):

Emma Corder ◽

Linda Ronnie

Keyword(s):

Health Care ◽

Psychological Contract ◽

Structured Interviews ◽

Content Type ◽

Nursing Managers ◽

Quality Of Patient Care ◽

Management Perspective ◽

Manager Support

Purpose Although private health care is regarded as providing a premium quality experience for both patients and staff alike, it is not without its daily challenges for health professionals. This study aims to explore the psychological contract of nurses to develop a greater understanding of how employee–employer interaction impacts motivation levels. Design/methodology/approach Data were gathered through semi-structured interviews with thirteen nurses at a private hospital in South Africa. Five nursing managers were interviewed to provide a management perspective. Thematic analysis was used to identify the salient elements of the psychological contract and to establish connections with motivational features. Findings The psychological contract of nurses was balanced in nature, contained predominantly relational elements and was characterized by the need for manager support, leadership and autonomy. Motivation was a by-product of fulfilment and was enhanced by a combination of tangible and intangible rewards. Practical implications Nursing managers should recognize their role in caring for the wellbeing of their staff and should be trained accordingly. Equipping nurses with the necessary tools to work autonomously, as well as acknowledging their skills, will stimulate confidence and improve motivation. Originality/value This study makes an important contribution to the existing literature on the psychological contract of nurses within the health-care system. It provides insight into relationship-based mechanisms that can be used to improve the motivation of nurses and thus impact the overall quality of patient care.

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