Is leadership of nurses associated with nurse-reported quality of care? A cross-sectional survey

2021 ◽  
pp. 174498712097617
Author(s):  
Linda E den Breejen-de Hooge ◽  
Harmieke van Os-Medendorp ◽  
Thóra B Hafsteinsdóttir
Keyword(s):  
Transformational Leadership ◽  
Quality Of Care ◽  
Leadership Styles ◽  
Leadership Style ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Quality And Patient Safety ◽  
Transformational Leadership Style ◽  
And Training

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.

scholarly journals Leadership Styles Dimensions and Organizational Commitment Nexus: Evidence from a Public Sector in Nigeria

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Helen Elena Jekelle ◽  
Keyword(s):  
Transformational Leadership ◽  
Organizational Commitment ◽  
Public Sector ◽  
Leadership Styles ◽  
Leadership Style ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Laissez Faire ◽  
Transformational Leadership Style ◽  
The Impact

Scholarly works have shown that one of the outstanding factors of organizational commitment has been leadership, which relates to the style adopted by the leader and the impact it has on the commitment level of employees for performance. The aim of this research was to explore the effect of leadership styles on organizational commitment. Transformational, transactional, and laissez faire styles of leadership were examined. A cross-sectional survey of 151 employees at a public sector agency in Abuja, Nigeria, was conducted. The research employed a quantitative approach to the collection of data using questionnaire administration. All questionnaire items were assessed using the five-point Likert scale. Inferential statistics in research was carried out using multiple regression technique to substantiate the survey findings. Based on the Great man theory, Contingency theory and Behavioural theory, the study confirms that transformational, transactional and laissez faire leadership styles and organizational commitment were statistically associated. In terms of contribution to the model, the explanatory variables jointly contributed 68.2 percent in explaining organizational commitment. On individual contribution, transformational leadership style contributed the most, 58.6 percent to the model while transactional leadership style contributed 11.8 percent to the model and finally laissez-faire leadership style contributed 11.2 percent to organizational commitment in the study context. The study therefore recommends that AEA should use continuous transformational leadership style practices to sustain high employee commitment and organizational effectiveness. Also, AEA should apply a bit of both transactional and laissez faire leadership styles from time to time depending on the situation of things at the workplace as there is no particular leadership style that is one-size fit all but depends on situation at hand. One realistic implication that could be learned from this study is that in order to minimize employee turnover, managers need to implement affirmative strategies that will benefit the establishment.

scholarly journals Leadership Styles Dimensions and Organizational Commitment Nexus: Evidence from a Public Sector in Nigeria

2021 ◽  
Author(s):  
Helen Elena Jekelle
Keyword(s):  
Transformational Leadership ◽  
Organizational Commitment ◽  
Public Sector ◽  
Leadership Styles ◽  
Leadership Style ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Laissez Faire ◽  
Transformational Leadership Style ◽  
The Impact

Scholarly works have shown that one of the outstanding factors of organizational commitment has been leadership, which relates to the style adopted by the leader and the impact it has on the commitment level of employees for performance. The aim of this research was to explore the effect of leadership styles on organizational commitment. Transformational, transactional, and laissez faire styles of leadership were examined. A cross-sectional survey of 151 employees at a public sector agency in Abuja, Nigeria, was conducted. The research employed a quantitative approach to the collection of data using questionnaire administration. All questionnaire items were assessed using the five-point Likert scale. Inferential statistics in research was carried out using multiple regression technique to substantiate the survey findings. Based on the Great man theory, Contingency theory and Behavioural theory, the study confirms that transformational, transactional and laissez faire leadership styles and organizational commitment were statistically associated. In terms of contribution to the model, the explanatory variables jointly contributed 68.2 percent in explaining organizational commitment. On individual contribution, transformational leadership style contributed the most, 58.6 percent to the model while transactional leadership style contributed 11.8 percent to the model and finally laissez-faire leadership style contributed 11.2 percent to organizational commitment in the study context. The study therefore recommends that AEA should use continuous transformational leadership style practices to sustain high employee commitment and organizational effectiveness. Also, AEA should apply a bit of both transactional and laissez faire leadership styles from time to time depending on the situation of things at the workplace as there is no particular leadership style that is one-size fit all but depends on situation at hand. One realistic implication that could be learned from this study is that in order to minimize employee turnover, managers need to implement affirmative strategies that will benefit the establishment.

scholarly journals KEPEMIMPINAN TRANSFORMASIONAL, KEPUASAN KERJA, DAN KOMITMEN AFEKTIF PADA KARYAWAN PERUSAHAAN BIDANG KONSTRUKSI MILIK PEMERINTAH DI MEDAN

2019 ◽  
Vol 18 (3) ◽  
pp. 209
Author(s):  
Bachruddin Saleh Luturlean ◽  
Arif Partono Prasetio ◽  
Anisa Firli ◽  
Gilang Ananda Mikola ◽  
Muhammad Adnan Darmawan
Keyword(s):  
Job Satisfaction ◽  
Transformational Leadership ◽  
Human Resources ◽  
Leadership Styles ◽  
Leadership Style ◽  
Affective Commitment ◽  
Positive Experience ◽  
Business Organizations ◽  
Transformational Leadership Style

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

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

2020 ◽  
Author(s):  
Talal AlFadhala ◽  
Hossam Elamir ◽  
Hoda Zaki Helmy
Keyword(s):  
Transformational Leadership ◽  
Quality Of Care ◽  
Quality Indicators ◽  
Leadership Style ◽  
Care Delivery ◽  
Organisational Culture ◽  
Multi Centre Study ◽  
General Hospitals ◽  
Transformational Leadership Style

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.

The interaction effect of transactional-transformational leadership on employee commitment in a developing country

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Albert Puni ◽  
Sam Kris Hilton ◽  
Benedicta Quao
Keyword(s):  
Transformational Leadership ◽  
Leadership Styles ◽  
Transactional Leadership ◽  
Leadership Style ◽  
Interaction Effect ◽  
Employee Commitment ◽  
Cross Sectional ◽  
Content Type ◽  
Work Related ◽  
Transformational Leadership Style

Purpose While substantial a number of research studies have examined the effect of leadership styles on work-related behaviour, the interaction effect of transactional-transformational leadership on work-related behaviour has been rarely investigated in a developing context. Thus, this study aims to examine the interaction effect of transactional-transformational leadership on employee commitment in Ghana. Design/methodology/approach The study used descriptive and cross-sectional survey designs. Cross-sectional data was obtained from 360 employees in the aviation industry of Ghana and analyzed using descriptive statistics, correlation and hierarchical regression techniques. Findings Transactional leadership style has a significant positive effect on employee commitment. However, when transformational leadership was added on transactional leadership base, there was no augmentation effect of transformational leadership style in predicting employee commitment. The results further indicate that there was a negative interaction effect of transactional and transformational leadership styles on employee commitment. Practical implications The findings imply that organizational leaders can improve employee commitment by purely resorting to transactional leadership behaviours. Leaders can also enhance employee commitment by augmenting transactional leadership behaviours on transformational leadership, as the reverse has no augmentation effect. Originality/value This study considerably complements existing leadership literature by establishing how a transformational leadership style can augment and/or interact with transaction leadership style to influence employee commitment in a developing country.

scholarly journals Effects of Leadership Styles on Quality of Health Services

2021 ◽  
Author(s):  
Denis Warri
Keyword(s):  
Transformational Leadership ◽  
Leadership Styles ◽  
Leadership Style ◽  
Health Workers ◽  
Critical Role ◽  
Quality Of Services ◽  
Research Attention ◽  
Quality Of Work ◽  
Transformational Leadership Style

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.

scholarly journals Transformational Leadership and Work Engagement in the Automotive Retail Industry: A Study of South Africa

2019 ◽  
Vol 12 (5) ◽  
pp. 133
Author(s):  
Abhinanda Gautam ◽  
Ebin -Enslin
Keyword(s):  
Transformational Leadership ◽  
Transactional Leadership ◽  
Leadership Style ◽  
Work Engagement ◽  
Sales Managers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Price Increases ◽  
Transformational And Transactional Leadership ◽  
Transformational Leadership Style

Real leadership is needed in the automotive industry’s competitive environment to guide subordinates so that they share goals, attitudes, values, and work towards the achievement of organisational strategies. Macroenvironmental changes such as the slowdown in the South African economy, labour unrest, high unemployment levels, a weakening currency, and new vehicle price increases have had a detrimental effect on automotive retailers and can be blamed partially for dealers struggling to reach targets in recent years. This perpetually fluctuating external environment promotes corresponding internal automotive dealership changes and strategies. This might mean changes to intangible resources like dealership processes, policies, procedures, or physical resources like people, demographics, materials and products. In both cases, strong leadership is required. The primary aim of this exploratory study was to determine whether sales managers exhibited a predominately transactional or transformational leadership style, and to understand current levels of work engagement of sales executives in motor dealerships’ new and used vehicle sales departments. A secondary aim was to examine the correlation between the prevailing leadership style (either transactional or transformational) of sales managers and the level of work engagement of sales executives. The research method included a formal quantitative, cross-sectional survey. Data was collected using questionnaires developed by international researchers in the field of transformational and transactional leadership and work engagement. The main findings of this research will contribute to current literature and knowledge relating to work engagement and its interdependence with transformational and transactional leadership.

scholarly journals Kualitas Kepemimpinan Bagi Masa Depan Perpustakaan Umum

1970 ◽  
Vol 1 (2) ◽  
pp. 120-127
Author(s):  
Dwi Wijatiningsih ◽  
Sri Rohyanti Zulaikha
Keyword(s):  
Transformational Leadership ◽  
Leadership Styles ◽  
Leadership Style ◽  
Public Libraries ◽  
Research Subject ◽  
Natural Context ◽  
Library Research ◽  
Transformational Leadership Style ◽  
Data Collection Technique

This study aims to determine the quality of leadership for public libraries. The research method used in this paper is qualitative. Qualitative research is a study that understands the phenomena about what is experienced by the research subject, the description uses words and language in a special natural context. The data collection technique used in this paper is the Library Research. The results of the discussion are the quality of a prospective library leader can be seen from the competencies of senior librarians, one of the appropriate leadership styles for public libraries is the transformational leadership style, and found 10 steps to become a quality leader.

scholarly journals Leadership Styles of Principals Based on Setting, Zone, and Location of Public Colleges of Education in Ghana

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Kweku Esia-Donkoh ◽  
◽  
David Kwame Quansah ◽  
Keyword(s):  
Leadership Styles ◽  
Leadership Style ◽  
Survey Design ◽  
Tertiary Education ◽  
Sampling Technique ◽  
Public Colleges ◽  
National Council ◽  
Colleges Of Education ◽  
Cross Sectional Survey ◽  
Cross Sectional

This study investigated the leadership styles of principals in public Colleges of Education (CoEs) in Ghana based on the setting, zone and location of the colleges. The quantitative method of the cross-sectional survey design was adopted for the study. The census sampling technique was employed to obtain 38 principals for the study. The Multifactor Leadership Questionnaire (MLQ) by Bass and Avolio (2004) was adapted to collect data from the principals. Means, standard deviation, t-test and ANOVA were utilised in analysing the data. The descriptive analysis established that generally, principals of public CoEs in Ghana mostly used transformational leadership style as compared to transactional and laissez-faire leadership styles. The inferential analyses also revealed that there were no statistically significant differences in the leadership styles of the principals based on setting, zone and location of the colleges. Among the recommendations is that the Ghana Tertiary Education Commission (GTEC), formerly known as the National Council for Teacher Education (NCTE), should consider competence when selecting and appointing principals and not the setting, zone and location of public CoEs because generally, these variables did not statistically significantly determine the leadership styles adopted by the principals.

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