scholarly journals Reflection on leadership behavior: potentials and limits in the implementation of stress-preventive leadership of middle management in hospitals – a qualitative evaluation of a participatory developed intervention

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Elena Tsarouha ◽  
Felicitas Stuber ◽  
Tanja Seifried-Dübon ◽  
Natalia Radionova ◽  
Susanne Schnalzer ◽  
...  
Keyword(s):  
Leadership Styles ◽  
Leadership Style ◽  
Leadership Behavior ◽  
Middle Management ◽  
Well Being ◽  
Leadership Role ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Stress Prevention ◽  
Organizational Barriers

Abstract Background Mental health and stress prevention aspects related to workplace in hospitals are gaining increasingly more attention in research. The workplace hospital is characterized by high work intensity, high emotional demands, and high levels of stress. These conditions can be a risk for the development of mental disorders. Leadership styles can hinder or foster work-related stress and influence the well-being of employees. Through leadership interventions, leaders may be encouraged to develop a stress-preventive leadership style that addresses both, the well-being of the leaders and of the subordinates. A comprehensive qualitative description of leaders’ experiences with interventions on the topic of stress-preventive leadership is yet missing in the literature. Therefore, we address leaders of middle management regarding the development of stress-preventive leadership styles through supporting interventions. The research questions are: How do leaders of middle management perceive their leadership role in terms of effectiveness in stress prevention? Which potentials and limits in the implementation of stress-preventive leadership are experienced? Methods The study follows a qualitative research design and content analysis. We conducted individual interviews with leaders of middle management (n = 30) of a tertiary hospital in Germany for the participatory development of an intervention. This intervention, consisting of five consecutive modules, addressed leaders of middle management in all work areas within one hospital. After participation in the intervention, the leaders were asked to reflect on and evaluate the implementation of the contents learned within focus group discussions. Overall 10 focus group discussions with leaders (n = 60) were conducted. Results The results demonstrate that leaders of middle management perceived potentials for a stress-preventive leadership style (e.g., reflection on leadership role and leadership behavior, awareness/mindfulness, and conveying appreciation). However, limits were also mentioned. These can be differentiated into self-referential, subordinate-related, and above all organizational barriers for the implementation of stress-preventive leadership. Conclusions Some of the organizational barriers can be addressed by mid-level leadership interventions (e.g., lack of peer-exchange) or possibly by adapted leadership interventions for top management (e.g., lack of stress-preventive leadership styles in top level management). Other organizational limits are working conditions (e.g., staff shortage) that can only be influenced by health policy decisions.

scholarly journals The School as an Arena for Co-Creating Participation, Equity, and Well-Being—A Photovoice Study from Norway

2021 ◽  
Vol 18 (16) ◽  
pp. 8252
Author(s):  
Camilla Ihlebæk ◽  
Camilla Castellan ◽  
Jenny Flobak ◽  
Jo Ese
Keyword(s):  
Human Resources ◽  
Essential Role ◽  
Well Being ◽  
Physical Factors ◽  
Ethnic Communities ◽  
Focus Group Discussions ◽  
School Employees ◽  
Group Discussions ◽  
Community Activities ◽  
Participatory Method

Schools may play an essential role as an arena for co-creating community activities that enhance well-being, equity, and citizenship. Still, there is limited knowledge about physical and non-physical factors that contribute to well-being within such approaches. The aim of this study was to identify important factors for well-being as perceived by pupils, school employees, and parents in a community school in Norway. The participatory method photovoice was used, and seven pupils, six employees, and four parents participated by taking photos used as the basis for six focus group discussions. Transcripts of the discussions were analyzed using Systematic Text Condensation. The analysis showed that the participants experienced that the school’s built and natural environment, the activities happening there, and the human resources and organization at the school facilitated perceptions of safety, inclusion, and cohesion, which in turn contributed to well-being. Furthermore, the results showed that co-creating schools as a community arena could be an innovative way of ensuring participation, equity, and well-being in the community. Such an approach might be especially important in deprived areas or in multi-ethnic communities. An important prerequisite to succeed is the openness of the school’s staff to engage in co-creation with other stakeholders in the community.

Sexual and Reproductive Health Information and Experiences Among Syrian Refugee Adolescent Girls in Lebanon

2021 ◽  
Vol 31 (5) ◽  
pp. 983-998
Author(s):  
L’Emira Lama El Ayoubi ◽  
Sawsan Abdulrahim ◽  
Maia Sieverding
Keyword(s):  
Reproductive Health ◽  
Adolescent Girls ◽  
Sexual And Reproductive Health ◽  
Well Being ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Syrian Refugee ◽  
Entry Points ◽  
Depth Interviews ◽  
Source Of Information

Providing adolescent girls with sexual and reproductive health (SRH) information protects them from risks and improves their well-being. This qualitative study, conducted in Lebanon, examined Syrian refugee adolescent girls’ access to SRH information about and experiences with puberty and menarche, sex, marriage, contraception, and pregnancy. We gathered data through three focus group discussions (FGDs) with unmarried adolescent girls, 11 in-depth interviews with early-married adolescents, and two FGDs with mothers. Our findings highlighted that adolescent participants received inadequate SRH information shortly before or at the time of menarche and sexual initiation, resulting in experiences characterized by anxiety and fear. They also revealed discordance between girls’ views of mothers as a preferred source of information and mothers’ reluctance to communicate with their daughters about SRH. We advance that mothers are important entry points for future interventions in this refugee population and offer recommendations aimed to improve adolescent girls’ SRH and rights.

To dictate or collaborate? A phenomenological exploration of physiotherapists’ leadership styles

BMJ Leader ◽  
2021 ◽  
pp. leader-2020-000403
Author(s):  
Victoria Smith ◽  
Claire Maxwell ◽  
Lisa Robinson
Keyword(s):  
Leadership Styles ◽  
Well Being ◽  
Leadership Role ◽  
Future Research ◽  
Semistructured Interview ◽  
Team Leaders ◽  
Framework Analysis ◽  
North East ◽  
The North ◽  
Health And Social Care

ObjectivesSelection of effective leadership styles within healthcare is linked to high quality, safe care for patients. Within the literature attention has been given to medical and nursing professions, failing to acknowledge the contribution made by physiotherapy leaders. This study aims to consider the leadership styles used by physiotherapists in a designated leadership role, specifically exploring the barriers they face and the strategies employed to overcome current leadership dilemmas.DesignA qualitative, phenomenological design was used. Consent was obtained from each participant for one semistructured interview which was audio recorded and transcribed verbatim. Framework analysis was used to analyse the data.SettingA large National Health Service Foundation Trust within the North East of England.ParticipantsA purposive sample of ten physiotherapy team leaders.ResultsThe theoretical leadership framework that emerged demonstrated the daily tensions experienced by physiotherapy team leaders in regard to being a transactional or transformational leader. Within this, three superordinate themes exist: the individual, the team and the organisation and beyond. Each theme contained barriers and enablers which related to transactional and transformational leadership styles, respectively.ConclusionsThe framework identified gives insight into a group of clinical leaders not yet explored and provides a foundation for the development of leadership behaviours throughout physiotherapy. These clinicians should be supported by senior leaders to develop more transformational styles which have the potential to impact on staff well-being and patient care. Future research should compare these findings with studies involving larger sample sizes that span the health and social care system.

scholarly journals Leadership Styles of Hospital Nurses: Impacts on the Work Process and Organizational Climate

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Abi Rached CD
Keyword(s):  
Organizational Climate ◽  
Leadership Styles ◽  
Leadership Style ◽  
Well Being ◽  
Hospital Environment ◽  
Hospital Nurses ◽  
Work Process ◽  
Corporate World ◽  
Autocratic Leadership ◽  
Nursing Professionals

Introduction: The kinds of leadership have been discussed not only in academia but in the corporate world. It has been observed that some types have negatively influenced the organizational environment and the work process. Objective: To analyze the leadership practiced by nursing professionals within the hospital environment and their impacts on the work process and organizational climate. Methods: This is a scoping review whose objective was to map the main concepts about leadership styles and influence, examining and summarizing the existing research gaps. The following databases were used: MEDLINE, LILACS, IBESCS, PUBMED, and ENDENF. Results: Twenty nine articles were selected. The autocratic leadership style was the most cited as unfavorable for maintaining a favorable organizational climate for workers' welfare. Conclusion: It is believed that the leadership practiced by the nurse influences positively or negatively on the corporate environment and well-being at work.

The Differences in Leadership Styles Among Generations

2021 ◽  
pp. 316-334
Author(s):  
İlkay Öztürk ◽  
Merve Evrim İkiler
Keyword(s):  
Focus Group ◽  
Leadership Styles ◽  
Automotive Industry ◽  
Work Values ◽  
Work Attitudes ◽  
Generational Cohort ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cohort Groups

Studies show that there are differences among generations in terms of characteristics and work attitudes and values, and these differences in their work values and attitudes as well as their characteristics affect their leadership styles at the workplaces. However, little research has been produced from the perspective of leaders. This research's purpose of the project is to set forth whether the leaders in different generations are adapting different leadership styles according to the generations or not in order to be successful during their leadership. The study was conducted in automotive industry in Turkey. Two mixed focus group discussions were conducted with leaders representing each generational cohort groups. The study's results support that there are more differences than the similarities among the generations, which is in compliance with many studies conducted by the researchers. Also, the leaders tend to adapt different leadership styles according to the generations of their subordinates.

scholarly journals Landlords’ and Compound Managers’ Role in Improving and Sustaining Shared Latrines in Three Dhaka City Slums

Water ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 2073
Author(s):  
Farzana Yeasmin ◽  
Mahbubur Rahman ◽  
Stephen P Luby ◽  
Jyoti Bhushan Das ◽  
Farzana Begum ◽  
...  
Keyword(s):  
Leadership Role ◽  
Organizational Changes ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Hygiene Practices ◽  
Sanitation And Hygiene ◽  
Key Informant ◽  
Improved Sanitation ◽  
Depth Interviews

(1) Background: Residents of Dhaka slums frequently lack clean and functional shared latrines. We explored the role of landlords and compound managers in promoting latrine cleanliness in the intervention arm of a randomized trial; (2) Methods: We conducted focus group discussions, key informant interviews, and in-depth interviews with community health promoters, landlords, and compound managers to better understand the decision-making process, barriers to contributing to sanitation, and cleanliness of shared latrines. (3) Results: Landlords’ and compound managers’ engagement in promoting clean and functional latrines depended, in part, on their own proximity to the properties they own and manage. The compound managers played a leadership role through engagement with health promoters, oversight of implementation of a cleaning schedule, and support for installation and maintenance of sanitation hardware, resulting in improved sanitation practices; (4) Conclusions: Interventions in slums in Bangladesh should consider engaging landlords and compound managers in efforts to bring about structural and organizational changes to support the adoption of improved water, sanitation, and hygiene practices.

Fluid leadership in dynamic contexts

2015 ◽  
Vol 21 (1) ◽  
pp. 98-113 ◽  
Author(s):  
Christopher H. Thomas ◽  
Andrew S. Hebdon ◽  
Milorad M. Novicevic ◽  
Mario J. Hayek
Keyword(s):  
Leadership Styles ◽  
Leadership Style ◽  
Leadership Behaviors ◽  
Qualitative Comparative Analysis ◽  
Leadership Role ◽  
Repeated Treatment ◽  
Organizational Leaders ◽  
Theoretical Frameworks ◽  
Content Type ◽  
Effective Leader

Purpose – The purpose of this study is to examine an historical account of an effective leader who was able to draw from multiple styles of leadership, and choose a dominant style based upon contextual constraints and demands context, and subordinate behaviors associated with leadership styles not suited to the context. Design/methodology/approach – To identify his prominent style at each leadership episode, we critically analyzed Nehemiah’s leadership role transitions across 13 chapters of text using sociohistorical method and a quasi-repeated treatment design via qualitative comparative analysis. Findings – We found that Nehemiah adapted his behaviors such that his prominently displayed leadership style varied based on dynamic configurations of demands placed on him during his rebuilding efforts. As Nehemiah progressed through distinct stages of his mission, he differentially emphasized tactics associated with different styles of leadership in response to the contextual demands that were most salient during each stage. Practical implications – Organizational leaders are presented with evidence that developing a broad repertoire of leadership behaviors is essential to guiding followers within dynamic environments. Originality/value – This paper uses a novel historical source material to investigate contemporary leadership concepts grounded in established theoretical frameworks. Using this material, we demonstrate the applicability of various leadership styles within different contexts, and use Nehemiah as an illustration of an effective leader capable of fluidly enacting multiple leadership styles.

scholarly journals An Empirical Exploration of the Capabilities of People with Disabilities in Coping with Disasters

2020 ◽  
Vol 11 (5) ◽  
pp. 602-614 ◽  
Author(s):  
Khanh That Ton ◽  
J C Gaillard ◽  
Carole Adamson ◽  
Caglar Akgungor ◽  
Ha Thanh Ho
Keyword(s):  
Capability Approach ◽  
People With Disabilities ◽  
Well Being ◽  
Case Study Approach ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Study Approach ◽  
Study Sites ◽  
The Capability Approach

Abstract While the capability approach is increasingly being adopted for evaluating well-being and social justice in the field of human development, this approach in disaster research has remained scarce. This research thus seeks to address the disaster risk that humans face through a lens of capabilities, with a focus on the lives of people with disabilities. A multi-case study approach was adopted and two rural communes in Vietnam were selected as study contexts. Data were collected using focus group discussions and interviews that involved people with disabilities, parents/caregivers of people with intellectual/psychosocial disabilities, and representatives from related organizations. It was found that people with disabilities are affected by disasters due to the lack of capabilities that they value in coping with disasters. A range of capabilities that people with disabilities value was revealed in the study sites, with many being valued not only in times of disasters but also in daily life. The findings also highlight that, to actualize their valued capabilities, people with disabilities need access not only to resources but also to the factors that enable them to convert the resources to their valued capabilities. In most cases, the limitations to the achievement of capabilities are related to the external environment.

scholarly journals Stakeholder Perceptions of the Challenges to Racehorse Welfare

Animals ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. 363 ◽  
Author(s):  
Deborah Butler ◽  
Mathilde Valenchon ◽  
Rachel Annan ◽  
Helen R. Whay ◽  
Siobhan Mullan
Keyword(s):  
Focus Group ◽  
Detrimental Effect ◽  
Well Being ◽  
Employee Attitudes ◽  
Employee Relations ◽  
Staff Retention ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Health Related ◽  
Mental Well Being

The purpose of this paper is to highlight some of the key challenges to racehorse welfare as perceived by racing industry stakeholders. The paper draws upon statements and transcripts from 10 focus group discussions with 42 participants who were taking part in a larger study investigating stakeholders’ perceptions of racehorse welfare, which participants recognised as maintaining the physical and mental well-being of a performance animal. Analysis of the 68 statements participants identified as challenges produced nine themes. Among these, 26% (18 statements) of the challenges were health related, whilst 41% (28 statements) focused on the effect staff shortages were having on the racing industry. Staff shortages were perceived as affecting standards of racehorse care and the opportunity to develop a human–horse relationship. Poor employee relations due to a lack of recognition, communication and respect were perceived as having a detrimental effect on employee attitudes, behaviour and staff retention which, in turn, can have a sequential effect on the welfare and health of horses in training. Although the number of challenges produced is small (68), they emphasise the perceptions of stakeholders closely associated with the racing industry.

Enhancing Employee Self-Care

2018 ◽  
Vol 25 (3) ◽  
pp. 96-106 ◽  
Author(s):  
David Horstmann
Keyword(s):  
Leadership Style ◽  
Structural Equation ◽  
Leadership Behavior ◽  
Self Care ◽  
Well Being ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Personal Initiative ◽  
Employee Burnout ◽  
Study Results

Abstract. The present study investigates the relationship between health-specific leadership and employee burnout. Health-specific leadership is a domain-specific leadership style that is characterized by the focus of leaders on employee well-being and their intentional support of employee health. Following the theory, I argue that managers influence employee burnout not only directly but also indirectly by encouraging employees to take care of their own health. Further, I extend the scope of previous research and argue that managers’ personal initiative acts as a moderator for health-specific leadership; as indicated by previous research, proactivity is crucial for effective leadership behavior. A cross-sectional questionnaire study (n = 525) was conducted. Health-specific leadership, managers’ personal initiative, employee self-care, and employee burnout symptoms have been measured. A moderated mediation was tested using structural equation modeling. The findings confirm a positive relationship between health-specific leadership and employee burnout. As expected, this relationship is partially mediated by employee self-care. Managers’ personal initiative shows an interaction effect on employee self-care but not on burnout symptoms. The study results verify the concept of health-specific leadership and highlight the importance of proactive leadership behavior as a facilitator for health-specific leadership. Finally, implications for leadership research and practice are provided.

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