scholarly journals Leadership Styles and Staff Satisfaction in Four Nursing Homes: Implications for Service Delivery

2000 ◽  
Author(s):  
Carol Nightengale
Keyword(s):  
Nursing Homes ◽  
Service Delivery ◽  
Leadership Styles ◽  
Staff Satisfaction

scholarly journals The Impact of Leadership Styles on Quality and Financial Performance in High Medicaid Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 679-679
Author(s):  
Justin Lord ◽  
Akbar Ghiasi ◽  
Ganisher Davlyatov ◽  
Robert Weech-Maldonado
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Financial Performance ◽  
Leadership Styles ◽  
Secondary Data ◽  
Trade Offs ◽  
Autocratic Leadership ◽  
Resource File ◽  
Composite Scores ◽  
The Impact

Abstract This study examined the association between leadership styles (autocrat, consultative autocrat, consensus manager, and shareholder manager) and resident quality and financial performance in under-resourced nursing homes. Survey data from 391 Directors of Nursing were merged with secondary data from LTCFocus, Area Health Resource File, Medicare Cost Reports, and Nursing Home Compare. Two multivariate regressions were used to model the relationship between leadership styles and the dependent variables: nursing home star ratings (1-5) and operating margin. The independent variables were composite scores for leadership styles, while control variables included organizational and county-level factors. Results show that compared to autocratic leadership, the consultative autocrat (solicits feedback but has total authority) was associated with lower quality (p < 0.05), while the consensus manager (delegates authority to the group) was associated with lower profit margin (p < 0.05). Under-resourced facilities need to recognize trade-offs of different decision making styles for performance.

Staff perceptions of primary healthcare service change: influences on staff satisfaction

2014 ◽  
Vol 38 (5) ◽  
pp. 580 ◽  
Author(s):  
Rachel Tham ◽  
Penny Buykx ◽  
Leigh Kinsman ◽  
Bernadette Ward ◽  
John S. Humphreys ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Delivery ◽  
Health Outcomes ◽  
Population Health ◽  
Primary Healthcare ◽  
Visionary Leadership ◽  
Staff Satisfaction ◽  
Primary Health ◽  
Service Change

Strong primary healthcare (PHC) services are efficient, cost-effective and associated with better population health outcomes. However, little is known about the role and perspectives of PHC staff in creating a sustainable service. Staff from a single-point-of-entry primary health care service in Elmore, a small rural community in north-west Victoria, were surveyed. Qualitative methods were used to collect data to show how the key factors associated with the evolution of a once-struggling medical service into a successful and sustainable PHC service have influenced staff satisfaction. The success of the service was linked to visionary leadership, teamwork and community involvement while service sustainability was described in terms of inter-professional linkages and the role of the service in contributing to the broader community. These factors were reported to have a positive impact on staff satisfaction. The contribution of service delivery change and ongoing service sustainability to staff satisfaction in this rural setting has implications for planning service change in other primary health care settings. What is known about this topic? Integrated PHC services have an important role to play in achieving equitable population health outcomes. Many rural communities struggle to maintain viable PHC services. Innovative PHC models are needed to ensure equitable access to care and reduce the health differential between rural and metropolitan people. What does this paper add? Multidisciplinary teams, visionary leadership, strong community engagement combined with service partnerships are important factors in the building of a rural PHC service that substantially contributes to enhanced staff satisfaction and service sustainability. What are the implications for practitioners? Understanding and engaging local community members is a key driver in the success of service delivery changes in rural PHC services.

scholarly journals The Impact of Leadership Styles on Quality and Financial Performance in High Medicaid Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 22-22
Author(s):  
Justin Lord ◽  
Ganisher Davlyatov ◽  
Akbar Ghiasi ◽  
Robert Weech-Maldonado
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Financial Performance ◽  
Leadership Styles ◽  
Reference Group ◽  
Secondary Data ◽  
Income Poverty ◽  
Trade Offs ◽  
Autocratic Leadership ◽  
The Impact

Abstract This study examines the association between leadership styles on resident quality and financial performance in under resourced nursing homes (70% or higher Medicaid census). The Bonoma/Slevin leadership model was used to classify managers into four categories, autocrat, consultative autocrat, consensus manager, and shareholder manager. Survey data from 391 nursing home directors (response rate of 37%) from 2017- 2018, were merged with secondary data from LTCFocus, Area Health Resource File, Medicare Cost Reports, and Nursing Home Compare. Two models were ran to examine the effect of leadership styles on the dependent variable(s) nursing home STAR data (quality) and operating margin (financial performance). The independent variables were composite scores for leadership styles, with autocrat as the reference group. Control variables included organizational (ownership, chain affiliation, size, occupancy, payer mix, staffing, and race/ethnicity), and county factors (Medicare Advantage penetration, per capita income, poverty, education, unemployment, and competition). Multivariate regression was used to model the relationship between leadership styles and nursing home quality and financial performance. The consultative autocrat was associated with lower quality (p < 0.05), while the consensus manager was associated with lower profit margin (p < 0.05), as compared to autocratic leadership. The consultative autocrat, who solicits information from the staff yet still makes all significant decisions, is associated in lower quality; however, a consensus manager, who delegates their authority to the group, is associated with lower financial performance. Under-resourced nursing homes who face dual pressures need to recognize trade-offs of different decision making styles for quality and financial performance.

scholarly journals Leadership styles and leadership outcomes in nursing homes: a cross-sectional analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Joris Poels ◽  
Marc Verschueren ◽  
Koen Milisen ◽  
Ellen Vlaeyen
Keyword(s):  
Transformational Leadership ◽  
Nursing Homes ◽  
Leadership Styles ◽  
Full Range ◽  
Future Research ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Cross Sectional Analysis ◽  
Passive Avoidant ◽  
Sectional Analysis

Abstract Background Although leadership is considered as a key factor in health care, leadership styles and outcomes in nursing homes often remain a black box. Therefore, this study explored leadership styles and leadership outcomes of head nurses and directors of nursing (DoN) in nursing homes based on well-defined leadership concepts. Methods A multicenter cross-sectional analysis was conducted on baseline data of an ongoing cohort study comprising a convenience sample of nursing home staff (n = 302). Leadership styles and leadership outcomes of head nurses and DoN were measured through the rater form of the Multifactor Leadership Questionnaire 5X (MLQ-5X). Based on the Full Range of Leadership Model, the MLQ-5X visualizes transformational (relation and change focused), transactional (task-focused) and passive-avoidant (absence of leadership) leadership styles. Scores of head nurses and DoN for leadership styles and outcomes were compared with European Reference Scores (ERS) using two-sided one-sample t-tests. Results Compared with ERS, head nurses and DoN scored significantly lower (p < 0.001) on transformational and transactional leadership styles and significantly higher (p < 0.001) on passive-avoidant leadership styles. All leadership outcomes were significantly lower (p < 0.001) for head nurses. Similar results, however not statistically significant, were found concerning leadership outcomes of DoN. Conclusions Results indicate that passive-avoidant leadership styles are excessively present in contrast to transformational leadership styles in nursing homes. This highlights an urgent need to invest in leadership development. Therefore, future research should focus on interventions for the development of transformational leadership.

scholarly journals Establishing common leadership practices and their influence on providers and service delivery in selected hospitals in Lusaka province, Zambia

2018 ◽  
Vol 9 (3) ◽  
Author(s):  
Regina M. Mulenga ◽  
Selestine Nzala ◽  
Wilbroad Mutale
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Health System ◽  
Patient Care ◽  
Leadership Styles ◽  
Transactional Leadership ◽  
Leadership Practices ◽  
Healthcare Providers ◽  
Hospital Performance ◽  
Quality Health

In an evolving health care environment, hospitals need managers with high levels of technical and professional expertise who do not only concentrate on patient care, but also go further to demonstrate good leadership practices. In Zambia, the health sector’s mission is “to provide equity of access to cost-effective quality health services as close to the family as possible”. Only competent leadership can drive such an agenda. This study, conducted in selected 1st level Lusaka hospitals aimed at establishing the existing common leadership practices and their influence on healthcare providers and service delivery. The study employed a cross-sectional qualitative research method design, to establish and examine the leadership practices through 10 health system managers and 32 healthcare providers. The data was obtained using in-depth interviews, focus group discussion, participant observation and document review. Data analysis was done by first transcribing audio-recorded interviews and grouping them into data sets (matrixes) where emerging themes were categorized manually. The information obtained assisted in making conclusions and interpretations by providing eminent explanations pointing to specific leadership styles and influence caused on healthcare providers and service delivery. The common leadership practices obtained in this study was the transformational leadership followed by transactional leadership while laissez-faire was rare type of leadership. This conclusion was arrived at through the practices that were pointing to transformational and transactional leadership as preferred by the leaders and perceived or experienced by providers. These practices were explained as networking, interpersonal relationships, human/material resources management, monitoring and evaluation, dictatorial tendencies and overworking of employees. Furthermore, these practices were seen to have strong influence on healthcare providers through enhanced confidence, motivation for hard work and compromised quality of care. The resultant impact on service delivery was high quality performance as well as poor performance. Leadership styles affect employees’ commitment, motivation, satisfaction, extra effort and efficiency. This in turn has a bearing on performance and directly or indirectly influences patient care and its quality. Health system managers have a significant role in using leadership styles that promote good practice. It can be safely concluded that hospital performance and quality health care delivery services is a product of several factors. The analysis of leadership practices in this study shows two of the factors influencing hospital performance. The first factor is the effectiveness of leaders within the hospital and secondly the dedication, motivation, commitment and performance of employees that will improve health care services.

scholarly journals Knitting the Web of Leadership Styles and Strategies on Service Delivery and Economic Wellbeing of Citizens in the Nigerian Fourth Republic

2021 ◽  
Vol 11 (2) ◽  
pp. 24
Author(s):  
Matthew Funsho Bello ◽  
Kajo Aondohemba Emmanuel
Keyword(s):  
Service Delivery ◽  
Leadership Styles ◽  
21St Century ◽  
Standard Error ◽  
Positive Relationship ◽  
P Value ◽  
Public And Private ◽  
Secondary Sources ◽  
Correlation And Regression Analysis ◽  
Level Of Significance

This study centres on the Nigerian experience in leadership styles and strategies in the 21st century. This study covers 1999-2020. The population of the study is the entire staff of the 43 Federal Ministries in Abuja, Nigeria. The sample size was two hundred and thirty-six (236) respondents. The study adopted both primary and secondary sources of data, correlation and regression analysis were used to determine the existing relationship using SPSS Package. The findings revealed that a positive relationship exists between leadership styles and strategies and service delivery to citizens, but not significant in achieving service delivery with the standard error of 1.240, and a p-value of 0.387 which is greater than 0.05(5%) level of significance. The second finding also reveals that, there is a positive relationship between leadership styles and strategies and the economic wellbeing of citizens in Nigeria but not significant in achieving the economic wellbeing of citizens with the standard error of 2.312, and a p-value of 0.673 which is greater than 0.05(5%) level of significance. The study concluded that, the different leadership styles and strategies to be adopted are based on the prevailing situation the leader finds him or herself. The study recommended that government should from time to time organize leadership seminars and workshops for leaders at all levels both in the public and private sectors with a view to educating them on the need for quality leadership and the provision of service delivery for citizens’ wellbeing in the 21st century in Nigeria.

scholarly journals Leadership as Interpreneurship: A Disability Nonprofit Atlantic Canadian Profile

2020 ◽  
Vol 8 (1) ◽  
pp. 182-192 ◽  
Author(s):  
Mario Levesque
Keyword(s):  
Service Delivery ◽  
Leadership Styles ◽  
Communication Skills ◽  
Vulnerable Populations ◽  
Qualitative Interviews ◽  
Voluntary Organizations ◽  
Collective Response ◽  
The Face ◽  
Nonprofit Leaders

The entrenchment of the neoliberal state and rise of populist leaders has marginalized the role of voluntary organizations in society. This presents significant challenges for nonprofit leaders in economically challenged areas as it erodes their ability to protect and serve vulnerable populations. Attention turns to maintaining hard fought gains at the expense of making progress. Yet doing so requires new skills and leadership styles to manage organizational change where innovation and transformation are key. Based on 42 qualitative interviews with disability nonprofit leaders in Atlantic Canada, our study aims to characterize this transformation. Using Szerb’s (2003) key attributes of entrepreneurship that distinguish between entre-, intra-, and <em>inter</em>preneurs, we find disability leaders have become <em>inter</em>preneurs. We find a strong emphasis on networked service delivery underscoring shared goals, risks and responsibilities, and resources. For disability leaders, cultivating relationships and strong communication skills are essential. In the face of populist desires for state retrenchment, we question how long this collective response can hold given ongoing economic challenges.

A Classroom Sign Communication Program for the Severely Handicapped

1981 ◽  
Vol 12 (4) ◽  
pp. 233-239
Author(s):  
Linda Goodman ◽  
Robin Kroc
Keyword(s):  
Service Delivery ◽  
Speech Language Pathologist ◽  
Communication Program ◽  
Severely Handicapped

This article describes a strategy used to teach sign communication to severely handicapped students in the classroom. It recommends that the speech-language pathologist adopt a consultant role in service delivery.

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