Before and during COVID-19: the roles of transformational leadership, organizational culture and work-life balance in healthcare.

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES
Giancarlo Gomes, Gérson Tontini, Vania Montibeler Krause, Marianne Bernardes
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引用次数: 0

Abstract

Purpose: This research aims to investigate the role of transformational leadership and organizational culture - encompassing Clan, Adhocracy, Hierarchical and Market Cultures - in the context of work-life balance for healthcare workers. It aims to present a comparison of observations made pre and mid-pandemic.

Design/methodology/approach: A structured questionnaire was utilized to collect data from a varied sample of 355 employees (258 before and 97 during the pandemic) representing multiple sectors and positions within a hospital. The interpretation of the data was accomplished using Partial Least Squares Structural Equation Modeling (PLS-SEM).

Findings: Findings reveal that prior to the pandemic, transformational leadership significantly influenced all forms of organizational culture perceptions, with a strong influence on Clan Culture. Clan Culture displayed a consistent positive correlation with WLB both before and during the pandemic. During the pandemic, Market Culture exhibited a negative effect on WLB and Adhocracy Culture demonstrated a positive effect, impacts which were absent before the pandemic. Transformational leadership had a positive impact on WLB before the pandemic, but no discernible effect during the pandemic was observed.

Originality/value: The results indicate that the dynamics between transformational leadership, organizational culture and work-life balance are susceptible to alterations in the face of external crisis events. This study offers a unique exploration of these dynamics in the healthcare sector during the ongoing global pandemic.

COVID-19 之前和期间:变革型领导力、组织文化和工作与生活平衡在医疗保健中的作用。
目的:本研究旨在调查变革型领导力和组织文化(包括宗族文化、民主文化、等级文化和市场文化)在医护人员工作与生活平衡方面的作用。本研究旨在对大流行前和大流行中期的观察结果进行比较:采用结构化问卷调查的方式收集数据,样本包括 355 名员工(大流行前 258 名,大流行期间 97 名),他们代表了一家医院的多个部门和岗位。采用偏最小二乘法结构方程模型(PLS-SEM)对数据进行解释:研究结果表明,在大流行病发生之前,变革型领导对所有形式的组织文化感知都有显著影响,其中对宗族文化的影响最大。无论是在大流行之前还是期间,宗族文化都与 WLB 呈正相关。在大流行病期间,市场文化对 WLB 产生了负面影响,而专制文化则产生了正面影响,这些影响在大流行病之前是不存在的。在大流行之前,变革型领导对 WLB 有积极影响,但在大流行期间没有观察到明显的影响:研究结果表明,面对外部危机事件,变革型领导力、组织文化和工作与生活平衡之间的动态关系很容易发生变化。本研究对医疗保健行业在全球大流行期间的这些动态变化进行了独特的探索。
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来源期刊
CiteScore
3.20
自引率
7.10%
发文量
72
期刊介绍: ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.
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