Leadership in Health Services最新文献

{"title":"The relationship between inclusive leadership, organizational justice, work engagement and organizational citizenship behavior in healthcare workers.","authors":"Ayşe Akgerman, Duygu Gül, Betül Sönmez","doi":"10.1108/LHS-05-2024-0042","DOIUrl":"10.1108/LHS-05-2024-0042","url":null,"abstract":"<p><strong>Purpose: </strong>Based on social exchange theory, this study aims to determine the relationship between inclusive leadership in their managers and organizational justice perceived by healthcare workers and work engagement and organizational citizenship behavior.</p><p><strong>Design/methodology/approach: </strong>A cross-sectional and correlational study was performed by healthcare workers (<i>n</i> = 330) working in a city hospital for at least six months in Türkiye. Descriptive statistics, correlation and regression analysis were used in data analysis. The hypotheses were tested using Hayes' PROCESS macro (v4.1).</p><p><strong>Findings: </strong>It was determined that inclusive leadership had a positive significant effect on organizational justice, work engagement and organizational citizenship behavior; and organizational justice had a positive significant effect on work engagement and organizational citizenship behavior. In addition, it was found that work engagement also had a significant effect on organizational citizenship behavior. It was found that organizational justice had a partial mediating role between inclusive leadership and work engagement, while its mediating role between inclusive leadership and organizational citizenship behavior was not statistically significant. In addition, work engagement was found to have a partial mediating role in the effect of inclusive leadership on organizational citizenship behavior.</p><p><strong>Research limitations/implications: </strong>The limitations of this study can be summarized as follows: First, the data were collected from the employees in a hospital based on the self-reports of the participants. The fact that the study used a cross-sectional design limited the establishment of a causal relationship between variables. Since the study was planned during the COVID-19 period, the participants were reached through convenience sampling. Isolation measures due to the pandemic led to a lower response rate than expected. To reveal more generalizable results, it may be recommended to collect the data at different periods in future studies and to include different types of healthcare institutions.</p><p><strong>Practical implications: </strong>Inclusive leadership of the healthcare managers will lead to positive employee outcomes by preventing the disadvantages brought by internal conflict in the work environment.</p><p><strong>Originality/value: </strong>This study indicates that managers' inclusive leadership style will improve perceived organizational justice and work engagement and will lead employees to exhibit the desired extra-role behavior, such as organizational citizenship behavior.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":"192-210"},"PeriodicalIF":1.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of authentic leadership on nurses' well-being in Bangladeshi public hospitals.","authors":"Omar Faroque, Md Shamsul Arefin, Md Sahidur Rahman","doi":"10.1108/LHS-08-2024-0094","DOIUrl":"10.1108/LHS-08-2024-0094","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to test the nurses' authentic leadership's direct and indirect impact on job satisfaction and intent to stay through work-to-family conflict (WFC) in health-care organizations.</p><p><strong>Design/methodology/approach: </strong>Data were gathered at three different time points from 262 nurses employed in public hospitals across Bangladesh. Hierarchical regression analysis using structural equation modeling and PROCESS Macro were used to test the hypotheses.</p><p><strong>Findings: </strong>Findings disclosed that nurses' authentic leadership impacts job satisfaction, intention to stay and WFC. Moreover, WFC is identified as a mediator in the relationship between nurses' authentic leadership and job satisfaction and intent to stay.</p><p><strong>Research limitations/implications: </strong>Due to the cross-sectional nature of the study, it does not establish a causal relationship among the study variables.</p><p><strong>Practical implications: </strong>This research helps health-care managers understand the necessity of developing nurses' authentic leadership. By implementing training, development and mentoring programs, organizations can cultivate authentic leadership among the nurses' supervisors, which ensures higher job satisfaction and intention to stay.</p><p><strong>Originality/value: </strong>Although many studies exist on the influence of authentic leadership on nurses' work-related outcomes, still no study explored the relationship between authentic leadership and WFC. Moreover, the study explores the indirect effect of authentic leadership on job satisfaction and intent to stay through WFC, which was ignored in earlier studies.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":"280-298"},"PeriodicalIF":1.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pleasurable emotional states in health-care organizations: the mediation role of employee wellbeing on transformational leadership and job satisfaction.","authors":"Mahadih Kyambade, Afulah Namatovu","doi":"10.1108/LHS-06-2024-0052","DOIUrl":"10.1108/LHS-06-2024-0052","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to examine the association between transformational leadership, employee well-being and job satisfaction, focusing on the mediating role of employee well-being in the association between transformational leadership and job satisfaction.</p><p><strong>Design/methodology/approach: </strong>Data for this purpose were gathered by the authors through a questionnaire survey, with 180 employees at health center IV hospitals in Uganda serving as the sample. To test the theoretical model, a PROCESS Model Type 4 mediation analysis was performed.</p><p><strong>Findings: </strong>The findings demonstrate a slightly favorable association between transformational leadership and job satisfaction, transformational leadership is positively related to employee well-being as well as a positive association between employee well-being and job satisfaction. Moreover, the outcomes of the mediation analysis verify that employee well-being acts as a mediator in the association between transformational leadership and job satisfaction.</p><p><strong>Practical implications: </strong>Health-care organizations should invest in leadership training programs that develop transformational leadership skills. Leaders, who can inspire, intellectually stimulate and provide individualized consideration can significantly enhance employee well-being, which in turn boosts job satisfaction. Establish ongoing development initiatives to ensure that leadership skills remain sharp and evolve with changing health-care demands.</p><p><strong>Originality/value: </strong>This study adds to the body of knowledge in organizational behavior by examining the relationship in detail between transformational leadership, employee well-being and job satisfaction. In addition, this study was carried out in a developing nation, which might usually produce results that differ from those of studies carried out in developed nations.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":"299-317"},"PeriodicalIF":1.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What leadership qualities are required for Associate Psychological Practitioners in primary care networks?","authors":"Asira Bhikha, Kate Allsopp, Molly Lever, Miranda Budd, Brendan J Dunlop","doi":"10.1108/LHS-05-2024-0047","DOIUrl":"10.1108/LHS-05-2024-0047","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to identify leadership skills required for Associate Psychological Practitioners (APPs) working within primary care networks (PCNs).</p><p><strong>Design/methodology/approach: </strong>An online questionnaire about current leadership opportunities and skill set was sent to APPs and leadership staff (clinical leads, PCN managers and clinical supervisors). Semi-structured interviews were conducted with APPs and leadership staff and analysed using reflexive thematic analysis. Questionnaire and interview data were combined, and themes mapped onto three competency constructs (knowledge, skills and abilities and personal characteristics).</p><p><strong>Findings: </strong>The subthemes that were considered important leadership skills for APPs to possess included: knowledge of policies and procedures, shared vision and goals in PCNs and the roles, teams and connections within PCNs; skills in communication and partnership working, organisation and independence and the ability to reflect, adapt and challenge others; and personal characteristics such as assertiveness, confidence, resilience, being able to act in a professional and calm manner and to be engaged within their team and supportive of colleagues.</p><p><strong>Originality/value: </strong>Clinical implications to promote leadership skills and opportunities for APPs working within PCN settings include additional training in leadership skills, risk management and policies and procedures; increased team meetings to aid communication; and further research and evaluation to explore career progression for APPs.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":"173-191"},"PeriodicalIF":1.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A call for transforming physicians-as-administrators into professional hybrid medical leaders: insights from northern India.","authors":"Kamal Gulati, Julie Davies, Angel Rajan Singh","doi":"10.1108/LHS-07-2024-0058","DOIUrl":"10.1108/LHS-07-2024-0058","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to understand the non-clinical challenges of physicians in northern India and to re-imagine an alternative scenario of hybrid professional medical management and leadership where physicians enact roles as strategic boundary spanners.</p><p><strong>Design/methodology/approach: </strong>In this qualitative study, 30 in-depth semi-structured interviews were conducted with men and women physicians and thematically analysed.</p><p><strong>Findings: </strong>Physicians reported that they were unprepared formally for mainly ad hoc non-clinical responsibilities. Findings identified a range of six types of aspirational, willing, incidental, ambivalent, agnostic and actively resistant behaviours among physicians who were expected to undertake administrative, rather than strategic leadership tasks.</p><p><strong>Originality/value: </strong>To the best of the authors' knowledge, this study makes a novel theoretical contribution to the dearth of literature on medical leadership in a low-middle income South Asian country. By examining physicians' views on their non-clinical responsibilities, this study highlights the strategic potential for developing physicians formally as professional hybrid managers and leaders who effectively bridge medical and managerial domains beyond the current scenario of physicians operating as untrained administrators.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":"245-262"},"PeriodicalIF":1.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing turnover intentions and organizational justice on servant leadership: a validation of the servant leadership survey scale in sub-Saharan Africa.","authors":"Simon Nantamu, Adele Grazi, Sam Cromie","doi":"10.1108/LHS-05-2024-0048","DOIUrl":"10.1108/LHS-05-2024-0048","url":null,"abstract":"<p><strong>Purpose: </strong>Servant leadership, a form of holistic leadership, has been primarily explored in Western cultures. Consequently, there is a lack of understanding on whether servant leadership style is transferable to other cultures, posing a scientific but also ethical challenge in the leadership literature. The purpose of this study is to validate a servant leadership scale (Van Dierendonck and Nuijten, 2011) in the sub-Saharan region (specifically in Uganda) in the health care context. Furthermore, with the aim of improving quality of patient care, it explores the impact servant leadership has on organizational justice and employees' turnover intentions.</p><p><strong>Design/methodology/approach: </strong>The cross-sectional study gathered data from 13 public Regional Referral Hospitals in Uganda. After ethical approval, self-administered surveys were distributed in the 13 survey locations. The survey used standardized scales to measure servant leadership, organizational justice and employee turnover intentions. A total of 355 respondents completed the survey.</p><p><strong>Findings: </strong>Results of the confirmatory factor analysis supported six of the eight factors of the servant leadership scale. Furthermore, regression analysis showed a significant relation between servant leadership and organizational justice (<i>r</i> = 0.678; <i>p</i> < 0.01) and a negative relation between servant leadership and employee turnover intentions (<i>r</i> = -0.139; <i>p</i> < 0.01).</p><p><strong>Originality/value: </strong>This study brings an important contribution to the functionality of the servant leadership scale in a non-Western context. It also provides insight into the positive impact servant leadership style can have on health workers and patient care.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":"38 5","pages":"16-34"},"PeriodicalIF":1.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seeking consensus on physician leadership development in rural and remote Indonesian primary care settings: a Delphi study.","authors":"Fury Maulina, Mubasysyir Hasanbasri, Fedde Scheele, Jamiu O Busari","doi":"10.1108/LHS-03-2024-0027","DOIUrl":"10.1108/LHS-03-2024-0027","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to formulate a consensus on primary care physicians' leadership competencies tailored to Indonesia's rural and remote health systems using the LEADS framework. Effective physician leaders are essential in these settings; however, many physicians lack the necessary leadership qualifications due to insufficient training. From a medical education perspective, this issue is further compounded by the lack of consensus on leadership course content.</p><p><strong>Design/methodology/approach: </strong>The study used a mixed-method approach with a concurrent triangulation strategy. Concurrently, a two-round Delphi study and qualitative interviews were conducted. The Delphi study involved academics, rural and remote primary care physicians, intern doctors (similar to house officers), clerks and medical students and used descriptive analysis. Semi-structured interviews, guided by an interview guide, were analysed using inductive thematic analysis.</p><p><strong>Findings: </strong>From the initial 62 LEADS framework statements, the authors identified 52 physician leadership attributes in round 1 and 41 attributes in round 2. Qualitative interviews revealed three main themes: the significance of physician leadership, the physician leadership curriculum and its potential and impact.</p><p><strong>Originality/value: </strong>The study established consensus and provided scholarly insights into the leadership development necessary for primary care physicians in rural and remote areas. This is essential for developing Indonesia's medical leadership curriculum, with the ultimate goal of improving health outcomes in these settings.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":"101-135"},"PeriodicalIF":1.7,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First-line managers' experiences of and reflections on structural conditions for management practice in hospital settings.","authors":"Karin Lundin, Bernice Skytt, Marit Silén, Maria Engström, Annika Strömberg","doi":"10.1108/LHS-07-2024-0060","DOIUrl":"10.1108/LHS-07-2024-0060","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to describe first-line managers' (FLMs') experiences and reflections on structural conditions for management practice within hospital settings using Kanter's theory of structural empowerment.</p><p><strong>Design/methodology/approach: </strong>A qualitative deductive approach with a descriptive design was used. Interviews were conducted with 11 FLMs in charge of medical or surgical hospital units spread across Sweden. Data were analyzed using a directed content analysis, based on Kanter's theory of structural empowerment, encompassing such as access to necessary and sufficient resources, information, support and opportunities to learn and develop.</p><p><strong>Findings: </strong>Findings of this study from the FLMs' descriptions and reflections shed light on the impact of power dynamics on the structural conditions for management practice. The availability of nursing staff was a fundamental resource in the FLMs' work performance, ensuring delivery of care to patients and a sound work environment for staff. Additionally, the other structural elements outlined in Kanter's theory were evident in the findings, as the FLMs wished for structured information flow, identified potential and challenged opportunities for development and emphasized the importance of receiving support from people with a genuine understanding of their work situation.</p><p><strong>Originality/value: </strong>The results of this study contribute to the understanding of FLMs' structural conditions for management practice in hospital settings. The paper's originality stems from the use of a deductive approach, providing a structured lens with the potential to inform future research and practice in the field of health-care management.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contexts and complexities: a realist evaluation of integrated care system leadership.","authors":"Lisa Knight, Rafaela Neiva Ganga, Matthew Tucker, Adam P Shore, Steve Nolan","doi":"10.1108/LHS-06-2024-0051","DOIUrl":"10.1108/LHS-06-2024-0051","url":null,"abstract":"<p><strong>Purpose: </strong>This paper presents a realist evaluation of leadership within an integrated care system (ICS) in England. This paper aims to examine which aspects of leadership are effective, for whom, how and under what circumstances.</p><p><strong>Design/methodology/approach: </strong>Realist evaluation methodology was used, adopting prior realist review findings as the theoretical framework to refine explanations of how and why leadership within an ICS is effective. Between January and November 2023, 23 interviews with ICS leaders took place, alongside 7 meeting observations and documentary analysis. The Realist And Metanarrative Evidence Syntheses: Evolving Standards (RAMESES) guidance informed the study design, conduct and reporting.</p><p><strong>Findings: </strong>The findings highlight two overarching infrastructural contexts influencing leadership in ICSs: the impact of the post-COVID-19 pandemic legacy and the differences between health and social care regulatory and financial environments. Findings demonstrate that ICS leaders identified a strong sense of purpose as crucial for guiding decisions and creating a psychologically safe environment for open, honest discussions, fostering calculated risk-taking. Whilst a shared vision directed priority setting, financial pressures led to siloed thinking. Leadership visibility was linked to workforce morale, with supportive leadership boosting morale amidst evolving ICS landscapes and confidence in data-driven decisions supported prevention activities. However, financial constraints hindered responsiveness and innovation in addressing health inequalities.</p><p><strong>Originality/value: </strong>By examining ICS leadership post-COVID-19 pandemic and amidst varying regulatory and financial environments, this study contributes to the emerging literature on systems leadership and offers practical guidance for leaders navigating the complexities of integrated care.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":"ahead-of-print ahead-of-print","pages":"153-169"},"PeriodicalIF":1.7,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical leadership in health-care organizations - a scoping review.","authors":"Ankit Singh, Harshitha Vashist","doi":"10.1108/LHS-04-2024-0035","DOIUrl":"10.1108/LHS-04-2024-0035","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to explore the impact of EL style on key variables in health-care settings. Very few studies investigate the impact and outcomes of EL on health-care organizations. Synthesis of evidence will assist health-care leaders in making informed decisions about the outcomes they can expect from practicing EL.</p><p><strong>Design/methodology/approach: </strong>Arksey and O'Malley's five-stage framework is used for conducting the scoping review. The databases include Scopus, Emerald Insight and Web of Science.</p><p><strong>Findings: </strong>A total of 22 studies were finally considered for scoping review. The data are presented in terms of years, sampling techniques, sample size, data collection methods, and the directional relationship of the variables with EL.</p><p><strong>Practical implications: </strong>Managers should be trained in EL style as it promotes the sustainability of the environment and organizations. Furthermore, EL should be promoted in health-care organizations as it improves employee resilience and voicing behavior and reduces instances of adverse events and medication errors, thus making the hospital a better and safer place.</p><p><strong>Originality/value: </strong>This is one of the studies investigating the EL implications for health-care managers.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":"ahead-of-print ahead-of-print","pages":"136-152"},"PeriodicalIF":1.7,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}