Leadership styles and patient-centred care in tertiary hospitals
Keywords:
Transformational, emotional intelligent, individual consideration, PCC, PC, ES
Abstract
Underpinned by SERVQUAL, this paper extends research and theory on leadership by proposing and examining a theory-driven framework on the nexus between three relational-based leadership (transformational, emotional intelligence and individual consideration) and patient-centred care (PCC): physical comfort (PC) and emotional support (ES).The underlying philosophical paradigm for data collection was positivism and nomothetic explanation, given that the design was a cross-sectional survey. Opinions of 310 medical professionals in the two tertiary hospitals in Rivers State, Nigeria were randomly sampled from apopulation of 1675.Krejcie and Morgan’s table guided the scientific determination of the sample, Bowley’s model aided proportional allocation, and Structural Equation Modelling (SEM)aided by AMOS was the test statistic at 0.05 significance level.In order of significance, transformational leadership was found to boost the measures of PCC more than the two others though increase in emotional intelligence does not translate to a corresponding increase in ES, due to the objectivist tendencies of some medical professionals and the service pressures in tertiary hospitals. Implicit is that medical professionals should always improve transformational leadership; work on emotional intelligence and individual consideration by always differing in, and prioritizing, perspectives when addressing issues.
References
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Gefen, D., Straub, D. & Boudreau, M. (2000). Structural equation modeling and regression: guidelines for research practice. Communications of the Association for Information Systems, 4(7), 1–78.
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Goleman, D., Boyatzis, R. & McKee, A. (2002). Primal leadership: Realizing the power of emotional intelligence. Harvard Business School Press.
Guastello, S. & Jay,K. (2019). Improving the patient experience through a comprehensive performance framework to evaluate excellence in person-centred care. BMJ Open Quality, 8(-), e000737.
Hair Jr., Hult, G., Ringle, C. & Sarstedt, M. (2016). A primer on partial least squares structural equation modeling (PLS-SEM). UK: Sage Publications.
Hallinger, P. & Heck, R. (2010). Leadership for learning: Does collaborative leadership make a difference in school improvement? Educational Management Administration & Leadership 38(6), 654-678.
Hariri, H., Monypenny, R. & Prideaux, M. (2012). Principalship in an Indonesian school context: can principal decision-making styles significantly predict teacher job satisfaction? School Leadership & Management, 32(5), 453-471.
Havig, A., Skogstad, A., Veenstra, M. & Romøren, T. (2011). Leadership, staffing and quality of care in nursing homes: A multilevel approach. Journal of Clinical Nursing, 20(23-24), 3532-3542.
Health Facilities Scotland (2011). Fire Safety Policy for NHSS 2011 (scot.nhs.uk)
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Horng, E. & Loeb, S. (2010). New thinking about instructional leadership. Phi Delta Kappan, 92(3), 66-69.
Houser J. (2003). A model for evaluating the context of nursing care delivery. The Journal of nursing administration, 33(1), 39–47.
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Joshi, B. (2019). Leadership style paradigm shift in hospital industry: need of the day, in comparison with hospitality industry. Journal of Health Management, 21(1), 141-153.
Khairunnisa, P., & Nadjib, M. (2019). Effect of leadership style on service quality and job satisfaction among hospital nurses: A systematic review. The 6th International Conference on Public Health, 461–470.
Khoury, C. (2011). Nursing leadership from bedside to boardroom: A Gallup national survey of opinion leaders. The Journal of Nursing Administration, 41(7/8), 299-305.
Kimberlin, C. & Winterstein, A. (2008). Validity and reliability of measurement instruments used in research. American Journal of Health-system Pharmacy, 65 (23), 2276-2284.
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Kouzes, J. & Posner, B. (2013). The five practices of exemplary leadership: How ordinary people make extraordinary things happen. In Kessler, E. H., Encyclopedia of management theory (ed.). Sage.
Krejcie, R. & Morgan, D. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607-610.
Leithwood, K., Day, C., Sammons, P., Harris, A. & Hopkins, D. (2006). Successful school leadership what it is and how it influences pupil learning. National College for School Leadership, 1-115.
Likert, R. (1932). A technique for the measurements of attitudes. Archives of psychology, 140(22), 5-55.
Mahmoud, A., Ekwere, T., Fuxman, L.& Meero, A. (2019). Assessing patients’ perception of health care service quality offered by COHSASA-accredited hospitals in Nigeria. SAGE Open 9(2), 1-9.
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