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Leal Murillo S, Gutiérrez Arambula D, Gerber JF, Souto Higueras J, Simón Perez R. [Sistematic review on the influence of leadership style on job satisfaction of health professionals]. J Healthc Qual Res 2024:S2603-6479(24)00029-0. [PMID: 38744586 DOI: 10.1016/j.jhqr.2024.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Revised: 01/12/2024] [Accepted: 04/03/2024] [Indexed: 05/16/2024]
Abstract
INTRODUCTION AND OBJECTIVES Healthcare organisations are highly complex entities that live with a high risk of instability. In order to minimise this instability, interactions and personal relationships play a major role and accordingly the figure of the leader gains full significance. The leadership style used can produce different reactions and lead to multiple outcomes, including job satisfaction. The aim of the present review is to correlate leadership style with job satisfaction in healthcare professionals. MATERIAL AND METHODS A systematic review was carried out in BVS, Cochrane plus, CINAHL, ApaPsycinfo and Pubmed, selecting publications that mentioned leadership styles and job satisfaction in healthcare professionals. Publications search strategy were limited for the 5-10last years, full text availability and language of writing: English, French and Spanish. Review-type publications were excluded. Of the 1566 initial titles, 15 were selected for analysis. RESULTS AND CONCLUSIONS The transformational style showed the highest number of positive correlations, followed by the authentic and transactional styles. On the other hand, the passive and laissez-faire styles showed a negative correlation regardless of the professional category to which they belonged. The results of this study provide a starting point for adopting effective leadership styles to optimise the recruitment and training processes of staff in management and coordination roles.
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Affiliation(s)
- S Leal Murillo
- Servicio de Medicina Intensiva, Consorci Sanitari Alt Penedès-Garraf, Vilafranca del Penedès, Barcelona, España.
| | - D Gutiérrez Arambula
- Servicio de Medicina Intensiva, Consorci Sanitari Alt Penedès-Garraf, Vilafranca del Penedès, Barcelona, España
| | - J F Gerber
- Servicio de Medicina Intensiva, Consorci Sanitari Alt Penedès-Garraf, Vilafranca del Penedès, Barcelona, España
| | - J Souto Higueras
- Servicio de Medicina Intensiva, Consorci Sanitari Alt Penedès-Garraf, Vilafranca del Penedès, Barcelona, España
| | - R Simón Perez
- Dirección Área de Calidad y Organización, Consorci Sanitari Alt Penedès-Garraf, Vilafranca del Penedès, Barcelona, España
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Del Pilar Quiñones-Rozo L, Canaval-Erazo GE. Quality of work life for health professions in Colombia's adult critical care: An integrative analysis. BMC Health Serv Res 2024; 24:582. [PMID: 38702763 PMCID: PMC11071144 DOI: 10.1186/s12913-024-10780-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 02/25/2024] [Indexed: 05/06/2024] Open
Abstract
BACKGROUND Health professionals in Colombian and many parts of the world, in some cases, work in precarious conditions and intend to migrate to other countries in search of better living conditions for themselves and their families, which results in inadequate distribution worldwide and in the quality of care throughout the health system, which can ultimately influence the quality of life of patients in their health-disease processes. PURPOSE Describe in depth what quality of life at work is like for the health workforce in adult critical care (ACC). METHODS This is an investigation of convergent parallel mixed methods approach that are integrated by means of a matrix in terms of convergence, divergence, and complementarity. Two methods are used: a transversal analytical method in which three instruments were applied to 209 participants to study the relationship between Quality of Life at Work, exposure to psychosocial risks, compassion fatigue and the intention to rotate; other than from the experiences narrated by 10 Human Talent in Health explore organizational practices in critical care. RESULTS The dimension of quality of work life with the greatest dissatisfied was the management of free time (77%), the most compromised psychosocial risk was the pace of work (84%). They have high compassion satisfaction (67%) and there is an intention to migrate to another country (66%). The narrative results in discrimination/harassment as normalized practices and faceless spirituality. The integration of mixed methods shows convergence between the use of the instrument that measures quality of life at work and the narratives of the participants, complementarity with the other instruments, and divergence regarding the intention to rotate to another health institution. CONCLUSION The positive trend that converges with the two approaches is that of safety at work and well-being achieved through work, embodied in the constant updating of technology and care protocols, experience time, balance between salary and work effort, staffing and supplies, and disconnection with work.
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Xue B, Feng Y, Hu Z, Chen Y, Zhao Y, Li X, Yang Y, Zhang J, Zhang Y, Luo H. Assessing the mediation pathways: How decent work affects turnover intention through job satisfaction and burnout in nursing. Int Nurs Rev 2024. [PMID: 38193538 DOI: 10.1111/inr.12939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 12/22/2023] [Indexed: 01/10/2024]
Abstract
AIM This study aimed to assess the potential mediating roles of nurses' job satisfaction and burnout in the association between decent work and turnover intention. BACKGROUND There is a global challenge of nursing shortages in healthcare systems worldwide. Decent work is crucial for safeguarding the rights and professional development outcomes of nurses. However, there is currently limited research on decent work among nurses, and there is a lack of studies exploring the relationships between nurses' decent work, job satisfaction, burnout, and turnover intention. METHODS A cross-sectional survey design was employed with a sample of 460 nurses from three hospitals: The Affiliated Hospital of Hangzhou Normal University, Hangzhou Third People's Hospital, and Hangzhou Red Cross Hospital. The STROBE checklist was used. Mediation analysis using the PROCESS Macro was used to examine the relationships between decent work, job satisfaction, burnout, and turnover intention. RESULTS The results showed that nurses' perception of decent work directly influences their turnover intention. Additionally, these findings strongly support the role of job satisfaction and burnout as mediating factors in the relationship between decent work and turnover intention. CONCLUSIONS Decent work reduces nurse burnout and turnover intention of enhancing their job satisfaction. IMPLICATIONS FOR NURSING AND HEALTH POLICY This study's findings have important implications for healthcare organizations and policymakers. Recognizing the pivotal role of decent work in nurses' job satisfaction and well-being can guide the development of strategies to improve working conditions and reduce turnover rates. It is imperative for healthcare institutions to prioritize creating safe, supportive, and equitable work conditions for nurses, as this can contribute to higher job satisfaction and, subsequently, lower turnover rates.
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Affiliation(s)
- Bowen Xue
- Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
- School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Yaping Feng
- Affiliated Hospital of Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Zhiguo Hu
- Affiliated Hospital of Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Yaqian Chen
- School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Yihui Zhao
- School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Xin Li
- School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Yang Yang
- School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Jingxuan Zhang
- School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Yu Zhang
- School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Hong Luo
- Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
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Kurtović B, Bilješko Štrus I. Job Satisfaction and Associated Factors among Scrub Nurses: Beyond the Surface. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:7159. [PMID: 38131711 PMCID: PMC10743129 DOI: 10.3390/ijerph20247159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Revised: 11/14/2023] [Accepted: 12/07/2023] [Indexed: 12/23/2023]
Abstract
BACKGROUND Job satisfaction is essential, especially among healthcare professionals like scrub nurses, who often face unique professional challenges. This study aimed to evaluate job satisfaction and its related factors among scrub nurses, shedding light on areas of improvement and highlighting the positive aspects of their roles. METHODS A detailed study was conducted among a cohort of 31 scrub nurses using a 28-question survey. The questionnaire gauged various aspects of job satisfaction, from work conditions to professional growth opportunities. RESULTS Notably, the participants showed the least satisfaction with hazard allowances (1.8 ± 1.1) and break durations (1.9 ± 1.3). However, high satisfaction was observed regarding resource availability (3.9 ± 1.0) and the quality of protective equipment (3.7 ± 1.0). The data also revealed that those with 6-10 years of experience were the most satisfied (3.5), while those with 16-20 years were less content (2.7). CONCLUSION The study indicates the need for improvements in hazard allowances and break periods. Experience significantly influenced satisfaction, with mid-career nurses showing the highest contentment. Such insights can guide future policy and practice adjustments in healthcare settings.
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Affiliation(s)
- Biljana Kurtović
- Department of Nursing, University of Applied Health Sciences, 10000 Zagreb, Croatia
- Department of Nursing, Faculty of Health Studies, University of Rijeka, 51000 Rijeka, Croatia
| | - Ilijana Bilješko Štrus
- Instrumentation and Central Sterilization Unit, General Hospital Šibenik, 22000 Šibenik, Croatia;
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Colville G. Emerging from the long shadow of COVID-19. Nurs Crit Care 2023; 28:153-154. [PMID: 36843488 DOI: 10.1111/nicc.12893] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 01/27/2023] [Indexed: 02/28/2023]
Affiliation(s)
- Gillian Colville
- Consultant Clinical Psychologist, Population Health Research Institute, St George's, University of London, London, UK
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Timmins F, Green C, Parissopoulos S, Thompson DR. Management and leadership of intensive care units for the future. Nurs Crit Care 2023; 28:149-152. [PMID: 36843490 DOI: 10.1111/nicc.12892] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Accepted: 01/27/2023] [Indexed: 02/28/2023]
Affiliation(s)
- Fiona Timmins
- School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| | - Chloe Green
- School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| | - Stelios Parissopoulos
- Department of Nursing, School of Health and Care Sciences, University of West Attica, Athens, Greece
| | - David R Thompson
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
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McPherson K, Barnard JG, Tenney M, Holliman BD, Morrison K, Kneeland P, Lin CT, Moss M. Burnout and the role of authentic leadership in academic medicine. BMC Health Serv Res 2022; 22:627. [PMID: 35546236 PMCID: PMC9092784 DOI: 10.1186/s12913-022-08034-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2021] [Accepted: 04/27/2022] [Indexed: 11/10/2022] Open
Abstract
Background Recently, there has been increasing evidence that reducing burnout in healthcare providers requires significant organizational efforts that include the integration of leadership strategies. Methods Focus groups were conducted across four health systems within the University of Colorado Department of Medicine in four affinity groups (administrative staff, medical trainees, research faculty, and clinical faculty). Authentic leadership theory was used for analysis to advance the understanding of the role of leadership style upon participants’ work experiences and preferences, and to identify opportunities for translation of site-specific results to other academic medical settings. Results Study participants from each affinity group believed their clinical leaders lacked objectivity with decision-making (lacking “balancing processing”), which contributed to their overall feeling of powerlessness. The experience of increasing work demands was salient throughout all twelve focus groups, and participants identified leadership that interacted in a more open and self-disclosing manner (“relational transparency”) as alleviating at least some of this burden. Strong preference discernable alignment between their leaders’ decision-making and their internal moral compass of values (demonstrating “internalized moral perspective”) was described, as was clinical leaders demonstrating “self-awareness” (having a self-reflective process that informs the leader’s decision-making). Comparing affinity group experiences within each authentic leadership theory construct identified the relevance of contextual factors, such as work setting and roles, upon employees’ perceptions and expectations of their leaders. Conclusions Use of authentic leadership theory advanced the understanding of the association between leadership traits and experiences of burnout amongst a large group of academic clinicians, researchers, trainees, and administrative staff. Leadership styles that promoted relationship transparency, openness, and support were preferred and fostering these traits may help address the demands in academic medicine, including symptoms of burnout. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-022-08034-x.
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Affiliation(s)
- Katie McPherson
- Department of Medicine, Vanderbilt University, Nashville, TN, USA
| | - Juliana G Barnard
- Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado, Aurora, CO, USA.,Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA
| | - Martha Tenney
- Mined Insights Consulting LLC, Denver, CO, USA.,Department of Medicine, University of Colorado, Aurora, CO, USA
| | - Brooke Dorsey Holliman
- Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado, Aurora, CO, USA.,Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA
| | | | - Patrick Kneeland
- Department of Medicine, University of Colorado, Aurora, CO, USA.,Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, CO, USA.,Dispatch Health, Denver, CO, USA
| | - Chen-Tan Lin
- Department of Medicine, University of Colorado, Aurora, CO, USA
| | - Marc Moss
- Department of Medicine, University of Colorado, Aurora, CO, USA. .,Division of Pulmonary Sciences and Critical Care Medicine, Research 2, Box C272, 9th floor, 12700 E. 19th Avenue, Aurora, CO, 80045, USA.
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