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Leksy K, Gawron G, Rosário R, Sormunen M, Velasco V, Sandmeier A, Simovska V, Wojtasik T, Dadaczynski K. The importance of school leaders in school health promotion. A European call for systematic integration of health in professional development. Front Public Health 2024; 11:1297970. [PMID: 38249376 PMCID: PMC10797775 DOI: 10.3389/fpubh.2023.1297970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 11/27/2023] [Indexed: 01/23/2024] Open
Abstract
School leaders such as principals are key not only for educational and school quality but also for initiating and sustainably anchoring any innovation in schools. Although there is widespread agreement about the importance of holistic approaches to school health promotion, the role of principals has received increased, but not yet systematic, attention. In this context, it is unclear which leadership competencies are needed and to what extent they are taught. Hence, this paper aims to reflect whether and to what extend health promotion plays a role in preservice and inservice training of principals in Europe. Based on the results we call for a more systematic analysis of existing teaching opportunities and teaching needs for health-promoting leadership, the development of a European competence framework for health-promoting leadership, the development and implementation of a European system that monitors and evaluates the effectiveness of those preservice and inservice training programs, and the development of case-studies to stimulate a mutual learning process.
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Affiliation(s)
- Karina Leksy
- Department of Social Science, Institute of Pedagogy, University of Silesia, Katowice, Poland
| | - Grzegorz Gawron
- Department of Social Science, Institute of Sociology, University of Silesia, Katowice, Poland
| | - Rafaela Rosário
- School of Nursing, University of Minho, Braga, Portugal
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra, Braga, Portugal
- Research Centre in Nursing, School of Nursing, University of Minho, Braga, Portugal
| | - Marjorita Sormunen
- Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
| | - Veronica Velasco
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | | | - Venka Simovska
- Danish School of Education, Aarhus University, Copenhagen, Denmark
| | - Tomasz Wojtasik
- Regional In-Service Teachers Training Centre Metis in Katowice, Katowice, Poland
| | - Kevin Dadaczynski
- Department of Health Sciences, Fulda University of Applied Science, Fulda, Germany
- Center for Applied Health Science, Leuphana University Lueneburg, Lueneburg, Germany
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Mao B, Kanjanarat P, Wongpakaran T, Permsuwan U, O’Donnell R. Factors Associated with Depression, Anxiety, and Somatic Symptoms among International Salespeople in the Medical Device Industry: A Cross-Sectional Study in China. Healthcare (Basel) 2023; 11:2174. [PMID: 37570414 PMCID: PMC10419137 DOI: 10.3390/healthcare11152174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 07/12/2023] [Accepted: 07/27/2023] [Indexed: 08/13/2023] Open
Abstract
BACKGROUND The physical and mental health of corporate employees is equally important, especially for international salespeople in the in vitro diagnostic (IVD) medical device industry. The rapid growth of the IVD market is driven by the increasing prevalence of chronic and infectious diseases. This study aims to determine the prevalence of depression, anxiety, and somatic symptoms among international salespeople in China's IVD industry and identify the association of socio-demographic, occupational, organizational, and psychosocial factors with mental health outcomes for depression, anxiety, and somatic symptoms in Chinese IVD international salespeople. METHODS The study was a cross-sectional survey of international salespeople (ISs) in IVD companies officially registered in China. An online survey was designed to collect data through email contact with IVD companies and social media between August 2022 and March 2023. Measured factors included effort-reward imbalance (ERI), health-promoting leadership (HPL), health climate (HC), inner strength (IS), and perceived social support (PSS). Mental health outcomes assessed using the Core Symptom Index (CSI) were depression, anxiety, and somatic symptoms. RESULTS A total of 244 salespeople responded to the survey. CSI scores indicated that 18.4% (n = 45) and 10.2% (n = 25) of the respondents had symptoms of major depression and anxiety, respectively. ERI was positively correlated, while the IS and PSS were negatively correlated with major depression, anxiety, and somatic symptoms (p < 0.01). The health climate was negatively correlated with major depression (p < 0.05). Education background was associated with somatic symptoms (p < 0.05). ERI, IS, and gender were significant predictors of major depression, anxiety, and somatic symptoms (p < 0.05). CONCLUSION The prevalence of depression and anxiety in China's IVD international salespeople was considered low compared with the prevalence in Chinese populations during COVID-19 but higher than those before the pandemic. Effort-reward imbalance, inner strength, and gender were significant factors in major depression, anxiety, and somatic symptoms among IVD international salespeople.
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Affiliation(s)
- Beibei Mao
- Master of Science Program (Mental Health), Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (B.M.); (U.P.); (R.O.)
| | - Penkarn Kanjanarat
- Master of Science Program (Mental Health), Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (B.M.); (U.P.); (R.O.)
- Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Tinakon Wongpakaran
- Master of Science Program (Mental Health), Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (B.M.); (U.P.); (R.O.)
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Unchalee Permsuwan
- Master of Science Program (Mental Health), Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (B.M.); (U.P.); (R.O.)
- Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Ronald O’Donnell
- Master of Science Program (Mental Health), Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (B.M.); (U.P.); (R.O.)
- Behavioral Health, College of Health Solutions, Arizona State University, Phoenix, AZ 85004, USA
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Zhang C, Liu L. The Influence of Health-Promoting Leadership on Employees' Positive Workplace Outcomes: The Mediating Role of Employability and the Moderating Role of Workplace Civility. Int J Environ Res Public Health 2022; 19:15300. [PMID: 36430021 PMCID: PMC9690448 DOI: 10.3390/ijerph192215300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 11/16/2022] [Accepted: 11/17/2022] [Indexed: 06/16/2023]
Abstract
The COVID-19 pandemic has severely accelerated the transformation and rapid organisational change in the workplace. The impact of the COVID-19 pandemic on the hotel industry will not fade in a short time, and the long-term coexistence with the COVID-19 pandemic pressure is a real dilemma for the hotel industry. The topic of How to create employee positive workplace outcomes (task performance and innovative work behaviour) during the COVID-19 pandemic has garnered increasing interest in both practical and academic fields. Leaders play a critical role in influencing employee workplace outcomes, yet few studies have explored the predicting role of health-promoting leadership. Drawing upon the conservation of resources (COR) theory, this study aims to examine the employability mediator effect and workplace civility as the moderator effect in the relationship between health-promoting leadership and employee-positive workplace outcomes (task performance and innovative work behaviour). We conducted a two-wave survey of 421 participants from the hotel industry in China and formulated a series of hypotheses that were tested with structural equation modelling. The results showed that health-promoting leadership has a significant positive effect on employees' employability (β = 0.479, p < 0.001), task performance (β = 0.250, p < 0.001), and innovative work behaviour (β = 0.446, p < 0.001). Employability has a significant positive effect on task performance (β = 0.438, p < 0.001) and innovative work behaviour (β = 0.296, p < 0.001). This study makes certain contributions to the extant hotel industry employees' positive workplace outcomes literature by attending to the healthy leadership styles that promote employability during the COVID-19 pandemic, and its novel point is to evaluate the workplace civility moderating effect between the above model. It also provides practical insight that mutual transformation in workplace relationships inspire those positive outcomes.
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Fu B, Peng J, Wang T. The Health Cost of Organizational Citizenship Behavior: Does Health-Promoting Leadership Matter? Int J Environ Res Public Health 2022; 19:ijerph19106343. [PMID: 35627879 PMCID: PMC9140745 DOI: 10.3390/ijerph19106343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 05/19/2022] [Accepted: 05/20/2022] [Indexed: 11/16/2022]
Abstract
Previous research has mainly focused on the positive effects of organizational citizenship behavior (OCB). This study questions the positive impact of OCB, arguing that there is a health cost of OCB. Based on the conservation of resource theory, this study expects that OCB triggers citizenship fatigue, which, in turn, negatively affects employees' health and results in health complaints. This study also seeks to find a moderator (health-promoting leadership) that could mitigate the negative effects of citizenship fatigue (caused by engaging in OCB) on health complaints. To test our predictions, we collected three-wave data from 207 leader-subordinate dyads. The results of regression analyses show that OCB is positively related to employees' health complaints, which is mediated by citizenship fatigue. Health-promoting leadership weakens the positive relationship between citizenship fatigue and health complaints, thus negatively moderating the indirect relationship between OCB and health complaints via citizenship fatigue. This study provides theoretical and practical implications for future research directions.
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Affiliation(s)
- Bo Fu
- School of Management, Guangzhou University, Guangzhou 510006, China; or
| | - Jian Peng
- School of Management, Guangzhou University, Guangzhou 510006, China; or
- Correspondence: or
| | - Tao Wang
- Office of Finance, Sun Yat-sen University, Guangzhou 510275, China;
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Liu S, Song Z, Xiao J, Chen P. How and When Health-Promoting Leadership Facilitates Employee Health Status: The Critical Role of Healthy Climate and Work Unit Structure. Front Psychol 2022; 12:727887. [PMID: 35002833 PMCID: PMC8740139 DOI: 10.3389/fpsyg.2021.727887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 11/23/2021] [Indexed: 11/13/2022] Open
Abstract
Health-promoting leadership has attracted a lot of attention from scholars in recent years. However, majority studies focused on theoretical arguments rather than empirical examination. Not only that, extant research often theorizes health-promoting leadership as a combination of a series of direct and explicit health-related behaviors, neglecting the potential social information it may convey to employees. Based on social information processing theory, this study empirically examines how and when health-promoting leadership can facilitate employees’ health status. Using a time-lagged data of 370 employees (i.e., matched to 51 leaders), we found that health-promoting leadership has a significant and positive influence on employees’ health status, and healthy climate acts as a linking pin. In addition, work unit structure moderates the relationship between health-promoting leadership and healthy climate. Specifically, compared with mechanic work unite structure, employees rely more on social information conveyed by health-promoting leadership when working at an organic work unite structure. This study not only extends current knowledge about the effect of health-promoting leadership, but also provides useful guidance for practitioners.
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Affiliation(s)
- Shuang Liu
- School of Business Administration, Hebei University of Economics and Business, Shijiazhuang, China
| | - Zhimin Song
- School of Business Administration, Southwestern University of Finance and Economics, Chengdu, China
| | - Jincen Xiao
- School of Management, Xihua University, Chengdu, China
| | - Peimin Chen
- School of Hotel Administration, Shanghai Business School, Shanghai, China
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Abstract
Employee health is not only positively related to the employee well-being and family happiness, but also impacts organizations, and society as a whole. We searched the health-promoting leadership literature in the following databases: Web of Science, ProQuest, EBSCO, and a Chinese local database. Based on this research, we clarify the concept of health-promoting leadership, propose a definition of health-promoting leadership, and examine measurement scales for this type of leadership. We also suggest a research framework for health-promoting leadership, demonstrating its potential outcomes at both the individual level (e.g., health, well-being, job attitudes) and the organizational level (e.g., health management culture and practices); the mechanisms for its development based on conservation of resources theory, the job demands–resources model, social learning theory, and social exchange theory; and antecedents (e.g., health values, health awareness, organizational health culture, organizational health climate, and organizational health promotion behavior control). Finally, we identify six potential research areas: Research level, performance, the impacts of health-promoting leaders on themselves, moderators, research methods, and intervention effects on health-promoting leadership.
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Affiliation(s)
- Lei Yao
- Business School, Beijing Normal University, Beijing, China
| | - Ping Li
- Center for Business Ethics Studies, Henan University of Economic and Law, Zhengzhou, China
| | - Helen Wildy
- Faculty of Arts, Business, Law and Education, Graduate School of Education, University of Western Australia, Perth, WA, Australia
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Furunes T, Kaltveit A, Akerjordet K. Health-promoting leadership: A qualitative study from experienced nurses' perspective. J Clin Nurs 2018; 27:4290-4301. [PMID: 29987859 DOI: 10.1111/jocn.14621] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2017] [Revised: 06/29/2018] [Accepted: 07/03/2018] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To increase knowledge about experienced nurses' understanding of a health-promoting work environment, health-promoting leadership and its role in retention of staff in the nursing workplace. BACKGROUND The quality of leadership is imperative in creating supportive and health-promoting work environments to ensure workforce productivity and ethically sustainable caring cultures. More knowledge on how leaders can promote health and sustainable careers among nurses is needed. At a time of current and projected nursing shortage, it is important to understand the reasons why nurses intend to remain in their jobs. DESIGN Qualitative descriptive. METHOD Twelve experienced registered nurses participated in an individual, digitally recorded, semi-structured interview. Data were transcribed verbatim and subjected to qualitative content analysis of manifest and latent content. RESULTS A health-promoting work environment should provide autonomy, participation in decision-making, skills development and social support. Health-promoting leaders should be attentive and take action. CONCLUSION Health-promoting work environments enable nurses to flourish. Having ample autonomy is therefore important to nurses so that when they face new challenges, they see them as a way of using and developing their competencies. Although most nurses claim their own leaders are not health promoting, they have a clear understanding of how a health-promoting leader should act. The health-promoting leader should not only be attentive and promote skills development, but also cater for nurses' meaningfulness. RELEVANCE TO CLINICAL PRACTICE Nurses in primary health care understand a health-promoting work environment to be a workplace where they can develop, not only clinical skills, but also flourish as human beings. Further, nurses find it health promoting to have a meaningful job, using their competence to make a difference for patients and their families. Nurse Managers have an important role in facilitating meaningfulness in nurses' jobs to retain nurses as a valuable asset for the organisation.
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Affiliation(s)
- Trude Furunes
- Norwegian School of Hotel Management, Faculty of Social Sciences, Universitetet i Stavanger, Stavanger, Norway.,University of Queensland, Business School, Brisbane, Queensland, Australia.,Hogeschool van Arnhem en Nijmegen, Nijmegen, the Netherlands
| | | | - Kristin Akerjordet
- Faculty of Health Sciences, Universitetet i Stavanger, Stavanger, Norway.,School of Psychology, University of Wollongong, Wollongong, NSW, Australia
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Abstract
AIM To provide a synthesis of the evidence of health-promoting leadership related to nursing by exploring definitions, core attributes and critical conditions. BACKGROUND Increasing pressure in healthcare settings due to efficiency requirements, population ageing with complex illnesses and projected global shortage of nurses, is a potential threat to nurses' health and job satisfaction, and patient quality of care and safety. New ways of thinking about nursing leadership and evidence-based human resource management are required to improve nursing environments. DESIGN Integrative literature review. DATA SOURCES Eight databases were searched: Academic Search Premier, CINAHL, Emerald, ERIC, Web of Science, MEDLINE, Psychinfo and Science Direct. Included papers were published between 2000-2016. REVIEW METHODS Of 339 papers, 13 were eligible for inclusion: eight qualitative and five quantitative. Studies were assessed for quality using standardized checklists. Framework-based synthesis was used, allowing for themes identified a priori to be specified as coding categories. This method also allows new themes to emerge de novo. RESULTS Four themes were identified. There are multiple definitions of health-promoting leadership, along with description of the non-health-promoting leader. The health-promoting nurse leader engages in employees' health promotion, and takes responsibility for actions and maintains open communication, accommodating nurses' participation in change processes. Through competence development, the health-promoting organization builds capacity. CONCLUSION Health-promoting leadership may be a promising path to optimizing nursing outcomes through holistic thinking, which emphasizes the importance of context. Accumulated research is required to build a stronger line of international research, with attention to underlying mechanisms, limiting conditions and behaviours known to health-promoting leadership.
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Affiliation(s)
- Kristin Akerjordet
- Faculty of Health Sciences, Centre for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.,School of Psychology, University of Wollongong, Wollongong, NSW, Australia
| | - Trude Furunes
- Faculty of Social Sciences, Norwegian School of Hotel Management, University of Stavanger, Stavanger, Norway.,Business School, The University of Queensland, Brisbane, Qld, Australia.,HAN University of Applied Sciences, Nijmegen, The Netherlands
| | - Annie Haver
- School of Psychology, University of Wollongong, Wollongong, NSW, Australia.,Faculty of Social Sciences, Norwegian School of Hotel Management, University of Stavanger, Stavanger, Norway
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