Systematic Appraisal of the Impacts of Transformational Leadership on Innovation Behaviour Among Nurses

Authors

  • Ibrahim Saleh Almahayawy .

DOI:

https://doi.org/10.14738/bjhmr.101.13810

Keywords:

Transformational Leadership, Innovation Behaviour, Nurses

Abstract

Background: The healthcare industry is among the most essential in any economy. The challenges that confront the sector are wide and far-reaching. Given the economic challenges that are unpredictable and difficult to plan for, the healthcare sector is facing a host of challenges. This study aims to explore the important role of transformational leadership that can inspire innovative work behaviour of nurses to perform their tasks most efficiently. 

Method: the initial online database search for relevant literature yielded 4160 papers from two databases. After excluding duplicates and those for which full texts were not available, and other exclusion criteria, six papers were selected for extraction of results. First, rating of the quality of these papers was done adapting the CASP model for one qualitative review and Axis analysis for five papers. In depth analysis of six papers was further done are results presented for discussions.

Results: A few critical issues emerged which were considered in the discussions of these findings. Considered along with works reviewed in the Review of Literature chapter, the outcome of the work led to some useful conclusions that there is a correlation between transformational leadership and innovative work behaviour among nurses. There is sufficient evidence from the six papers analysed on a positive relationship between transformational leadership and nurse innovation behaviour amid certain mediating factors.

Conclusion:   More nurse innovative approaches need to be directly applied to achieve the triple aim of care quality, service, and affordability across all health care organisations in the ever-changing scenarios of evidence-based medical practices.

References

Afsar, B., F. Badir, Y. and Bin Saeed, B., (2014). Transformational leadership and innovative work behavior. Industrial Management & Data Systems, 114(8), pp.1270-1300.

Antonakis, J., Avolio, B.J. and Sivasubramaniam, N., (2003). Context and leadership: An examination of the ninefactor full-range leadership theory using the Multifactor Leadership Questionnaire. The Leadership Quarterly, 14(3), pp.261-295.

Avolio, B. and Bass, B., (2004). Multifactor leadership questionnaire: Third edition manual and sampler set, s.l.: Redwood City, CA: Mind Garden.

Bally, J.M., (2007). The role of nursing leadership in creating a mentoring culture in acute care environments. Nursing Economics, 25(3), p.143.

Bass, B. and Riggio, R. (2006). Transformational leadership. 2nd ed. New York: Routledge.

Bass, B. M., 1985. Leadership and performance beyond expectations. s.l.: Collier Macmillan.

Almahayawy, I. S. (2023). Systematic Appraisal of the Impacts of Transformational Leadership on Innovation Behaviour Among Nurses. British

Bastian, H., Glasziou, P. and Chalmers, I., (2010). Seventy-five trials and eleven systematic reviews a day: how will we ever keep up? PLoS Medicine, 7(9), p.e1000326.

Boamah, S. A., Laschinger, H. K. S., Wong, C. and Clarke, S., (2017). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook, 66(2), pp. 180-189.

Brady, G. P. and Cummings, G. G., (2010). The influence of nursing leadership on nurse performance: a systematic literature review. Journal of Nursing Management, 18(4), pp. 425-439.

Brazeal, D.V. and Herbert, T.T., (1999). The genesis of entrepreneurship. Entrepreneurship theory and practice, 23(3), pp.29-46.

Bunpin III, J.J.D., Chapman, S., Blegen, M. and Spetz, J., (2016). Differences in innovative behavior among hospitalbased registered nurses. Journal of Nursing Administration, 46(3), pp.122-127.

Burns, J. M. (1978). Leadership. New York: Harper Row.

Casida, J.J. and Pinto-Zipp, G., (2008). Leadership-organizational culture relationship in nursing units of acute care hospitals. Nursing Economics, 26(1), p.7.

Chiok Foong Loke, J., (2001). Leadership behaviours: effects on job satisfaction, productivity and organizational commitment. Journal of Nursing Management, 9(4), pp. 191-204.

Choi, S. B., Kim, K., Ullah, S. E. & Kang, S.-W., (2016). How transformational leadership facilitates innovative behavior of Korean workers: examining mediating and moderating processes. Personnel Review, 45(3), pp. 459-479.

Clavelle, J.T., Drenkard, K., Tullai-McGuinness, S. and Fitzpatrick, J.J., (2012). Transformational leadership practices of chief nursing officers in Magnet® organizations. Journal of Nursing Administration, 42(4),

Creswell, J. W., (2013). Research design: Qualitative, quantitative, and mixed methods approach. 4th ed. s.l.: Sage publications.

Creswell, J.W., (2009). Research Design: Qualitative, Quantitative and Mixed Approaches. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. 3rd Edn. Los Angeles, CA: Sage.

Cummings, A. and Oldham, G.R., (1997). Enhancing creativity: Managing work contexts for the high potential employee. California Management Review, 40(1), pp.22-38.

Cummings, G., Lee, H., MacGregor, T., Davey, M., Wong, C., Paul, L. and Stafford, E., (2008). Factors contributing to nursing leadership: a systematic review. Journal of Health Services Research & Policy, 13(4), pp.240-248.

Cummings, G.G., MacGregor, T., Davey, M., Lee, H., Wong, C.A., Lo, E., Muise, M. and Stafford, E., (2010). Leadership styles and outcome patterns for the nursing workforce and work environment: a systematic review. International journal of nursing studies, 47(3), pp.363-385.

Dohoo, I. R., Martin, S. W., and Stryhn, H. (2009). Veterinary epidemiologic research. Charlottetown: VER.

Gilbert, S., Horsman, P. and Kelloway, E.K., (2016). The Motivation for Transformational Leadership Scale: An examination of the factor structure and initial tests. Leadership & Organization Development Journal, 37(2), pp.158-180.

Gumusluoğlu, L. and Ilsev, A., (2009). Transformational leadership and organizational innovation: The roles of internal and external support for innovation. Journal of Product Innovation Management, 26(3), pp.264-277. URL: http://dx.doi.org/10.14738/jbemi.101.13810 315

Gundersen, G., Hellesøy, B.T. and Raeder, S., (2012). Leading international project teams: The effectiveness of transformational leadership in dynamic work environments. Journal of Leadership & Organizational Studies, 19(1), pp.46-57.

Hutchinson, M. and Jackson, D., (2013). Transformational leadership in nursing: towards a more critical interpretation. Nursing Inquiry, 20(1), pp. 11-22.

Huynh, H.P. and Sweeny, K., (2014). Clinician styles of care: Transforming patient care at the intersection of leadership and medicine. Journal of health psychology, 19(11), pp.1459-1470.

Jensen, K.A., (2018). 7 steps to the perfect PICO search: Evidence-based nursing practice, EBSCO Health/CINAHL Complete. [Online] Available at: <https://www.ebscohost.com/assets-whitepapers/7-Steps-to-the-Perfect-PICO-Search-White-Paper.pdf> [Accssed 8/14/2018].

Jiang, W., Zhao, X. and Ni, J., (2017). The impact of transformational leadership on employee sustainable performance: The mediating role of organizational citizenship behavior. Sustainability, 9(9), p.1567.

Jiang, Y. and Chen, C.C., (2018). Integrating knowledge activities for team innovation: effects of transformational leadership. Journal of Management, 44(5), pp.1819-1847.

Johnston, M.P., (2017). Secondary data analysis: A method of which the time has come. Qualitative and Quantitative Methods in Libraries, 3(3), pp.619-626.

Jordan, P. J., Werner, A. and Venter, D., (2015). Achieving excellence in private intensive care units: The effect of transformational leadership and organisational culture on organisational change outcome. SA Journal of Human Resource Management, 13(1), p. 10 pages.

Kang, J. H., Solomon, G. T. and Choi, D. Y., (2015). CEOs' leadership styles and managers' innovative behaviour: Investigation of intervening effects in an entrepreneurial context. Journal of Management Studies, 52(4), pp. 531-554.

Khodakarami, P. and Zakaria, Z., (2015). The Relationship between Innovative Behavior and Sustainable Development. European Journal of Business and Management, 7 (23), pp.160-169.

Kim, S.-J. and Park, M., (2015). Leadership, knowledge sharing, and creativity: the key factors in nurses’ innovative behaviors. Journal of Nursing Administration, 45(12), pp. 615-621.

Laschinger, H. K. S., Wong, C. A., Cummings, G. G. and Grau, A. L., (2014). Resonant leadership and workplace empowerment: The value of positive organizational cultures in reducing workplace incivility. Nursing Economics, 32(1), p. 5.

Laschinger, H.K.S., Wong, C.A., Ritchie, J., D'Amour, D., Vincent, L., Wilk, P., Stassen, M.A., Matthews, S., Saxe-Braithwaite, M., Grinspun, D. and Shamian, J., (2008). A profile of the structure and impact of nursing management in Canadian hospitals. Healthcare Quarterly, 11(2).

Long-Sutehall, T., Sque, M. and Addington-Hall, J., (2011). Secondary analysis of qualitative data: a valuable method for exploring sensitive issues with an elusive population? Journal of Research in Nursing, 16(4),

MacPhee, M., Dahinten, V. S. and Havaei, F., (2017). The impact of heavy perceived nurse workloads on patient and nurse outcomes. Administrative Sciences, 7(1), p. 7.

Nielsen, K., Yarker, J., Randall, R. and Munir, F., (2009). The mediating effects of team and self-efficacy on the relationship between transformational leadership, and job satisfaction and psychological well-being in healthcare professionals: A cross-sectional questionnaire survey. International Journal of Nursing Studies, 46(9), pp. 1236-1244. 316

Parahoo, K., (2014). Nursing research: principles, process and issues. Macmillan International Higher Education.

Patterson, F. (2000). The Innovation Potential Indicator: Test manual and user’s guide. Oxford: Oxford Psychologists Press.

Paul, R. and Elder, L., (2008). Critical Thinking: Strategies for Improving Student Learning, Part II. Journal of Developmental Education, 32(2), pp.34-35.

Podsakoff, P.M., MacKenzie, S.B., Moorman, R.H. and Fetter, R., 1990. Transformational leader behaviors and their effects on followers' trust in leader, satisfaction, and organizational citizenship behaviors. The Leadership Quarterly, 1(2), pp.107-142.

Vandenberghe, C., Stordeur, S. and D'hoore, W., (2002). Transactional and transformational leadership in nursing: Structural validity and substantive relationships. European Journal of Psychological Assessment, 18(1), p. 16.

Weberg, D., (2016). Innovation Leadership Behaviors: Starting the Complexity Journey. In: Leadership for Evidence-Based Innovation in Nursing and Health Professions. s.l.: Jones & Bartlett Publishers, pp. 43-76.

Weng, R.H., Chen, W.P., Huang, C.Y., Hung, C.H. and Hsu, C.T., (2016). Can nurse innovation improve customer perception of service quality and experience? Journal of Clinical Nursing, 25(13-14), pp.1950-1961.

Weng, R.H., Huang, C.Y., Chen, L.M. and Chang, L.Y., (2015). Exploring the impact of transformational leadership on nurse innovation behaviour: A cross‐sectional study. Journal of Nursing Management, 23(4), pp.427-439.

Weng, R.H., Huang, C.Y., Huang, J.A. and Wang, M.H., (2012). The cross‐level impact of patient safety climate on nursing innovation: a cross‐sectional questionnaire survey. Journal of Clinical Nursing, 21(15‐16),

West, M.A., Borrill, C.S., Dawson, J.F., Brodbeck, F., Shapiro, D.A. and Haward, B., (2003). Leadership clarity and team innovation in health care. The Leadership Quarterly, 14(4-5), pp.393-410.

Wong, C.A., Cummings, G.G. and Ducharme, L., (2013). The relationship between nursing leadership and patient outcomes: a systematic review update. Journal of Nursing Management, 21(5), pp.709-724.

Yammarino, F.J., Salas, E., Serban, A., Shirreffs, K. and Shuffler, M.L., (2012). Collectivistic leadership approaches: Putting the “we” in leadership science and practice. Industrial and Organizational Psychology, 5(4),

Yasin, G., Nawab, S., Bhatti, K.K. and Nazir, T., (2014). Relationship of intellectual stimulation, innovations and SMEs performance: Transformational leadership a source of competitive advantage in SMEs. Middle-East Journal of Scientific Research, 19(1), pp.74-81.

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Published

2023-02-28

How to Cite

Ibrahim Saleh Almahayawy. (2023). Systematic Appraisal of the Impacts of Transformational Leadership on Innovation Behaviour Among Nurses. British Journal of Healthcare and Medical Research, 10(1), 304–317. https://doi.org/10.14738/bjhmr.101.13810