The influences of nursing transformational leadership style on the quality of nurses’

working lives in Taiwan: a cross-sectional quantitative study

Ping-Yi Lin, Sara MacLennan, Nigel HuntEmail author and Tom Cox
Abstract
Background
Taiwan’s NHI system is one of the most successful health care models for countries around
the globe. However, little research has demonstrated the mental health issues associated with
nursing transformational leadership style under the NHI system, especially in the quality of
nurses’ working lives in Taiwan. It is important to know the relationship between
transformational leadership style and the mental health of nurses, organisational commitment
and job satisfaction. The research aimed to understand the influences of nursing
transformational leadership style on the quality of nurses’ working lives in Taiwan. The
research hypothesis was that transformational leadership styles would have positive influence
on the quality of nurses’ working lives.
Methods
This was a cross-sectional quantitative study. Nurses from each type of hospital ownership
(private, public and religious) were recruited. Participation was voluntary and signed
informed consent was obtained. The inclusion criteria were nurses with at least one year’s
work experience in the hospitals. Self-administrated questionnaires were used. A total of 807
participants were contacted and 651 questionnaires were fully completed (response rate
80.7 %). A theory driven model was used to test the research hypotheses using structural
equation modelling performed with AMOS 16.0.
Results
Transformational leadership contributes significantly to supervisor support. Workplace
support, particularly from the supervisor, is an important mediator variable that explains the
relationship between transformational leadership and job satisfaction. Organisational
commitment was the strongest factor relevant to the general health well-being in Taiwanese
nurses than job satisfaction. The hypothesized positive relationships between
transformational leadership and all variables were supported by the data.
Conclusions
Our findings have important consequences for organisational health. Our model demonstrates
a complete picture of the work relationships on the quality of nurses’ working lives. The
results provided information about the subordinates’ perceptions of transformational nursing
leadership styles and mental health outcomes in different hospital settings, as well as
identified organisational factors that could improve the quality of nurses’ working lives.

Pengaruh keperawatan gaya kepemimpinan transformasional pada kualitas kehidupan kerja

perawat di Taiwan: studi kuantitatif cross-sectional

Abstrak
Latar Belakang
Sistem NHI Taiwan adalah salah satu model pelayanan kesehatan yang paling sukses bagi
negara-negara di seluruh dunia. Namun, penelitian kecil telah menunjukkan masalah
kesehatan mental yang terkait dengan menyusui gaya kepemimpinan transformasional di
bawah sistem NHI, terutama dalam kualitas kehidupan kerja perawat di Taiwan. Hal ini
penting untuk mengetahui hubungan antara gaya kepemimpinan transformasional dan
kesehatan mental perawat, komitmen organisasi dan kepuasan kerja. Penelitian ini bertujuan
untuk memahami pengaruh keperawatan gaya kepemimpinan transformasional pada kualitas
kerja perawat tinggal di Taiwan. Hipotesis penelitian adalah bahwa gaya kepemimpinan
transformasional akan memiliki pengaruh positif pada kualitas kehidupan kerja perawat.

metode
Ini adalah studi kuantitatif cross-sectional. Perawat dari setiap jenis kepemilikan rumah sakit
(swasta, publik dan agama) direkrut. Partisipasi adalah sukarela dan informed consent
ditandatangani diperoleh. Kriteria inklusi adalah perawat dengan pengalaman kerja minimal
satu tahun di rumah sakit. kuesioner self-administrated digunakan. Sebanyak 807 peserta
dihubungi dan 651 kuesioner sepenuhnya selesai (tingkat respon 80,7%). Sebuah model teori
didorong digunakan untuk menguji hipotesis penelitian menggunakan model persamaan
struktural dilakukan dengan AMOS 16.0.

hasil
kepemimpinan transformasional memberikan kontribusi signifikan terhadap dukungan atasan.
dukungan kerja, terutama dari supervisor, adalah variabel mediator penting yang menjelaskan
hubungan antara kepemimpinan transformasional dan kepuasan kerja. Komitmen Organisasi
adalah faktor terkuat yang relevan dengan kesehatan umum kesejahteraan di perawat Taiwan
dari kepuasan kerja. hubungan yang positif dengan hipotesis antara kepemimpinan
transformasional dan semua variabel yang didukung oleh data.

kesimpulan
Temuan kami memiliki konsekuensi penting bagi kesehatan organisasi. Model kami
menunjukkan gambaran yang lengkap dari hubungan kerja pada kualitas kehidupan kerja
perawat. Hasil memberikan informasi tentang bawahan persepsi gaya kepemimpinan
transformasional keperawatan dan hasil kesehatan mental dalam pengaturan rumah sakit yang
berbeda, serta faktor organisasi diidentifikasi yang dapat meningkatkan kualitas perawat
masa kerja