Relation between First-line Managers’ Servant Leadership Behaviour and Staff Nurses’ Empowerment at Benha University Hospital

Marwa Hassan Ageiz^1, , Nermin Mohamed Eid¹ and Zienab Ibrahem Ismael²

¹Nursing Administration, Faculty of Nursing, Menoufia University, Menoufia, Egypt

²Nursing Administration, Faculty of Nursing, Benha University, Benha, Egypt

Cite this paper:
Marwa Hassan Ageiz, Nermin Mohamed Eid and Zienab Ibrahem Ismael. Relation between First-line Managers’ Servant Leadership Behaviour and Staff Nurses’ Empowerment at Benha University Hospital. American Journal of Nursing Research. 2020; 8(5):515-523. doi: 10.12691/ajnr-8-5-4

Abstract

Background: Servant leadership is a powerful tool for nurse leaders to empower nurses to practice well in a constantly changing environment of care. The study aimed to assess the relation between first-line managers' servant leadership behaviour and staff nurses’ empowerment at Benha University hospital, Materials and Methods: A descriptive correlational research design was utilized. The study was conducted in randomly selected units at Benha University Hospital (no=9 units). The subject of the present study consisted of two groups; first-line managers (n=30) and a convenient sample of staff nurses (n=60) at the selected study units. Two tools were utilized including; Servant leadership questionnaire and Staff nurses’ empowerment questionnaire. Results: a high percentage of first-line managers and nearly two-thirds of staff nurses reported that first-line managers were highly adopting servant leadership behaviour. However, there were statistically significant differences between first-line managers' self-report and staff nurses' reports. Nearly half of staff nurses reported a high level of empowerment, while nearly one-third of them reported a moderate level of empowerment. Conclusion and implication: There was a significant positive relation between first-line managers’ adopted servant leadership behaviour and staff nurses’ level of empowerment. Therefore, nurse managers can benefit from integrating the principles of servant leadership and be enthusiastic in focusing on servant leadership attributes when leading their followers by considering them as valuable assets to the organization and thus empower them structurally and psychologically. Recommendation: Continued training on servant leadership characteristics and values through formal workshops and feedback from staff nurses on their nurse managers’ leadership behaviours through polling should be a basic competency requirement for nurse managers.

Keywords:
empowerment first-line managers servant leadership behaviour staff nurses

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References:

[1]	Hosseini, S., Hosseini, S., Maher, A., The Relationship between servant leadership and spirituality in the workplace and perceived organizational support among nurses of medical and educational centers in Kermanshah, International Journal of Medical Research & Health Sciences, 5, 9S:94-99.2016.
[2]	Lisa, D., "Employee Expectations of an Effective Leader." Work - Chron.com, http://work.chron.com/employee-expectations-effective-leader-3158.html. Accessed 30 October 2018.
[3]	Sun, P. Y., The servant identity: Influences on the cognition and behaviour of servant leaders. Leadership Quarterly, 24(4), 544-557. 2013.
[4]	Gill E. Servant leadership: quotes and definition of the model. http://www.concordiaonline.net/what-is-servant-leadership/. 2013. Updated 2015. Accessed August 15, 2015.
[5]	Hunter, E. M., Neubert, M. J., Perry, S. J., Witt, L. A., Penney, L. M., Weinberger, E., Servant leaders inspire servant followers: Antecedents and outcomes for employees and the organization. Leadership Quarterly, 24(2), 316-331. 2013.
[6]	Sendjaya, S., Personal and Organizational Excellence through Servant Leadership. Springer International Publishing Switzerland, Management for Professionals, 15-38. 2015.
[7]	Karen. F., "Four Elements of Servant Leadership." Work - Chron.com, http://work.chron.com/four-elements-servant-leadership-4919.html. Accessed 30 October 2018.
[8]	Laschinger, H. K. S., Sabiston, J. A., Kutszcher, L., Empowerment and staff nurse decision involvement in nursing work environments: Testing Kanter's theory of structural power in organizations. Research in Nursing & Health, 20, 341-352. 1997.
[9]	Spreitzer, G. M., Psychological empowerment in the workplace: Dimension, measurement, and validation. The Academy of Management Journal., 38(5), 1442- 1465. 1995.
[10]	Finegan, J., Laschinger, H. K. S., Nosko, A., Wilk, P., Effects of unit empowerment and perceived support for professional nursing practice on unit effectiveness and individual nurse well-being: A time-lagged study. International Journal of Nursing Studies, 51(12), 1615-1623. Epub 2014 Apr 19.
[11]	Huber, D. L., Leadership and Nursing Care Management. (6th ed.). St. Louis, MO: Elsevier Saunders. 19th September 2017.
[12]	Hoch, J. E., Bommer, W. H., Dulebohn, J. H., Wu, D., Do ethical, authentic, and servant leadership explain variance above and beyond transformational leadership? A meta-analysis. Journal of Management, 20(10), 1-29. 2016.
[13]	Belsky, J., Servant leadership can save the health care profession. Smart Business Network Inc. Risingleaders.Belsky@yahoo.com. 835 Sharon Drive, Cleveland, Oh 44145 P: 800.988.4726. 2016.
[14]	Greenleaf, R. K., Servant leadership: A journey into the nature of legitimate power and greatness. New York, NY: Paulist Press.1977.
[15]	Chan, S. H., Mak, W., The impact of servant leadership and subordinates’ organizational tenure on trust in leader and attitude. Personnel Review, 43(2), 272-287.2014.
[16]	Russell, R., Stone, G. A., A review of servant leadership attributes: Developing a practical model. The Leadership and Organization Development Journal, 145-147.2002.
[17]	Liden, R.C., Wayne, S.J., Zhao, H., Henderson, D., Servant leadership: Development of a multidimensional measure and multilevel assessment. Leadership Quarterly. 19(2), 161-177. 2008.
[18]	Laschinger, H., Finegan, J., Shamian, J., Wilk, P., Impact of structural and psychological empowerment on job strain in nursing work settings: Expanding Kanter's model. Journal of Nursing Administration. 31(5):260-72. June 2001.
[19]	Liden, R. C., Wayne, S. J., Liao, C., Meuser, J. D., Servant leadership and serving culture: Influence on individual and unit performance. Academy of Management Journal. 57(5), 1434-1452. 2014.
[20]	McCann, J., Graves, D., Cox, L., Servant Leadership, Employee Satisfaction, and Organizational Performance in Rural Community Hospitals. International Journal of Business and Management. p28. September 2014.
[21]	Hall, H., Advancing Future Nursing Executive Practice: The Evidence Base for Servant Leadership in Nursing. Proxy-submission, PowerPoint presentatiosn. Available at http://hdl.handle.net/10755/622672. 29 October 2017.
[22]	Sammir, A., Thitinut, A., Ratanawadee. C., Servant Leadership of Head Nurses and Job Satisfaction among Staff Nurses in Medical College Hospitals, Dhaka, the People’s Republic of Bangladesh. Nursing Journal. Volume 42 December 2015.
[23]	Albagawi, B., Laput, V., Pacis, C., AL Mahmoud, T., Nurses’ Perceptions of Nurse Manager Leadership Styles. American Journal of Nursing Research, 22-31. 2017.
[24]	Collinson, D., Tourish, D., Teaching leadership critically: New directions for leadership pedagogy. Academy of Management Learning & Education, 14(4), 576-594. 2015.
[25]	Edmunds, E., Leadership style of nurse managers in a designated magnet hospital. Walsh University. Retrieved from: https://etd.ohiolink.edu/pg_10?0::NO:10:P10_ACCESSION_NUM:walsh1398030398. 2014.
[26]	Goh, A., Ang, Sh., Della, Ph., Leadership style of nurse managers as perceived by registered nurses: A cross-sectional survey. Proceedings of Singapore Healthcare. 27:3, 205-210. January 10, 2018.
[27]	Hall, H., An Exploration of The Relationship Between Servant Leadership Characteristics of Nurse Leaders and The Perception of Empowerment Among Their Followers. Dissertation paper. Indiana Wesleyan University. Published by ProQuest LLC.: 201 pages; 10129698. 2016.
[28]	Van Bogaert P., Peremans L., Diltour N., Van heusden D., Dilles T., Van Rompaey B., Staff Nurses’ Perceptions and Experiences about Structural Empowerment: A Qualitative Phenomenological Study. PLoS One. 11(4). Apr 2016.
[29]	Ahmad N., Oranye NO., Empowerment, job satisfaction and organizational commitment: a comparative analysis of nurses working in Malaysia and England. Journal of nursing management; 18 (5): 582-591. July 2010.
[30]	Hashish, E., Abdel All, N., Mousa, A., Nurses’ perception of psychological empowerment and its relationship to work engagement and job insecurity. Journal of Nursing Education and Practice, p36. Vol. 8, No. 9. April 18, 2018.
[31]	Gab Allah, A., Staff Performance Appraisal System and its Relation to Their Job Satisfaction and Empowerment: Developing Performance Appraisal Tool. Menoufia University. Egypt. Dissertation paper.2018.
[32]	Gholami, M., Saki, M., Hossein, A., Nurses' perception of empowerment and its relationship with organizational commitment and trust in teaching hospitals in Iran. University of Medical Sciences, Khorramabad, Iran. Journal of Nursing Management.. 07 March 2019.
[33]	Beck, C. D., Antecedents of servant leadership: A mixed-methods study. Journal of Leadership & Organizational Studies, 12(3), 299-314. April 11, 2014.
[34]	Winkle, B., Allen, S., DeVore, D., Winston, B., The Relationship Between the Servant Leadership Behaviours of Immediate Supervisors and Followers’ Perceptions of Being Empowered in the Context of Small Business. Journal of Leadership Education. 13(3):70-82. 2015.
[35]	Bambale, J. A., Relationship between servant leadership and organizational citizenship behaviours: Review of literature and future research directions. Journal of Marketing & Management, Retrieved from: http://www.gsmiijgb.com/. 5(1), 1-16. 2014.
[36]	Gholipour, A., Pourezzat, A., Hazrati, M., The effect of servant leadership on organizational trust and empowerment in public organizations. Journal of Public Administration, 1(2), 103-118. 2013.
[37]	Rachmawati, A., Lantu, d., Servant Leadership Theory Development & Measurement. School of Business and Management ITB, Jl. Ganesha No. 10, Bandung 40132, Indonesia. Procedia - Social and Behavioural Sciences. 115: 387-393. February 2014.
[38]	Bernadette P., Mary T., Joyce J., Staff Nurses’ Perceptions of Their Nurse Managers’ Transformational Leadership Behaviours and Their Own Structural Empowerment. Journal of Nursing Administration: Volume 48 - Issue 12 - p 609–614. December 2018.