Effect of Paternalistic Leadership Educational Program For Head Nurses on Staff Nurses’ psychological Empowerment

amal elgharb, Amal G. El-Sayed, Sahar H. El-Sayed, Ehsan S. Soliman
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Abstract

Background: Paternalistic leadership plays a pivotal role in fostering a supportive, growth-oriented culture within healthcare organizations, thereby influencing the psychological empowerment of staff nurses to excel and deliver exceptional care amidst evolving healthcare dynamics. The study aimed to assess the effect of paternalistic leadership educational program for head nurses on staff nursespsychological empowerment. Design : Aquasi-experimental design was utilized. Setting : The study was conducted in all inpatient units at the medical and surgical buildings at Benha University Hospital. Subjects : All 77 head nurses and 300 staff nurses who were available in the previously mentioned setting during the time of data collection. Tools: Three tools were used for data collection; (1)Paternalistic leadership knowledge questionnaire, (2)Paternalistic leadership skills self-report and (3) nurses ‘psychological empowerment scale. The study results : Showed that more than three-quarters (76.6%)of head nurses had poor knowledge level related to paternalisticleadership dimensions at pre-program phase, which it improved to be the majority (80.5%) of them had good knowledge level at post program phase with slightly decrease to be 76.6% at follow up phase. The majority (89.6% & 85.5%) of head nurses had high paternalistic leadership skills at immediate post program and followup phases respectively compared to none of them at pre-program phase. Themost(85.2% and 83.1%) of staff nurses had high psychological empowerment levelat immediate post program and follow up phases respectively compared to pre-program phase (10.5%). The study concluded: that there was a highly statistically significant positive correlation among head nurses knowledge, and skills regardingpaternalistic leadership and psychological empowerment at immediate post andfollow up program phases. The study recommended : Conducting training in effective paternalistic leadership for aspiring head nurses prior to their appointments to managerial and administrative roles to effectively lead and empower their staff nurses while maintaining a supportive and empowering environment.
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护士长家长式领导教育课程对护士心理授权的影响
背景:家长式领导在医疗机构中培养一种支持性的、以成长为导向的文化方面发挥着关键作用,从而影响着护士长的心理赋权,使其在不断变化的医疗动态中脱颖而出,提供卓越的护理服务。本研究旨在评估护士长家长式领导力教育计划对员工护士心理赋权的影响。设计 :采用水实验设计。环境:研究在本哈大学医院内科和外科大楼的所有住院部进行。研究对象 :在数据收集期间,上述环境中的所有 77 名护士长和 300 名护士。工具:数据收集使用了三种工具:(1)家长式领导知识问卷;(2)家长式领导技能自我报告;(3)护士心理授权量表。研究结果表明:超过四分之三(76.6%)的护士长在计划前阶段对家长式领导的相关知识水平较差,而在计划后阶段,大多数护士长(80.5%)对家长式领导的相关知识水平较好,但在后续阶段,这一比例略有下降,仅为 76.6%。大多数护士长(89.6% 和 85.5%)在课程结束后的第一阶段和后续阶段分别具有较高的家长式领导技能,而在课程前阶段则没有。大多数(85.2% 和 83.1%)护士长在课程结束后的第一阶段和后续阶段分别具有较高的心理授权水平,而在课程开始前的阶段只有 10.5%。研究得出结论:在计划结束后和后续阶段,护士长在家长式领导方面的知识和技能与心理授权之间存在统计学意义上的高度正相关。研究建议在任命有抱负的护士长担任管理和行政职务之前,对其进行有效的家长式领导培训,以有效地领导和增强其护士员工的能力,同时维持一个支持和赋权的环境。
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