Association Between Authentic Leadership in Nurse Managers and Performance and Intention to Leave Among Registered Nurses.

Safa'a Ali Allan, Ahmad Hussien Rayan
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Abstract

Background: Authentic leadership in nurse managers has been identified as a strong predictor of multiple nurse outcomes. However, its association with staff performance and nurses' intention to leave has yet to be established.

Purpose: This study was designed to identify the predictive effect of sociodemographic variables on nurse performance and intention to leave and to examine the relationship between authentic leadership in nurse managers and, respectively, nurse performance and intention to leave.

Methods: A comparative and correlational design and a cross-sectional survey approach were used. A convenience sample of 166 registered nurses working in a government hospital in Jordan was recruited. Data collection was performed online using the sociodemographics questionnaire, the Authentic Leadership Questionnaire, the Turnover Intention Scale, and the Six Dimensions of Nurse's Performance Scale. Data were analyzed using descriptive statistics, independent t test, one-way analysis of variance, Pearson correlation, and multiple hierarchical linear regression.

Results: The overall mean score was 2.08 (SD = 0.87) for the Authentic Leadership Questionnaire, 3.57 (SD = 1.76) for the Turnover Intention Scale, and 3.00 (SD = 0.51) for the Staff Performance Scale. Mean nursing performance differed significantly based on marital status, whereas intention to leave differed significantly based on marital status and the respondent's perception of their first-line manager. A statistically significant, positive correlation between authentic leadership and staff performance and a statistically significant, negative correlation between authentic leadership and intention to leave were found. In addition, authentic leadership was uniquely associated with staff performance (B = 0.19, p < .05) and intention to leave (B = -0.39, p < .05) in the hierarchical regression analysis after controlling for sociodemographic variables.

Conclusions/implications for practice: Authentic leadership from nurse managers is associated with improved nurse performance and lower nurse intention to leave. Nurse managers may enhance authentic leadership attributes to better retain nurses in hospitals and improve nurse job performance.

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护士管理者的真实领导力与注册护士的绩效和离职意愿之间的关系。
背景:护士管理者的真实领导力已被确定为多种护理结果的有力预测因素。然而,它与员工表现和护士离职意愿之间的关系尚未确定。目的:本研究旨在确定社会人口学变量对护士绩效和离职意愿的预测作用,并检验护士管理者的真实领导力与护士绩效和休假意愿之间的关系。方法:采用比较相关设计和横断面调查方法。招募了约旦一家政府医院的166名注册护士作为方便样本。使用社会人口统计问卷、真实领导力问卷、离职意向量表和护士绩效六维度量表在线收集数据。使用描述性统计、独立t检验、单因素方差分析、Pearson相关和多层次线性回归对数据进行分析。结果:真实领导力问卷的总体平均得分为2.08(SD=0.87),离职意向量表的总体平均分为3.57(SD=1.76),员工绩效量表的整体平均分为3.00(SD=0.51)。平均护理表现因婚姻状况而异,而离职意愿因婚姻状况和受访者对一线经理的看法而异。真实领导力与员工绩效之间存在统计学显著的正相关关系,真实领导力与离职意愿之间存在统计学显着的负相关关系。此外,在控制了社会人口统计学变量后,在分层回归分析中,真正的领导力与员工绩效(B=0.19,p<0.05)和离职意愿(B=-0.39,p<0.05)有着独特的相关性。结论/对实践的启示:护士管理者的真正领导与护士绩效的提高和护士离职意愿的降低有关。护士管理者可以增强真实的领导能力,更好地留住医院的护士,并提高护士的工作绩效。
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