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Türkmen Keskin S, Özduyan Kiliç M. Investigation of the relationship between nurses' perception of toxic leadership and their organizational trust levels and turnover intentions. J Adv Nurs 2024; 80:1859-1867. [PMID: 37962144 DOI: 10.1111/jan.15951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2023] [Revised: 07/24/2023] [Accepted: 10/25/2023] [Indexed: 11/15/2023]
Abstract
AIM This study aimed to investigate the relationship between nurses' perception of toxic leadership and their organizational trust levels and turnover intentions. DESIGN This cross-sectional study was conducted using an online survey of 168 nurses working in public and university hospitals. METHODS Data were collected between April and November 2022 with the Toxic Leadership Scale, Organizational Trust Scale and Turnover Intention Scale. Descriptive statistics, correlations, and regression analyses were used to analyse these data. RESULTS It was determined that almost half of the nurses (46.4%) were exposed to negative behaviours from their managers within the last year. Nurses' perception of toxic leadership, organizational trust level and turnover intention were moderate. It was found that nurses' perceptions of toxic leadership had a negative effect on organizational trust level (R2 = .691; β = -0.832; p < .05) and a positive significant effect on turnover intention (R2 = .267; β = 0.521; p < .05). CONCLUSIONS This study revealed that toxic leadership behaviours in health organizations should be struggled with to increase nurses' organizational trust and reduce their turnover. In this context, an organizational culture in which toxic behaviours are not tolerated should be established in health organizations. IMPACT What problem did the study address? In the literature, mostly positive leadership behaviours of nurse managers are emphasized and little is known about their negative behaviours such as toxic leadership. What were the main findings? It was determined that nurses who perceived more toxic behaviour from their managers had less trust in their organizations and higher turnover intention. On whom will the research have an impact? To provide a positive working environment and reduce turnover, it is necessary to create an organizational culture in which the toxic behaviours of nurse managers are not tolerated. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Alilyyani B, Althobaiti E, Al-Talhi M, Almalki T, Alharthy T, Alnefaie M, Talbi H, Abuzaid A. Nursing experience and leadership skills among staff nurses and intern nursing students in Saudi Arabia: a mixed methods study. BMC Nurs 2024; 23:87. [PMID: 38308273 PMCID: PMC10835976 DOI: 10.1186/s12912-024-01750-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 01/21/2024] [Indexed: 02/04/2024] Open
Abstract
BACKGROUND Nurse leaders have a crucial impact in healthcare settings. Hospitals require qualified nurses with leadership skills to provide healthy work environments and enhance the outcomes related to staff nurses and patients. This study aimed to investigate the effect of nursing experience on leadership skills among staff nurses and intern nursing students. METHODS A mixed methods design was applied (quantitative survey design for quantitative part and open-ended questions for qualitative part). Convenience sampling of staff nurses and intern nursing students in Saudi Arabia was applied. There were148 participants who completed the survey of the quantitative part, and 50 of them completed the qualitative part. Participants completed the Leadership Practice Inventory Questionnaire. SPSS v26 was used to analyze quantitative part, and thematic analysis was used to analyze qualitative part. RESULTS This study found a significance difference among participating groups regarding to the years of experience (F = 5.05, p = 0.00). Three themes were found for the qualitative part which were strategies to enhance leadership skills, factors affecting leadership skills, and obstacles facing participants related to leadership skills. The qualitative data also revealed that participants found that clinical supervision and education ways to enhance the leadership skills, while work pressure, work environment and communication were obstacles of developing their leadership skills. CONCLUSION Leadership skills are considered as a significant component of the function of qualified nurses and should be viewed as central to intern nursing students' learning development. Moreover, leadership skills are essential for the patient and organization outcomes. Nursing colleges and educators play an important role in enhancing to leadership skills as well as experience. Nurse leaders can create healthy care environments that have high quality and safety for patients. Management systems in healthcare organizations must motivate and support clinical leaders who can recognize both individual and clinical requirements and address current issues in their field.
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Affiliation(s)
- Bayan Alilyyani
- Department of Nursing Management and Education, College of Nursing, Taif University, 2425, Taif, Saudi Arabia.
| | - Emad Althobaiti
- Department of Nursing Management and Education, College of Nursing, Taif University, 2425, Taif, Saudi Arabia
| | - Muath Al-Talhi
- Department of Nursing Management and Education, College of Nursing, Taif University, 2425, Taif, Saudi Arabia
| | - Talal Almalki
- Department of Nursing Management and Education, College of Nursing, Taif University, 2425, Taif, Saudi Arabia
| | - Tariq Alharthy
- Department of Nursing Management and Education, College of Nursing, Taif University, 2425, Taif, Saudi Arabia
| | - Mohammed Alnefaie
- Department of Nursing Management and Education, College of Nursing, Taif University, 2425, Taif, Saudi Arabia
| | - Husam Talbi
- Department of Nursing Management and Education, College of Nursing, Taif University, 2425, Taif, Saudi Arabia
| | - Ahmed Abuzaid
- Department of Nursing Management and Education, College of Nursing, Taif University, 2425, Taif, Saudi Arabia
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Hult M, Terkamo‐Moisio A, Kaakinen P, Karki S, Nurmeksela A, Palonen M, Peltonen L, Häggman‐Laitila A. Relationships between nursing leadership and organizational, staff and patient outcomes: A systematic review of reviews. Nurs Open 2023; 10:5920-5936. [PMID: 37306328 PMCID: PMC10415995 DOI: 10.1002/nop2.1876] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 02/17/2023] [Accepted: 05/29/2023] [Indexed: 06/13/2023] Open
Abstract
AIM To assess and describe reviews of nursing leadership styles associated with organizational, staff and patient outcomes. DESIGN A systematic review of reviews. METHODS Reviews describing a search strategy and quality assessment. The review followed the PRISMA statement. Nine databases were searched in February 2022. RESULTS After screening 6992 records, 12 reviews were included reporting 85 outcomes for 17 relational, nine task-oriented, five passive and five destructive leadership styles. Transformational leadership, which is one of the relational styles, was the most studied among all the styles. Of the outcomes, staff outcomes were the most reported, notably job satisfaction, and patient outcomes were less reported. Also, mediating factors between relational leadership styles and staff and patient outcomes were identified. CONCLUSION Extensive research shows the beneficial impacts of relational leadership; however, destructive leadership research is lacking. Relational leadership styles should be conceptually assessed. More research is needed on how nurse leadership affects patients and organizations.
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Affiliation(s)
- Marja Hult
- Department of Nursing ScienceUniversity of Eastern FinlandKuopioFinland
| | | | - Pirjo Kaakinen
- Research unit of Nursing Science and Health ManagementUniversity of OuluOuluFinland
- The Finnish Centre for Evidence‐Based Health Care: A Joanna Briggs Institute Centre of ExcellenceHelsinkiFinland
| | - Suyen Karki
- Department of Nursing ScienceUniversity of Eastern FinlandKuopioFinland
| | - Anu Nurmeksela
- Department of Nursing ScienceUniversity of Eastern FinlandKuopioFinland
| | - Mira Palonen
- Department of Nursing ScienceTampere UniversityTampereFinland
| | | | - Arja Häggman‐Laitila
- Department of Nursing ScienceUniversity of Eastern FinlandKuopioFinland
- Social and Health Care, City of HelsinkiHelsinkiFinland
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Alsalmi M, Alilyyani B. The role of authentic leadership in nurses' stress and burnout in emergency departments. Leadersh Health Serv (Bradf Engl) 2023; ahead-of-print. [PMID: 37606378 DOI: 10.1108/lhs-01-2023-0005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Abstract
PURPOSE Nurses are one the essential health-care providers within society, seeking the employment of authentic leadership approaches to reduce the burnout and stressors established within the emergency departments. Burnout has been vitally documented as a psychological impulse that emerges due to the prevalence of chronic job stressors. Authentic leadership approaches will act as an affirmative organizational resource that could help to minimize burnout in the work environments. Therefore, this study aims to evaluate the role of authentic leadership in stress and burnout among nurses in emergency departments. DESIGN/METHODOLOGY/APPROACH This study used a quantitative, cross-sectional design. A package of surveys was distributed to nurses working in emergency departments using standardized questionnaires that measured the study variables. A total of 188 nurses participated in the study. SPSS was used to analyze data. FINDINGS The study's results supported the hypotheses and found that authentic leadership significantly and negatively influenced nurses' job stress R = -0.169, p = 0.0205. Also, the results of this study found that the relationship between authentic leadership and burnout was significant and negative R = -0.245, F (1,186) = 11.8, p = 0.0007. ORIGINALITY/VALUE Nurse leaders can introduce flexible working hours and develop coordination and cooperation among nurses, and management of the hospitals needs to focus on improving the structure and enhancing nurses' outcomes that could affect patients' and organizations' outcomes.
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Affiliation(s)
- Mashael Alsalmi
- King Faisal Medical Complex, Ministry of Health, Taif, Saudi Arabia
| | - Bayan Alilyyani
- Nursing Department, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia
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The Effect of Authentic Leadership on Nurses' Trust in Managers and Job Performance: A Cross-Sectional Study. NURSING REPORTS 2022; 12:993-1003. [PMID: 36548168 PMCID: PMC9784480 DOI: 10.3390/nursrep12040095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 12/05/2022] [Accepted: 12/07/2022] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Nurse leaders have the responsibility to build healthy work environments for staff nurses and enhance nurses' outcomes. Authentic leadership is one of the leadership theories that have been shown to have positive impacts on nurses' outcomes. The goal of this study was to test the effect of authentic leadership on trust in managers and job performance among nurses in Saudi Arabia. METHODS A non-experimental, cross-sectional design was applied. A total of 116 nurses who met the inclusion criteria completed the survey. To test the study variables, three different scales were used. The data in this study were analyzed using SPSS version 28.0.1.1. RESULTS The findings of this study showed that there were significant and positive effects of authentic leadership and its four components on trust in managers. However, no relationships were found between authentic leadership and its four elements, and job performance. CONCLUSIONS Authentic leaders have the ability to improve work environments by building a trustful relationship with nurses. This study focuses on the role of authentic leadership in nursing practice and its essential effects to enhance the work environments. It also provides future researchers in Saudi Arabia with comprehensive knowledge about conducting studies of authentic leadership in nursing and examine its effects on outcomes related to nurses.
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Alilyyani B, Kerr MS, Wong C, Wazqar DY. The influence of authentic leadership on nurses' turnover intentions and satisfaction with quality of care in Saudi Arabia: A structural equation modelling study. J Nurs Manag 2022; 30:4262-4273. [PMID: 36326612 DOI: 10.1111/jonm.13895] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Revised: 10/01/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022]
Abstract
AIM(S) The study aimed to test a model that examined the relationships between authentic leadership, psychological safety, work engagement and team effectiveness and subsequent effects of team effectiveness on job turnover intentions and nurse satisfaction with quality of care. BACKGROUND Nurse leaders who exhibit authentic leadership have been shown to contribute to the development of healthy work environments. In workplaces with demonstrated authentic leadership, nurses are more engaged and have lower job turnover intentions. METHOD(S) A non-experimental, cross-sectional design was used to test the hypothesized model via structural equation modelling. A total of 456 nurses were included. RESULTS Structural equation modelling analysis indicated a good fit for the hypothesized model. Authentic leadership had a positive, significant and direct relationship with team effectiveness, nurses' work engagement and psychological safety. Team effectiveness was found to be negatively related to job turnover intentions but positively related to nurse satisfaction with quality of care. CONCLUSION(S) Results of this study may help nursing leaders have a better understanding of the essential role of leadership style in increasing healthy work environments. IMPLICATIONS FOR NURSING MANAGEMENT Applying authentic leadership style in nursing practice could help to reduce the shortage of nurses stemming from the high turnover intentions of nurses.
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Affiliation(s)
- Bayan Alilyyani
- Nursing Department, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia
| | - Michael S Kerr
- Arthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Ontario, Canada
| | - Carol Wong
- Arthur Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Ontario, Canada
| | - Dhuha Y Wazqar
- Oncology Nursing and Palliative Care at Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia
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Mariano MEM, Woodman A, Al Zahrani EM, Al Naam Y, Farrelly RR, Al‐Jamea LH, Al Mutair A, Al‐Ansari R, Quiambao JV, Balilla J. Turnover-attachment motive of Saudi Arabia nursing workforce: A Cross-Sectional study. Nurs Open 2022; 10:988-997. [PMID: 36109849 PMCID: PMC9834159 DOI: 10.1002/nop2.1366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 08/08/2022] [Accepted: 08/30/2022] [Indexed: 01/16/2023] Open
Abstract
AIM This study aimed to explore the association of turnover-attachment motive with socio-demographic data among Saudi and foreign nurses in a hospital in the Eastern Province of Saudi Arabia. METHODS A cross-sectional correlation study was conducted among n = 180 registered Saudi and foreign nurses working at a private tertiary hospital in the Eastern Province, Saudi Arabia. The turnover-attachment motive survey was used to evaluate the eight motivational forces. Data were analysed using JASP version 16 statistical software and Orange 3 version 3.26.0. The data were subjected to correlation analysis and multiple linear regression. RESULTS Only 8% of participants were identified with a high intention to leave driven by alternative, behavioural, normative and constitutive forces. Younger healthcare workers tend to have higher intentions to quit the job; the 29-33 age group has a statistically significant negative effect, increasing intention to leave. It was found that those with 5-6 years of clinical experience at Dr. Sulaiman Al Habib Hospital, Al Khobar and no experience abroad had statistically significantly lower intention to leave. CONCLUSION This study presented the factors influencing nursing staff to stay or leave work in a hospital in the Eastern Province of Saudi Arabia that can be a basis for reviewing existing policies and procedures to improve nurses' working conditions.
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Affiliation(s)
- Maria E. M. Mariano
- Nursing Department, Prince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Alexander Woodman
- Vice Deanship of Postgraduate Studies and ResearchPrince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Eidan M. Al Zahrani
- Biomedical Technology DepartmentPrince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Yaser A. Al Naam
- Department of Clinical Laboratory SciencesPrince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Rory R. Farrelly
- Nursing Administration DepartmentDr. Sulaiman Al Habib HospitalDhahranSaudi Arabia
| | - Lamiaa H. Al‐Jamea
- Department of Clinical Laboratory SciencesPrince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Abbas Al Mutair
- Nursing Department, Prince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Rehab Y. Al‐Ansari
- Internal Medicine DepartmentKing Fahad Military Medical ComplexDhahranSaudi Arabia
| | - Jenifer V. Quiambao
- Vice Deanship of Postgraduate Studies and ResearchPrince Sultan Military College of Health SciencesDhahranSaudi Arabia
| | - Jeffhraim Balilla
- Institutional Assessment, Effectiveness & Research Advancement UnitBulacan State UniversityBulacanPhilippines
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Alshareef N, Tunio MN. Role of Leadership in Adoption of Blockchain Technology in Small and Medium Enterprises in Saudi Arabia. Front Psychol 2022; 13:911432. [PMID: 35602740 PMCID: PMC9114744 DOI: 10.3389/fpsyg.2022.911432] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Accepted: 04/13/2022] [Indexed: 01/11/2023] Open
Abstract
This research aims to determine the role of the leadership and potential benefits that blockchain adoption may bring to SME financing in the Kingdom, as well as the foreseeable challenges that may hinder small businesses from benefiting from the adoption of blockchain. It is interesting aspect to see how leadership manages to adopt new changes amid several challenges and threats. This article also outlines policy and regulatory trends that SMEs can save operating costs and improve efficiency, thereby increasing transparency and easier access to funds. Digital technology and creative business models have the potential to help narrow the financing gap for SMEs. E-commerce and the sharing economy provide SMEs with more market access and new business models, as well as the data-driven business prospects generated through data sharing under the framework of open banking. This study provides recommendation that there is a dire need to pay attention on the complete mechanism of the SME's in order to support them as well as promote them to show their distinction in the contribution of social and economic development. This study provides implications for the financial institutions, government agencies and society to come forward equally for the common interest.
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Affiliation(s)
- Nasser Alshareef
- College of Business Administration (CBA), Majmaah University, Al Majma’ah, Saudi Arabia,*Correspondence: Nasser Alshareef,
| | - Muhammad Nawaz Tunio
- Department of Management Science, Mohammad Ali Jinnah University, Karachi, Pakistan
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Alilyyani B, Kerr MS, Wong C, Wazqar DY. An integrative review of nursing leadership in Saudi Arabia. Nurs Open 2021; 9:140-155. [PMID: 34730295 PMCID: PMC8685851 DOI: 10.1002/nop2.1117] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 10/04/2021] [Accepted: 10/14/2021] [Indexed: 11/07/2022] Open
Abstract
Aims The aims of this integrative review were to describe leadership styles from the nursing literature in Saudi Arabia and to identify the current state of evidence about relationships between leadership styles and nurse, patient and organization outcomes in Saudi Arabia. Design Integrative review was used as a design for this study. Methods The following search terms were used with databases: ‘Saudi Arabia’, ‘leadership theory*’, ‘leadership style*’, ‘leadership model*’, ‘management style’ and ‘nurse*’. Methodological quality was assessed using two different quality rating tools for quantitative and qualitative studies. Databases used for this review included Nursing & Allied Health Database, Cochrane Database of Systematic Reviews, PubMed, CINAHL, Embase, PsycINFO, Scopus, Web of Science and ProQuest Dissertations & Theses. Results Nine manuscripts representing eight studies were included in this review. The papers reviewed included quantitative (n = 6), qualitative (n = 2) and mixed methods studies (n = 1). Results were grouped into different themes, identified as nursing leadership styles in Saudi Arabia, leadership styles and nurses' outcomes, and demographics and leadership styles.
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Affiliation(s)
- Bayan Alilyyani
- Nursing Department, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia
| | - Michael S Kerr
- Faculty of Health Sciences, Arthur Labatt Family School of Nursing, Western University, London, ON, Canada
| | - Carol Wong
- Faculty of Health Sciences, Arthur Labatt Family School of Nursing, Western University, London, ON, Canada
| | - Dhuha Y Wazqar
- Department of Oncology Nursing and Palliative Care at Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia
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