Age and leadership: comparisons of age groups in different kinds of work environment

Healthcare leadership practice and associated factors among primary healthcare managers in East Gojam Zone, Northwest Ethiopia: a mixed method study

BACKGROUND

Leadership plays a critical role in the delivery of person centered, safe, efficient, and effective healthcare services globally. Poor healthcare leadership contributes to low staff motivation, patient dissatisfaction, and reduced healthcare-seeking behavior. However, there is limited evidence on healthcare leadership practice and associated factors among primary healthcare managers in the study area and at large in Ethiopia. Therefore, the findings of this study will contribute to improved healthcare leadership practices among primary healthcare managers.

METHOD

Facility-based cross-sectional study supplemented with qualitative inquiry was conducted in the East Gojam zone among 532 primary healthcare managers selected by a two-stage stratified random sampling technique. A pre-tested and structured self-administered questionnaire was used to collect the quantitative data. Data were entered into Epi-Data version 4.6 and exported into Stata version 14.0 for analysis. Multiple linear regression analysis was used to identify factors associated with healthcare leadership practice, and statistical significance was declared at a p-value < 0.05 with a 95% CI. Six key informant interviews were conducted, and thematic analysis was used for the qualitative study.

RESULT

The magnitude of healthcare leadership practice among primary healthcare managers in the East Gojam zone was 45.7% (95% CI: (41.4, 50.0)). Factors associated with healthcare leadership practice were age [β = 0.44, 95% CI: (0.16, 0.71)], training in healthcare leadership practice [β = 1.19, 95% CI: (0.19, 2.20)], experience sharing [β = 1.68, 95% CI: (0.59, 2.76)], organizational communication [β = 0.19, 95% CI: (0.05, 0.33)], managerial working experience [β = 0.94, 95% CI: (0.18, 1.69)] and emotional intelligence [β = 0.35, 95% CI: (0.31, 0.38)].

CONCLUSION AND RECOMMENDATION

The magnitude of healthcare leadership practice among primary healthcare managers in the East Gojam zone was low as compared with a previous study in Ethiopia. It was significantly associated with age, training in leadership, experience sharing, organizational communication, managerial working experience, and emotional intelligence. Thus, human resource managers at primary healthcare level should consider older and more experienced candidates during assigning managers, organize training on healthcare leadership and experience sharing with model managers to improve the leadership practice of primary healthcare managers in the East Gojam zone.

Leadership through the subordinates' eye: perceptions of leader behaviors in relation to age and gender

Purpose

The study represents a theory-based leadership approach in exploring the subordinate's perceptions of leadership behaviors in relation to age, gender and type of work environment. The aim was (1) to compare subordinates' ratings of their respective leaders' leadership behaviors based on of the leaders' age and gender, controlling for type of work environment and (2) to analyze the relationship between the subordinates' ratings of their leaders' leadership behaviors and their ratings of the outcome of these leadership behaviors.

Design/methodology/approach

Data were collected using the Developmental Leadership Questionnaire (DLQ) from a sample of Swedish leadership course participants (n = 10,869) and their respective subordinates (n = 97,943). The DLQ measures leadership behaviors designed to reflect the following leadership styles: developmental leadership, conventional-positive leadership, conventional-negative leadership and destructive leadership.

Findings

Results showed that older leaders (51 years or older) were rated less favorably than younger (29 years or younger) and mid-aged leaders. Female leaders received more positive ratings than male leaders. A 3-way analysis-of-variance showed strong main effects for age, gender, and type of work environment and no significant interaction effects. A significant model with high equivalents of R2 coefficients (Cox and Snell, 1989; Nagelkerke, 1991) was obtained in a logistic regression analysis. Developmental leadership and conventional-positive leadership made significant positive contributions to the subordinates' ratings of the outcome of their leaders' leadership behaviors. Destructive leadership behaviors contributed negatively to the outcome ratings.

Research limitations/implications

Weaknesses include the cross-sectional study design. The large sample size is a strength, and the results have novel implications for leadership theory related to subordinates' view on leadership.

Practical implications

Counter-stereotype age and gender findings may have implications for organizational decisions and processes regarding selection of managers. Development programs are suggested for all categories but for older, male leaders with a focus on reducing their use of leadership behaviors perceived negatively by their subordinates, whereas younger female leaders should be encouraged to continue to develop their positive leadership behaviors.

Originality/value

The theory-based approach on subordinates' perceptions of leadership behaviors with a simultaneous focus on age, gender and type of work environment, based on a large-scale data set, is new.

Doubting the connection: millennials’ perceptions of the link between higher education and workplace readiness

Purpose

While Millennials are the most educated generation to date, the unique contributions of higher education as a source of vocational anticipatory socialization (VAS) for organizational success remains unknown. Thus, this paper aims to establish a formative understanding from the student perspective of how faculty help ready the youngest of the Millennial generation for industry. This also allows for a comparison to their older counterparts.

Design/methodology/approach

Data were collected via an online mixed-methods survey with nearly 400 Millennials (n = 353).

Findings

Two prominent themes emerged including the professor as a socialization agent, where Millennials report learning from faculty as they are “managers of the classroom.” Additionally, the data indicate that many Millennials doubt the strength of the connection between higher education and career socialization, though a smaller cohort reported using the university environment, and more specifically, their interactions with faculty to practice and refine future workplace behaviors. In contrast to parents and peers, faculty nearly always ranked as the lowest source of VAS information.

Research limitations/implications

Some Millennials demonstrate a keen awareness of the importance of relational communication, boding especially well for their relationships with future managers and for their leadership skills as they transition into positions of management.

Practical implications

Faculty should consider how to address three concerns: a potential lack of perceived relevance, workplace inferences based on college experiences and leveraging interactions to strengthen student practice of professional communication. Managers would be well served to anticipate how to address newcomers’ expectations that stem from interpreting communicative experiences in the college classroom as analogous to workplace interactions.

Originality/value

The data indicate that traditional ideas about the impact of vocational anticipatory socialization sources and messaging need to be rethought, and instead, it appears some of the most fruitful socialization experiences faculty can provide is in giving students space and opportunity to practice and refine future workplace behaviors.