Abstract
Aiming to advance the knowledge of clinical leadership during crisis, this longitudinal study investigated the impact of change in leadership behavior among clinical leads on safety climate perceived by clinical workers during the COVID-19 pandemic. The data was collected from clinical leads and their direct reports in public hospitals at different time points over a period of one year. Using random coefficient modelling to analyze the data over time, the change in leadership behavior was detected among clinical leads. The results suggest that clinical leads tended to adopt consideration in their leadership behavior to enhance safety climate among their clinical workers in normal times. However, after the pandemic emerged, clinical leads increasingly adopted initiating structure in their leadership behaviors to ensure safety practice over the time of crisis. The findings provided empirical evidence to support the idea that being an effective leader rests on balancing between consideration and initiating structure behaviors. Based on the study results, practical implications were suggested on how to move leadership practices in healthcare toward the new normal.
Published Version
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