Abstract
BackgroundTaiwan’s NHI system is one of the most successful health care models for countries around the globe. However, little research has demonstrated the mental health issues associated with nursing transformational leadership style under the NHI system, especially in the quality of nurses’ working lives in Taiwan. It is important to know the relationship between transformational leadership style and the mental health of nurses, organisational commitment and job satisfaction. The research aimed to understand the influences of nursing transformational leadership style on the quality of nurses’ working lives in Taiwan. The research hypothesis was that transformational leadership styles would have positive influence on the quality of nurses’ working lives.MethodsThis was a cross-sectional quantitative study. Nurses from each type of hospital ownership (private, public and religious) were recruited. Participation was voluntary and signed informed consent was obtained. The inclusion criteria were nurses with at least one year’s work experience in the hospitals. Self-administrated questionnaires were used. A total of 807 participants were contacted and 651 questionnaires were fully completed (response rate 80.7 %). A theory driven model was used to test the research hypotheses using structural equation modelling performed with AMOS 16.0.ResultsTransformational leadership contributes significantly to supervisor support. Workplace support, particularly from the supervisor, is an important mediator variable that explains the relationship between transformational leadership and job satisfaction. Organisational commitment was the strongest factor relevant to the general health well-being in Taiwanese nurses than job satisfaction. The hypothesized positive relationships between transformational leadership and all variables were supported by the data.ConclusionsOur findings have important consequences for organisational health. Our model demonstrates a complete picture of the work relationships on the quality of nurses’ working lives. The results provided information about the subordinates’ perceptions of transformational nursing leadership styles and mental health outcomes in different hospital settings, as well as identified organisational factors that could improve the quality of nurses’ working lives.
Highlights
Taiwan’s NHI system is one of the most successful health care models for countries around the globe
Research has showed that nursing transformational leadership style is associated with employees’ job satisfaction [13] and general health well-being [14], though the mechanism between nursing transformational leadership style and the quality of nurses’ working lives is not clear
There is a need to understand the mechanism between transformational leadership style and quality of working life in health care professions
Summary
Taiwan’s NHI system is one of the most successful health care models for countries around the globe. Little research has demonstrated the mental health issues associated with nursing transformational leadership style under the NHI system, especially in the quality of nurses’ working lives in Taiwan. The research aimed to understand the influences of nursing transformational leadership style on the quality of nurses’ working lives in Taiwan. Numerous studies have demonstrated that nursing is a stressful occupation [3,4,5] Organisational factors such as leadership style, social support, and work climate are contributing factors to well-being of nurses [6,7,8]. Research has showed that nursing transformational leadership style is associated with employees’ job satisfaction [13] and general health well-being [14], though the mechanism between nursing transformational leadership style and the quality of nurses’ working lives is not clear. We propose a theory-driven model to examine this mechanism by using structural equation modelling
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
