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Linking Transformational Leadership with Nurse-Assessed Adverse Patient Outcomes and the Quality of Care: Assessing the Role of Job Satisfaction and Structural Empowerment

Author

Listed:
  • Muhammad Asif

    (School of Public Affairs, Zijingang Campus, Zhejiang University, Hangzhou 310058, China)

  • Arif Jameel

    (School of Public Affairs, Zijingang Campus, Zhejiang University, Hangzhou 310058, China)

  • Abid Hussain

    (School of Public Affairs, Zijingang Campus, Zhejiang University, Hangzhou 310058, China)

  • Jinsoo Hwang

    (The College of Hospitality and Tourism Management, Sejong University, 98 Gunja-Dong, Gwanjin-Gu, Seoul 143-747, Korea)

  • Noman Sahito

    (Department of City & Regional Planning, Mehran University of Engineering & Technology, Jamshoro 76062, Pakistan)

Abstract

The purpose of this study was to examine the relationships between transformational leadership (TL), structural empowerment (SE), job satisfaction (JS), nurse-assessed adverse patient outcomes (APO), and the quality of care (QOC). The study further investigates the mediating effects of SE and JS on TL-APO and TL-QOC relationships. A total of 600 nurses working at 17 government hospitals in Pakistan completed the survey. The hypothesized model was tested using a confirmatory factor analysis and structural equation modeling. We found a positive relationship between TL, SE, JS, and QOC but negative relationships between TL and APO, SE and APO, and JS and APO. Our study further suggests that SE and JS strongly mediate both TL-APO and TL-QOC relationships.

Suggested Citation

  • Muhammad Asif & Arif Jameel & Abid Hussain & Jinsoo Hwang & Noman Sahito, 2019. "Linking Transformational Leadership with Nurse-Assessed Adverse Patient Outcomes and the Quality of Care: Assessing the Role of Job Satisfaction and Structural Empowerment," IJERPH, MDPI, vol. 16(13), pages 1-15, July.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:13:p:2381-:d:245696
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    References listed on IDEAS

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    1. Abid Hussain & Muhammad Asif & Arif Jameel & Jinsoo Hwang, 2019. "Measuring OPD Patient Satisfaction with Different Service Delivery Aspects at Public Hospitals in Pakistan," IJERPH, MDPI, vol. 16(13), pages 1-9, July.
    2. Yafang Tsai & Shih‐Wang Wu, 2010. "The relationships between organisational citizenship behaviour, job satisfaction and turnover intention," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(23‐24), pages 3564-3574, December.
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    Cited by:

    1. Abid Hussain & Muhammad Asif & Arif Jameel & Jinsoo Hwang & Noman Sahito & Shahida Kanwel, 2019. "Promoting OPD Patient Satisfaction through Different Healthcare Determinants: A Study of Public Sector Hospitals," IJERPH, MDPI, vol. 16(19), pages 1-12, October.
    2. Yan Hong & Gangwei Cai & Zhoujin Mo & Weijun Gao & Lei Xu & Yuanxing Jiang & Jinming Jiang, 2020. "The Impact of COVID-19 on Tourist Satisfaction with B&B in Zhejiang, China: An Importance–Performance Analysis," IJERPH, MDPI, vol. 17(10), pages 1-19, May.
    3. Arif Jameel & Muhammad Asif & Abid Hussain & Jinsoo Hwang & Mussawar Hussain Bukhari & Sidra Mubeen & Insin Kim, 2019. "Improving Patient behavioral Consent through Different Service Quality Dimensions: Assessing the Mediating Role of Patient Satisfaction," IJERPH, MDPI, vol. 16(23), pages 1-13, November.
    4. Iwona Malinowska-Lipień & Agnieszka Micek & Teresa Gabryś & Maria Kózka & Krzysztof Gajda & Agnieszka Gniadek & Tomasz Brzostek & Jason Fletcher & Allison Squires, 2021. "Impact of the Work Environment on Patients’ Safety as Perceived by Nurses in Poland—A Cross-Sectional Study," IJERPH, MDPI, vol. 18(22), pages 1-14, November.
    5. Hyunjoon Kim & Jinkyung Jenny Kim & Muhammad Asif, 2019. "The Antecedents and Consequences of Travelers’ Well-Being Perceptions: Focusing on Chinese Tourist Shopping at a Duty Free," IJERPH, MDPI, vol. 16(24), pages 1-22, December.
    6. Jinsoo Hwang & Jinkyung Jenny Kim & Jenni Soo-Hee Lee & Noman Sahito, 2020. "How to Form Wellbeing Perception and Its Outcomes in the Context of Elderly Tourism: Moderating Role of Tour Guide Services," IJERPH, MDPI, vol. 17(3), pages 1-16, February.
    7. Faiza Manzoor & Longbao Wei & Abid Hussain & Muhammad Asif & Syed Irshad Ali Shah, 2019. "Patient Satisfaction with Health Care Services; An Application of Physician’s Behavior as a Moderator," IJERPH, MDPI, vol. 16(18), pages 1-16, September.
    8. Chang-E Liu & Chenhong Hu & Wei Xie & Tingting Liu & Wei He, 2020. "The Moderated-Mediation Effect of Workplace Anxiety and Regulatory Focus in the Relationship between Work-Related Identity Discrepancy and Employee Innovation," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    9. Awaisra Shafiq & Abid Hussain & Muhammad Asif & Jinsoo Hwang & Arif Jameel & Shahida Kanwel, 2019. "The Effect of “Women’s Empowerment” on Child Nutritional Status in Pakistan," IJERPH, MDPI, vol. 16(22), pages 1-9, November.
    10. Muhammad Asif & Arif Jameel & Noman Sahito & Jinsoo Hwang & Abid Hussain & Faiza Manzoor, 2019. "Can Leadership Enhance Patient Satisfaction? Assessing the Role of Administrative and Medical Quality," IJERPH, MDPI, vol. 16(17), pages 1-14, September.
    11. Reem Al-Dossary & Majed Alamri & Hamdan Albaqawi & Khaled Al Hosis & Mohammed Aljeldah & Mohammed Aljohan & Khalid Aljohani & Noura Almadani & Bader Alrasheadi & Rawaih Falatah & Joseph Almazan, 2020. "Awareness, Attitudes, Prevention, and Perceptions of COVID-19 Outbreak among Nurses in Saudi Arabia," IJERPH, MDPI, vol. 17(21), pages 1-16, November.
    12. Faiza Manzoor & Longbao Wei & Muhammad Asif & Muhammad Zia ul Haq & Hafiz ur Rehman, 2019. "The Contribution of Sustainable Tourism to Economic Growth and Employment in Pakistan," IJERPH, MDPI, vol. 16(19), pages 1-14, October.
    13. Wei-Li Wu & Yi-Chih Lee, 2020. "Do Work Engagement and Transformational Leadership Facilitate Knowledge Sharing? A Perspective of Conservation of Resources Theory," IJERPH, MDPI, vol. 17(7), pages 1-17, April.
    14. Chiyin Chen & Xinyi Ding & Jiachen Li, 2021. "Transformational Leadership and Employee Job Satisfaction: The Mediating Role of Employee Relations Climate and the Moderating Role of Subordinate Gender," IJERPH, MDPI, vol. 19(1), pages 1-14, December.
    15. Muhammad Asif & Muhammad Ali Hussain & Shazia Humayun & Muhammad Awais & Mingxing Li, 2023. "Investigating the Role of Ethical Leadership on Employee Innovativeness through Bottom-Up Job Redesigning: Self-Leadership as a Catalyst," Sustainability, MDPI, vol. 15(9), pages 1-12, April.
    16. Andrea Caputo & Paola Gatti & Marco Clari & Giacomo Garzaro & Valerio Dimonte & Claudio Giovanni Cortese, 2023. "Leaders’ Role in Shaping Followers’ Well-Being: Crossover in a Sample of Nurses," IJERPH, MDPI, vol. 20(3), pages 1-15, January.

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