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Self-perception of leadership styles and behaviour in primary health care.
BMC Health Serv Res. 2016 10 12; 16(1):572.BH

Abstract

BACKGROUND

The concept of leadership has been studied in various disciplines and from different theoretical approaches. It is a dynamic concept that evolves over time. There are few studies in our field on managers' self-perception of their leadership style. There are no pure styles, but one or another style is generally favoured to a greater or lesser degree. In the primary health care (PHC) setting, managers' leadership style is defined as a set of attitudes, behaviours, beliefs and values. The objectives of this study were to describe and learn about the self-perception of behaviours and leadership styles among PHC managers; to determine the influence of the leadership style on job satisfaction, efficiency, and willingness to work in a team; and to determine the relationship between transformational and transactional styles according age, gender, profession, type of manager years of management experience, and the type of organization.

METHODS

To describe leadership styles as perceived by PHC managers, a cross sectional study was performed using an 82 items-self-administered Multifactor Leadership Questionnaire (MLQ). This questionnaire measures leadership styles, attitudes and behaviour of managers. The items are grouped into three first order variables (transformational, transactional and laissez-faire) and ten second order variables (which discriminate leader behaviours). Additionally, the questionnaire evaluates organizational consequences such as extra-effort, efficiency and satisfaction.

RESULTS

One hundred forty responses from 258 managers of 133 PHC teams in the Barcelona Health Area (response rate: 54.26 %). Most participants were nurses (61.4 %), average age was 49 years and the gender predominantly female (75 %). Globally, managers assessed themselves as equally transactional and transformational leaders (average: 3.30 points). Grouped by profession, nurses (28.57 % of participants) showed a higher transactional leadership style, over transformational leadership style, compared to physicians (3.38 points, p < 0.003). Considering gender, men obtained the lowest results in transactional style (p < 0.015). Both transactional and transformational styles correlate with efficiency and job satisfaction (r = 0.724 and r = 0.710, respectively).

CONCLUSIONS

PHC managers' self-perception of their leadership style was transactional, focused on the maintenance of the status quo, although there was a trend in some scores towards the transformational style, mainly among nurse managers. Both styles correlate with satisfaction and willingness to strive to work better.

Authors+Show Affiliations

Public Health Nursing, Mental, and Maternal and Infant Health, Universidad de Barcelona, Campus Bellvitge, c/Feixa Llarga s/n. 08907 L'Hospitalet de Llobregat, Barcelona, Spain. gloria.jodar@gmail.com.Public Health Departament, Consorci d'Atenció Primària de Salut de l'Eixample (CAPSE), Barcelona University, Roselló 161, 08036, Barcelona, Spain.Fundamental and Surgical-Medical Department, Universidad de Barcelona, Campus Bellvitge, c/Feixa Llarga s/n. 08907 L'Hospitalet de Llobregat, Barcelona, Spain.Institut Universitari d'Investigación en Atenció Primària (IDIAP) Jordi Gol Unidad de investigación de Barcelona, Gran Via de les Corts Catalanes 587, àtic, 08007, Barcelona, Spain.Barcelona's Primary Health Care Research, Evaluation and Quality Unit Institut Català de la Salut, Numància n° 23, 08029, Barcelona, Spain.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

27733141

Citation

Jodar I Solà, Glòria, et al. "Self-perception of Leadership Styles and Behaviour in Primary Health Care." BMC Health Services Research, vol. 16, no. 1, 2016, p. 572.
Jodar I Solà G, Gené I Badia J, Hito PD, et al. Self-perception of leadership styles and behaviour in primary health care. BMC Health Serv Res. 2016;16(1):572.
Jodar I Solà, G., Gené I Badia, J., Hito, P. D., Osaba, M. A., & Del Val García, J. L. (2016). Self-perception of leadership styles and behaviour in primary health care. BMC Health Services Research, 16(1), 572.
Jodar I Solà G, et al. Self-perception of Leadership Styles and Behaviour in Primary Health Care. BMC Health Serv Res. 2016 10 12;16(1):572. PubMed PMID: 27733141.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-perception of leadership styles and behaviour in primary health care. AU - Jodar I Solà,Glòria, AU - Gené I Badia,Joan, AU - Hito,Pilar Delgado, AU - Osaba,M Antonia Campo, AU - Del Val García,Jose Luís, Y1 - 2016/10/12/ PY - 2015/10/16/received PY - 2016/10/05/accepted PY - 2016/10/14/entrez PY - 2016/10/14/pubmed PY - 2017/10/31/medline KW - Job satisfaction KW - Leadership KW - MLQ KW - Managers KW - Primary health care KW - Self-concept SP - 572 EP - 572 JF - BMC health services research JO - BMC Health Serv Res VL - 16 IS - 1 N2 - BACKGROUND: The concept of leadership has been studied in various disciplines and from different theoretical approaches. It is a dynamic concept that evolves over time. There are few studies in our field on managers' self-perception of their leadership style. There are no pure styles, but one or another style is generally favoured to a greater or lesser degree. In the primary health care (PHC) setting, managers' leadership style is defined as a set of attitudes, behaviours, beliefs and values. The objectives of this study were to describe and learn about the self-perception of behaviours and leadership styles among PHC managers; to determine the influence of the leadership style on job satisfaction, efficiency, and willingness to work in a team; and to determine the relationship between transformational and transactional styles according age, gender, profession, type of manager years of management experience, and the type of organization. METHODS: To describe leadership styles as perceived by PHC managers, a cross sectional study was performed using an 82 items-self-administered Multifactor Leadership Questionnaire (MLQ). This questionnaire measures leadership styles, attitudes and behaviour of managers. The items are grouped into three first order variables (transformational, transactional and laissez-faire) and ten second order variables (which discriminate leader behaviours). Additionally, the questionnaire evaluates organizational consequences such as extra-effort, efficiency and satisfaction. RESULTS: One hundred forty responses from 258 managers of 133 PHC teams in the Barcelona Health Area (response rate: 54.26 %). Most participants were nurses (61.4 %), average age was 49 years and the gender predominantly female (75 %). Globally, managers assessed themselves as equally transactional and transformational leaders (average: 3.30 points). Grouped by profession, nurses (28.57 % of participants) showed a higher transactional leadership style, over transformational leadership style, compared to physicians (3.38 points, p < 0.003). Considering gender, men obtained the lowest results in transactional style (p < 0.015). Both transactional and transformational styles correlate with efficiency and job satisfaction (r = 0.724 and r = 0.710, respectively). CONCLUSIONS: PHC managers' self-perception of their leadership style was transactional, focused on the maintenance of the status quo, although there was a trend in some scores towards the transformational style, mainly among nurse managers. Both styles correlate with satisfaction and willingness to strive to work better. SN - 1472-6963 UR - https://www.unboundmedicine.com/medline/citation/27733141/Self_perception_of_leadership_styles_and_behaviour_in_primary_health_care_ DB - PRIME DP - Unbound Medicine ER -