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

Muhammad Asif, Arif Jameel, Abid Hussain, Jinsoo Hwang and Noman Sahito
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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

IJERPH, 2019, vol. 16, issue 13, 1-15

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.

Keywords: transformational leadership; structural empowerment; job satisfaction; nurse-assessed adverse patient outcomes; quality of care; government hospitals; Pakistan (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (16)

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