Authentic leadership, nurse satisfaction at work and hospital accreditation: study in a private hospital network

Batista, Sonia Aparecida; Miclos, Paula Vitali; Amendola, Fernanda; Bernardes, Andrea; Mohallem, Andréa Gomes da Costa

doi:10.1590/0034-7167-2020-0227

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (2) • 2021 • https://doi.org/10.1590/0034-7167-2020-0227 copy

Authentic leadership, nurse satisfaction at work and hospital accreditation: study in a private hospital network

Liderazgo auténtico, satisfacción del enfermero en el trabajo y acreditación hospitalaria: estudio en una red de hospitales privado.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to identify the dominant dimensions of the authentic leadership of nurses in a private hospital network and to verify the association with job satisfaction and accreditation.

Methods:

cross-sectional, analytical study carried out in 11 hospitals with 282 nurses, of which 94 were leaders and 188 were led. Participants answered the Authentic Leardership Questionnaire and the Job Satisfaction Survey.

Results:

there was a significant difference between the assessment of leaders and followers in all dimensions of the Authentic Leardership Questionnaire. Regarding the association of authentic leadership and job satisfaction, a significant positive moderate correlation was found among the employees. In hospitals accredited by the Joint Commission International, leaders were perceived as more transparent by their subordinates.

Conclusions:

there was correlation between authentic leadership and job satisfaction and authentic leadership and the accreditation model among the subordinates.

Descriptors:
Nursing; Leadership; Job Satisfaction; Hospital Accreditation; Quality Management

Scores of the dimensions of the ALQ	Mean (SD)	Minimum-Max	Median
Leaders
Transparency	3.0 (0.5)	1.0-4.0	3.0
Moral and Ethical Perspective	3.0 (0.7)	1.0-4.0	3.0
Balanced Processing	3.1 (0.5)	2.0-4.0	3.0
Self-awareness	3.1 (0.5)	2.0-4.0	3.0
Subordinates
Transparency	2.7 (0.8)	0.2-4.0	2.8
Moral and Ethical Perspective	2.6 (0.8)	0.3-4.0	2.8
Balanced Processing	2.6 (1.0)	0.3-4.0	3.0
Self-awareness	2.6 (1.0)	0.0-4.0	2.8
Scores of the dimensions and total score of the JSS
Leaders
Pay	14.1 (4.8)	4-24	14
Promotion	14.7 (4.4)	4-23	15
Supervision	19.9 (4.6)	5-24	22
Benefits	12.5 (4.7)	4-24	12
Rewards	14.9 (4.2)	4-24	15
Operating Procedures	10.7 (2.5)	5-18	11
Coworkers	17.4 (3.1)	11-24	18
Nature of Work	21.0 (2.9)	11-24	22
Communication	16.0 (4.4)	6-24	16
Total Score	141.2 (23.5)	87-192	139
Subordinates
Pay	13.7 (5.0)	4-24	14
Promotion	13.6 (5.1)	4-24	14
Supervision	19.8 (4.3)	6-24	21
Benefits	12.9 (4.9)	4-24	13
Rewards	14.2 (5.2)	4-24	14
Operating Procedures	11.4 (3.1)	4-20	11
Coworkers	17.8 (3.6)	7-24	18
Nature of Work	21.1 (3.0)	12-24	22
Communication	16.3 (4.7)	5-24	17
Total Score	140.8 (27.5)	77-206	140

Dimensions of the instrument ALQ	Accreditation of the hospital						p value
	JCI^§ § Data expressed by estimated mean values and 95% confidence intervals. (n=100)		NAO^§ § Data expressed by estimated mean values and 95% confidence intervals. (n=46)		None^§ § Data expressed by estimated mean values and 95% confidence intervals. (n=42)		p value
	Leaders and subordinates	Subordinates	Leaders and subordinates	Subordinates	Leaders and subordinates	Subordinates	Leaders and subordinates	Subordinates
Transparency	0.148 (-0.053; 0.349)	2.86 (2.70; 3.01)	0.617 (0.320; 0.914)	2.56 (2.32; 2.79)	0.443 (0.132; 0.754)	2.45 (2.21; 2.70)	0.027	0.010
Moral and Ethical Perspective	0.224 (-0.036; 0.484)	2.78 (2.61; 2.94)	0.433 (0.049; 0.816)	2.53 (2.30; 2.77)	0.583 (0.182; 0.985)	2.43 (2.18; 2.68)	0.303	0.044
Balanced Processing	0.231(0.011; 0.450)	2.71 (2.52; 2.90)	0.603 (0.280; 0.926)	2.46 (2.18; 2.75)	0.643 (0.305; 0.981)	2.42 (2.13; 2.72)	0.057	0.179
Self-Awareness	0.129 (-0.072; 0.330)	2.64 (2.45; 2.83)	0.693 (0.396; 0.991)	2.46 (2.18; 2.74)	0.548 (0.237; 0.858)	2.49 (2.19; 2.78)	0.004	0.515

Dimensions of the JSS	Accreditation of the hospital^§ § Data expressed by estimated mean values and 95% confidence intervals.						p value
	JCI (n=100)		NAO (n=46)		None (n=42)		p value
	Leaders	Subordinates	Leaders	Subordinates	Leaders	Subordinates	Leaders	Subordinates
Pay	14.6 (13.3; 16.0)	14.7 (13.7; 15.6)	13.8 (11.8; 15.7)	12.3 (10.9; 13.8)	13.3 (11.3; 15.4)	12.7 (11.2; 14.1)	0.526	0.009
Promotion	14.1 (12.9; 15.3)	14.2 (13.3; 15.2)	15.5 (13.8; 17.3)	13.2 (11.7; 14.6)	15.3 (13.4; 17.1)	12.6 (11.1; 14.2)	0.334	0.179
Supervision	19.4 (18.1; 20.6)	20.2 (19.4; 21.0)	20.5 (18.7; 22.4)	19.9 (18.6; 21.1)	20.6 (18.6; 22.5)	18.9 (17.6; 20.2)	0.461	0.237
Benefits	13.0 (11.7; 14.3)	13.5 (12.6; 14.5)	12.3 (10.4; 14.1)	12.2 (10.8; 13.5)	11.4 (9.4; 13.3)	12.2 (10.7; 13.6)	0.386	0.159
Rewards	14.6 (13.5; 15.8)	15.1 (14.1; 16.1)	15.1 (13.4; 16.8)	12.9 (11.4; 14.3)	15.1 (13.4; 16.9)	13.5 (12.0; 15.1)	0.835	0.029
Operating Procedures	10.8 (10.1; 11.4)	11.6 (11.0; 12.2)	10.3 (9.3; 11.4)	10.5 (9.6; 11.4)	11.1 (10.1; 12.2)	11.8 (10.9; 12.8)	0.566	0.073
Coworkers	17.7 (16.9; 18.6)	17.9 (17.2; 18.6)	17.2 (15.9; 18.4)	17.5 (16.5; 18.5)	16.9 (15.6; 18.1)	17.9 (16.8; 19.0)	0.505	0.813
Nature of Work	20.6 (19.9; 21.4)	21.0 (20.4; 21.6)	22.2 (21.0; 23.3)	21.2 (20.3; 22.0)	20.4 (19.2; 21.6)	21.4 (20.5; 22.3)	0.057	0.710
Communication	16.3 (15.1; 17.5)	17.2 (16.3; 18.1)	15.7 (13.9; 17.5)	15.1 (13.7; 16.4)	15.5 (13.6; 17.4)	15.5 (14.1; 16.9)	0.726	0.017
Total Score	141.2 (134.7; 147.6)	145.4 (140.1; 150.7)	142.7 (133.1; 152.2)	134.7 (126.9; 142.4)	139.6 (129.6;149.5)	136.6 (128.5; 144.8)	0.909	0.047

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[1] Corresponding author: Sonia Aparecida Batista. E-mail: sbatistasab@gmail.com