The Impact of Transformation Leadership on Improving Quality Health Service in a Health Center Laban in Riyadh Region
Keywords:
healthcare, health centers, Riyadh, nursing
Abstract
The quality of health services is one of the basic areas in all services provided by hospitals and health centers, and health institutions need distinguished leaders who can take responsibility to achieve their goals: efficiency and high quality. The presence of conscious administrative leadership that can make optimal use of its resources. This paper aimed to determine the impact of transformational leadership on healthcare quality in Laban Health Center in Riyadh.
The result found that among the participants, the most influential results from the Dimensional Transformation Leadership Survey (inspirational motivation) were that 91.6% of respondents believed that their immediate superior makes them feel important in the work they do, the most influential results from the dimension on the quality of healthcare are Survey (Empathy) No. (17), 97% of respondents believe that the nursing staff behaves kindly with accompanying patients. The study aimed to assess the impact of transformational leadership on healthcare quality in Laban Health Center in Riyadh. The study found that the average (dimension of transformational leadership) is (3.95), which is considered a "high level", and this means that the respondents agree that the dimensions of transformational leadership are very high. A mean (dimensions of healthcare) (4.60) is considered 'high', meaning that participants agree.
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References
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4. Arukutty, T. (2018). A Study on the Medical Service Quality and its Influence upon Level of Patient’s Satisfaction with Special Reference to Selected Major Multispeciality Hospitals, Chennai City. International Journal of Trend in Scientific Research and Development, Volume-2(Issue-3), 97–106. https://doi.org/10.31142/ijtsrd10846
5. Ayoko, O. B., & Chua, E. L. (2014). The Importance of Transformational Leadership Behaviors in Team Mental Model Similarity, Team Efficacy, and Intra-Team Conflict. Group & Organization Management, 39(5), 504–531. https://doi.org/10.1177/1059601114550080.
6. Bass, B. M., Avolio, B. J., & Goodheim, L. (1987). Biography and the Assessment of Transformational Leadership at the World-Class Level. Journal of Management, 13(1), 7–19. https://doi.org/10.1177/014920638701300102.
7. Black, N., Varaganum, M., & Hutchings, A. (2014). Relationship between patient reported experience (PREMs) and patient reported outcomes (PROMs) in elective surgery. BMJ Quality & Safety, 23(7), 534–542. https://doi.org/10.1136/bmjqs-2013-002707.
8. Boamah, S. A., Spence Laschinger, H. K., Wong, C., & Clarke, S. (2018). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook, 66(2), 180–189. https://doi.org/10.1016/j.outlook.2017.10.004
9. Burns, J.M. (1978) Leadership. New York. Harper & Row.
10. Campbell, J. W. (2017). Red tape and transformational leadership: an organizational echelons perspective. Journal of Organizational Change Management, 30(1), 76–90. https://doi.org/10.1108/jocm-01-2016-0004
11. Chace, S. (2015). The Cuban Missile Crisis: Leadership as Disturbance, Informed by History. Journal of Leadership Studies, 9(2), 63–68. https://doi.org/10.1002/jls.21367
12. Crews, E. R., Brouwers, M., & Visagie, J. C. (2019). Transformational and transactional leadership effects on communication styles. Journal of Psychology in Africa, 29(5), 421–428. https://doi.org/10.1080/14330237.2019.1675996
13. Dasborough, M. T. (2006). Cognitive asymmetry in employee emotional reactions to leadership behaviors. The Leadership Quarterly, 17(2), 163–178. https://doi.org/10.1016/j.leaqua.2005.12.004
14. Dasborough, M. T., & Ashkanasy, N. M. (2002). Emotion and attribution of intentionality in leader–member relationships. The Leadership Quarterly, 13(5), 615–634. https://doi.org/10.1016/s1048-9843(02)00147-9
15. Devi, S., & Mahajans, D. R. (2019). Impact of Transformational Leadership on Employee Engagement. International Journal of Psychosocial Rehabilitation, 23(4), 1107–1116. https://doi.org/10.37200/ijpr/v23i4/pr190437
16. Dionne, S. D., Yammarino, F. J., Atwater, L. E., & Spangler, W. D. (2004).
17. Transformational leadership and team performance. Journal of Organizational Change Management, 17(2), 177–193. https://doi.org/10.1108/09534810410530601
18. Ferraro, J. (2015). Healthcare Quality Book: Vision, Strategy, and Tools, 3rd Edition. American Journal of Health-System Pharmacy, 72(2), 164. https://doi.org/10.1093/ajhp/72.2.164
19. Fitzgerald, S., & Schutte, N. S. (2010). Increasing transformational leadership through enhancing self‐efficacy. Journal of Management Development, 29(5), 495– 505. https://doi.org/10.1108/02621711011039240
20. Hamad, H. B. (2015). Transformational Leadership Theory: Why Military Leaders are More Charismatic and Transformational? International Journal on Leadership, 3(1). https://doi.org/10.21863/ijl/2015.3.1.001
21. Hunter, A. (1992). Health Service Quality: An introduction to quality methods for health services. Physiotherapy, 78(5), 387. https://doi.org/10.1016/s0031- 9406(10)61508-8
22. Jun, M., Peterson, R. T., & Zsidisin, G. A. (1998). The Identification and Measurement of Quality Dimensions in Health Care: Focus Group Interview Results. Health Care Management Review, 23(4), 81–96. https://doi.org/10.1097/00004010-199810000-00007
23. Kalra, S. (2020). A Conceptual Framework on Influence of Transformational Leadership Styles on Job Attitudes. Journal of Advanced Research in Dynamical and Control Systems, 12(7), 796–807. https://doi.org/10.5373/jardcs/v12i7/20202064
24. Khan, S. U. R., Anjam, M., Abu Faiz, M., Khan, F., & Khan, H. (2020). Probing the Effects of Transformational Leadership on Employees’ Job Satisfaction With Interaction of Organizational Learning Culture. SAGE Open, 10(2), 215824402093077. https://doi.org/10.1177/2158244020930771
25. Ladhari, R. (2009). A review of twenty years of SERVQUAL research. International Journal of Quality and Service Sciences, 1(2), 172–198. https://doi.org/10.1108/17566690910971445
26. LariSemnani, B., Mohebbi Far, R., Shalipoor, E., & Mohseni, M. (2014). Using Creative Problem Solving (TRIZ) in Improving the Quality of Hospital Services. Global Journal of Health Science, 7(1). https://doi.org/10.5539/gjhs.v7n1p88
27. Lavoie-Tremblay, M., Fernet, C., Lavigne, G. L., & Austin, S. (2015). Transformational and abusive leadership practices: impacts on novice nurses, quality of care and intention to leave. Journal of Advanced Nursing, 72(3), 582–592. https://doi.org/10.1111/jan.12860
28. Levy, F. (2004). Keeping Patients Safe: Transforming the Work Environment of Nurses. Critical Care Medicine, 32(10), 2169. https://doi.org/10.1097/01.ccm.0000142897.22352.05
29. Lo, D., McKimm, J., & Till, A. (2018). Transformational leadership: is this still relevant to clinical leaders? British Journal of Hospital Medicine, 79(6), 344–347. https://doi.org/10.12968/hmed.2018.79.6.344
30. MALLOY, T., & PENPRASE, B. (2010). Nursing leadership style and psychosocial work environment. Journal of Nursing Management, 18(6), 715–725. https://doi.org/10.1111/j.1365-2834.2010.01094.x
31. Ministry of Health's Vision Realization Office (VRO) in Saudi Arabia. Healthcare Transformation Strategy (2019). Available at https://moh.gov.sa/ministry/vro/pages/manual.aspx Documents/Healthcare-Transformation-Strategy.pdf [10/03/2022]
32. Mohamed, B., & Azizan, N. A. (2015). Perceived service quality’s effect on patient satisfaction and behavioural compliance. International Journal of Health Care Quality Assurance, 28(3), 300–314. https://doi.org/10.1108/ijhcqa-06-2014-0074
33. Mohammad Mosadeghrad, A. (2013). Healthcare service quality: towards a broad definition. International Journal of Health Care Quality Assurance, 26(3), 203–219. https://doi.org/10.1108/09526861311311409
34. Muthia, A., & Krishnan, V. R. (2015). Servant Leadership and Commitment: Role of Transformational Leadership. International Journal on Leadership, 3(1). https://doi.org/10.21863/ijl/2015.3.1.002
35. Naik Jandavath, R. K., & Byram, A. (2016). Healthcare service quality effect on patient satisfaction and behavioural intentions in corporate hospitals in India. International Journal of Pharmaceutical and Healthcare Marketing, 10(1), 48–74. https://doi.org/10.1108/ijphm-07-2014-0043
36. Naveh, E., & Stern, Z. (2005). How quality improvement programs can affect general hospital performance. International Journal of Health Care Quality Assurance, 18(4), 249–270. https://doi.org/10.1108/09526860510602532
37. Okanga, B., & Drotskie, A. (2019). A transformational leadership model for managing change and transformation linked to diversification investments. Southern African Business Review, 20(1), 414–445. https://doi.org/10.25159/1998-8125/6058
38. P. Pai, Y., & T. Chary, S. (2013). Dimensions of hospital service quality: a critical review. International Journal of Health Care Quality Assurance, 26(4), 308–340. https://doi.org/10.1108/09526861311319555
39. Peng, J., Li, M., Wang, Z., & Lin, Y. (2020). Transformational Leadership and Employees’ Reactions to Organizational Change: Evidence From a Meta-Analysis. The Journal of Applied Behavioral Science, 002188632092036. https://doi.org/10.1177/0021886320920366
40. Salanova, M., Lorente, L., Chambel, M. J., & Martínez, I. M. (2011). Linking transformational leadership to nurses’ extra-role performance: the mediating role of self-efficacy and work engagement. Journal of Advanced Nursing, 67(10), 2256–2266. https://doi.org/10.1111/j.1365-2648.2011.05652.x
41. Salari, M., & Nastiezaie, N. (2020a). The Relationship between Transformational Leadership and Organizational Intimacy with Mediating Role of Organizational Empathy. International Journal of Psychology and Educational Studies, 7(1), 51–60. https://doi.org/10.17220/ijpes.2020.01.005
42. Salari, M., & Nastiezaie, N. (2020b). The Relationship between Transformational Leadership and Organizational Intimacy with Mediating Role of Organizational Empathy. International Journal of Psychology and Educational Studies, 7(1), 51–60. https://doi.org/10.17220/ijpes.2020.01.005
43. Wong, C. A., & M. Giallonardo, L. (2013). Authentic leadership and nurse-assessed adverse patient outcomes. Journal of Nursing Management, 21(5), 740–752. https://doi.org/10.1111/jonm.12075
44. Yukl, G. (2008). How leaders influence organizational effectiveness. The Leadership Quarterly, 19(6), 708–722. https://doi.org/10.1016/j.leaqua.2008.09.008
45. Schaufeli, W. B. (2015). Engaging leadership in the job demands-resources model.
46. Career Development International, 20(5), 446–463. https://doi.org/10.1108/cdi-02-2015-0025
47. SCHUSTER, M. A., McGLYNN, E. A., & BROOK, R. H. (2005). How Good Is the Quality of Health Care in the United States? Milbank Quarterly, 83(4), 843–895. https://doi.org/10.1111/j.1468-0009.2005.00403.x
48. Seawright, K. W., & Young, S. T. (1996). A Quality Definition Continuum. Interfaces, 26(3), 107–113. https://doi.org/10.1287/inte.26.3.107
49. Seligman, L. G. (1980). Leadership. By James MacGregor Burns. (New York: Harper and Row, 1978. Pp. ix + 530. $15.00.). American Political Science Review, 74(1), 153–156. https://doi.org/10.2307/1955659
50. Shabbat, N., Dobbins, K., Seglin, S., & Davis, K. (2015). Measuring patient experience in a safety net setting: Lessons learned. Patient Experience Journal, 2(1), 75–81. https://doi.org/10.35680/2372-0247.1054
51. Spence Laschinger, H. K. (2008). Effect of Empowerment on Professional Practice Environments, Work Satisfaction, and Patient Care Quality. Journal of Nursing Care Quality, 23(4), 322–330. https://doi.org/10.1097/01.ncq.0000318028.67910.6b
52. Teng, C. I., Ing, C. K., Chang, H. Y., & Chung, K. P. (2007). Development of Service Quality Scale for Surgical Hospitalization. Journal of the Formosan Medical Association, 106(6), 475–484. https://doi.org/10.1016/s0929-6646(09)60297-7
2. Alharbi MF. (2018). An investigation of the Saudi Healthcare system’s readiness for change in the light of Vision 2030: The role of transformational leadership style. J Health Spec 2018;6:45‑51(Al-Harithi, 1999, as cited in Young et al., 2021
3. Andersen, L. B., Bjørnholt, B., Bro, L. L., & Holm-Petersen, C. (2017). Achieving High Quality Through Transformational Leadership: A Qualitative Multilevel Analysis of Transformational Leadership and Perceived Professional Quality. Public Personnel Management, 47(1), 51–72. https://doi.org/10.1177/0091026017747270
4. Arukutty, T. (2018). A Study on the Medical Service Quality and its Influence upon Level of Patient’s Satisfaction with Special Reference to Selected Major Multispeciality Hospitals, Chennai City. International Journal of Trend in Scientific Research and Development, Volume-2(Issue-3), 97–106. https://doi.org/10.31142/ijtsrd10846
5. Ayoko, O. B., & Chua, E. L. (2014). The Importance of Transformational Leadership Behaviors in Team Mental Model Similarity, Team Efficacy, and Intra-Team Conflict. Group & Organization Management, 39(5), 504–531. https://doi.org/10.1177/1059601114550080.
6. Bass, B. M., Avolio, B. J., & Goodheim, L. (1987). Biography and the Assessment of Transformational Leadership at the World-Class Level. Journal of Management, 13(1), 7–19. https://doi.org/10.1177/014920638701300102.
7. Black, N., Varaganum, M., & Hutchings, A. (2014). Relationship between patient reported experience (PREMs) and patient reported outcomes (PROMs) in elective surgery. BMJ Quality & Safety, 23(7), 534–542. https://doi.org/10.1136/bmjqs-2013-002707.
8. Boamah, S. A., Spence Laschinger, H. K., Wong, C., & Clarke, S. (2018). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook, 66(2), 180–189. https://doi.org/10.1016/j.outlook.2017.10.004
9. Burns, J.M. (1978) Leadership. New York. Harper & Row.
10. Campbell, J. W. (2017). Red tape and transformational leadership: an organizational echelons perspective. Journal of Organizational Change Management, 30(1), 76–90. https://doi.org/10.1108/jocm-01-2016-0004
11. Chace, S. (2015). The Cuban Missile Crisis: Leadership as Disturbance, Informed by History. Journal of Leadership Studies, 9(2), 63–68. https://doi.org/10.1002/jls.21367
12. Crews, E. R., Brouwers, M., & Visagie, J. C. (2019). Transformational and transactional leadership effects on communication styles. Journal of Psychology in Africa, 29(5), 421–428. https://doi.org/10.1080/14330237.2019.1675996
13. Dasborough, M. T. (2006). Cognitive asymmetry in employee emotional reactions to leadership behaviors. The Leadership Quarterly, 17(2), 163–178. https://doi.org/10.1016/j.leaqua.2005.12.004
14. Dasborough, M. T., & Ashkanasy, N. M. (2002). Emotion and attribution of intentionality in leader–member relationships. The Leadership Quarterly, 13(5), 615–634. https://doi.org/10.1016/s1048-9843(02)00147-9
15. Devi, S., & Mahajans, D. R. (2019). Impact of Transformational Leadership on Employee Engagement. International Journal of Psychosocial Rehabilitation, 23(4), 1107–1116. https://doi.org/10.37200/ijpr/v23i4/pr190437
16. Dionne, S. D., Yammarino, F. J., Atwater, L. E., & Spangler, W. D. (2004).
17. Transformational leadership and team performance. Journal of Organizational Change Management, 17(2), 177–193. https://doi.org/10.1108/09534810410530601
18. Ferraro, J. (2015). Healthcare Quality Book: Vision, Strategy, and Tools, 3rd Edition. American Journal of Health-System Pharmacy, 72(2), 164. https://doi.org/10.1093/ajhp/72.2.164
19. Fitzgerald, S., & Schutte, N. S. (2010). Increasing transformational leadership through enhancing self‐efficacy. Journal of Management Development, 29(5), 495– 505. https://doi.org/10.1108/02621711011039240
20. Hamad, H. B. (2015). Transformational Leadership Theory: Why Military Leaders are More Charismatic and Transformational? International Journal on Leadership, 3(1). https://doi.org/10.21863/ijl/2015.3.1.001
21. Hunter, A. (1992). Health Service Quality: An introduction to quality methods for health services. Physiotherapy, 78(5), 387. https://doi.org/10.1016/s0031- 9406(10)61508-8
22. Jun, M., Peterson, R. T., & Zsidisin, G. A. (1998). The Identification and Measurement of Quality Dimensions in Health Care: Focus Group Interview Results. Health Care Management Review, 23(4), 81–96. https://doi.org/10.1097/00004010-199810000-00007
23. Kalra, S. (2020). A Conceptual Framework on Influence of Transformational Leadership Styles on Job Attitudes. Journal of Advanced Research in Dynamical and Control Systems, 12(7), 796–807. https://doi.org/10.5373/jardcs/v12i7/20202064
24. Khan, S. U. R., Anjam, M., Abu Faiz, M., Khan, F., & Khan, H. (2020). Probing the Effects of Transformational Leadership on Employees’ Job Satisfaction With Interaction of Organizational Learning Culture. SAGE Open, 10(2), 215824402093077. https://doi.org/10.1177/2158244020930771
25. Ladhari, R. (2009). A review of twenty years of SERVQUAL research. International Journal of Quality and Service Sciences, 1(2), 172–198. https://doi.org/10.1108/17566690910971445
26. LariSemnani, B., Mohebbi Far, R., Shalipoor, E., & Mohseni, M. (2014). Using Creative Problem Solving (TRIZ) in Improving the Quality of Hospital Services. Global Journal of Health Science, 7(1). https://doi.org/10.5539/gjhs.v7n1p88
27. Lavoie-Tremblay, M., Fernet, C., Lavigne, G. L., & Austin, S. (2015). Transformational and abusive leadership practices: impacts on novice nurses, quality of care and intention to leave. Journal of Advanced Nursing, 72(3), 582–592. https://doi.org/10.1111/jan.12860
28. Levy, F. (2004). Keeping Patients Safe: Transforming the Work Environment of Nurses. Critical Care Medicine, 32(10), 2169. https://doi.org/10.1097/01.ccm.0000142897.22352.05
29. Lo, D., McKimm, J., & Till, A. (2018). Transformational leadership: is this still relevant to clinical leaders? British Journal of Hospital Medicine, 79(6), 344–347. https://doi.org/10.12968/hmed.2018.79.6.344
30. MALLOY, T., & PENPRASE, B. (2010). Nursing leadership style and psychosocial work environment. Journal of Nursing Management, 18(6), 715–725. https://doi.org/10.1111/j.1365-2834.2010.01094.x
31. Ministry of Health's Vision Realization Office (VRO) in Saudi Arabia. Healthcare Transformation Strategy (2019). Available at https://moh.gov.sa/ministry/vro/pages/manual.aspx Documents/Healthcare-Transformation-Strategy.pdf [10/03/2022]
32. Mohamed, B., & Azizan, N. A. (2015). Perceived service quality’s effect on patient satisfaction and behavioural compliance. International Journal of Health Care Quality Assurance, 28(3), 300–314. https://doi.org/10.1108/ijhcqa-06-2014-0074
33. Mohammad Mosadeghrad, A. (2013). Healthcare service quality: towards a broad definition. International Journal of Health Care Quality Assurance, 26(3), 203–219. https://doi.org/10.1108/09526861311311409
34. Muthia, A., & Krishnan, V. R. (2015). Servant Leadership and Commitment: Role of Transformational Leadership. International Journal on Leadership, 3(1). https://doi.org/10.21863/ijl/2015.3.1.002
35. Naik Jandavath, R. K., & Byram, A. (2016). Healthcare service quality effect on patient satisfaction and behavioural intentions in corporate hospitals in India. International Journal of Pharmaceutical and Healthcare Marketing, 10(1), 48–74. https://doi.org/10.1108/ijphm-07-2014-0043
36. Naveh, E., & Stern, Z. (2005). How quality improvement programs can affect general hospital performance. International Journal of Health Care Quality Assurance, 18(4), 249–270. https://doi.org/10.1108/09526860510602532
37. Okanga, B., & Drotskie, A. (2019). A transformational leadership model for managing change and transformation linked to diversification investments. Southern African Business Review, 20(1), 414–445. https://doi.org/10.25159/1998-8125/6058
38. P. Pai, Y., & T. Chary, S. (2013). Dimensions of hospital service quality: a critical review. International Journal of Health Care Quality Assurance, 26(4), 308–340. https://doi.org/10.1108/09526861311319555
39. Peng, J., Li, M., Wang, Z., & Lin, Y. (2020). Transformational Leadership and Employees’ Reactions to Organizational Change: Evidence From a Meta-Analysis. The Journal of Applied Behavioral Science, 002188632092036. https://doi.org/10.1177/0021886320920366
40. Salanova, M., Lorente, L., Chambel, M. J., & Martínez, I. M. (2011). Linking transformational leadership to nurses’ extra-role performance: the mediating role of self-efficacy and work engagement. Journal of Advanced Nursing, 67(10), 2256–2266. https://doi.org/10.1111/j.1365-2648.2011.05652.x
41. Salari, M., & Nastiezaie, N. (2020a). The Relationship between Transformational Leadership and Organizational Intimacy with Mediating Role of Organizational Empathy. International Journal of Psychology and Educational Studies, 7(1), 51–60. https://doi.org/10.17220/ijpes.2020.01.005
42. Salari, M., & Nastiezaie, N. (2020b). The Relationship between Transformational Leadership and Organizational Intimacy with Mediating Role of Organizational Empathy. International Journal of Psychology and Educational Studies, 7(1), 51–60. https://doi.org/10.17220/ijpes.2020.01.005
43. Wong, C. A., & M. Giallonardo, L. (2013). Authentic leadership and nurse-assessed adverse patient outcomes. Journal of Nursing Management, 21(5), 740–752. https://doi.org/10.1111/jonm.12075
44. Yukl, G. (2008). How leaders influence organizational effectiveness. The Leadership Quarterly, 19(6), 708–722. https://doi.org/10.1016/j.leaqua.2008.09.008
45. Schaufeli, W. B. (2015). Engaging leadership in the job demands-resources model.
46. Career Development International, 20(5), 446–463. https://doi.org/10.1108/cdi-02-2015-0025
47. SCHUSTER, M. A., McGLYNN, E. A., & BROOK, R. H. (2005). How Good Is the Quality of Health Care in the United States? Milbank Quarterly, 83(4), 843–895. https://doi.org/10.1111/j.1468-0009.2005.00403.x
48. Seawright, K. W., & Young, S. T. (1996). A Quality Definition Continuum. Interfaces, 26(3), 107–113. https://doi.org/10.1287/inte.26.3.107
49. Seligman, L. G. (1980). Leadership. By James MacGregor Burns. (New York: Harper and Row, 1978. Pp. ix + 530. $15.00.). American Political Science Review, 74(1), 153–156. https://doi.org/10.2307/1955659
50. Shabbat, N., Dobbins, K., Seglin, S., & Davis, K. (2015). Measuring patient experience in a safety net setting: Lessons learned. Patient Experience Journal, 2(1), 75–81. https://doi.org/10.35680/2372-0247.1054
51. Spence Laschinger, H. K. (2008). Effect of Empowerment on Professional Practice Environments, Work Satisfaction, and Patient Care Quality. Journal of Nursing Care Quality, 23(4), 322–330. https://doi.org/10.1097/01.ncq.0000318028.67910.6b
52. Teng, C. I., Ing, C. K., Chang, H. Y., & Chung, K. P. (2007). Development of Service Quality Scale for Surgical Hospitalization. Journal of the Formosan Medical Association, 106(6), 475–484. https://doi.org/10.1016/s0929-6646(09)60297-7
Published
2022-11-11
How to Cite
Ayed, A. A. (2022). The Impact of Transformation Leadership on Improving Quality Health Service in a Health Center Laban in Riyadh Region. IJRDO -JOURNAL OF HEALTH SCIENCES AND NURSING, 8(11), 60-71. https://doi.org/10.53555/hsn.v8i11.5905
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