Journal of Korean Society of Occupational and Environmental Hygiene (한국산업보건학회지)

Korean Industrial Hygiene Association (한국산업보건학회)
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The Study on the Effects of Leadership Types in Hospital Organization on Organization Effectiveness: Focused on Medical and Non-Medical, Middle manager and operator

병원 조직의 상사리더십 유형이 조직 유효성에 미치는 영향에 관한 연구: 직종 및 직급 수준에 따른 차이를 중심으로

  • Lee, Yeon Sook (Department of Medical Management, Catholic Kwandong University)
  • Received : 2019.02.21
  • Accepted : 2019.03.20
  • Published : 2019.03.31
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Abstract

Objective: In this study, in order to investigate the relationship between leadership type and job satisfaction, the types of leadership in medical institutions are divided into transformational leadership, servant leadership and authentic leadership. In addition medical staff and non-medical staff are classified according to their job characteristics, and middle managers and operators are classified according to position. Methods: For this purpose, 589 questionnaires were applied to the medical institutions in Seoul and Gyunggi-do, and empirically analyzed with multiple regression. Results: The results of this study are first, among gender, medical or non-medical staff, position and career experience, men, non-medical staffs, and middle managers showed higher leadership, job engagement, and job satisfaction. Second, servant leadership and authentic leadership have significant positive relationships with job engagement. In the case of medical staff, only servant leadership has a positive effect on job engagement, while in the case of non-medical staff, both servant leadership and authentic leadership have significant influence on job engagement. Job satisfaction was found to have a statistically significant effect of servant leadership and authentic leadership in medical staff and non-medical staff. Third, in the case of middle managers, servant leadership showed a statistically significant effect only on job satisfaction, while servant leadership and authentic leadership had statistically significant effects on job engagement and job satisfaction of operators. Conclusions: This study suggests the possibility and applicability of authentic leadership in addition to transformational leadership and servant leadership in hospital organizations. Also, by identifying differences in the effects on organizational effectiveness, it is also suggested the need for research on identifying leadership factors that reflect strictly distinctive job characteristics.

Keywords

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Figure 1. Research model - Independent variable : Transformational leadership, servant leadership, authentic leadership - Dependent variable : job engagement, job satisfaction - Moderator variable : job type(medical employees vs. nonmedical employees), job grade(middle & high administrator vs operator)

Table 1. General characteristics

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Table 2. T-test according to gender, job type and job grade

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Table 3. Regression analysis results(All, medical vs non medical, middle & high vs operator)

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References

  1. Avolio BJ, Luthans F, Walumbwa FO. Authentic leadership: Theory building for veritable sustained performance. Gallup Leadership Institute, University of Nebraska-Lincoln Ltd; 2004.
  2. Bae CY, Shin JG. The Differential Effects of Transformational Leadership and Organizational Justice on Work Engagement. Jour of KoCon a 2017;17(1):299-336. https://doi.org/10.5392/JKCA.2017.17.01.299
  3. Barbuto Jr JE, Wheeler DW. Scale development and construct clarification of servant leadership. Group Organ Manag 2006;31(3):300-326. https://doi.org/10.1177/1059601106287091
  4. Bass BM. Leadership and performance beyond expectations. New York: Free Press; 1985.
  5. Bass BM, Avolio BJ. Transformational leadership development: Manual for the Multifactor Leadership Questionnaire. Palo Alto, California: Consulting Psychologists Press; 1990.
  6. Brewer GA, Selden SC. Why elephants gallop: Assessing and predicting organizational performance in federal agencies. J Public Adm Res Theory 2000;10(4):685-712. https://doi.org/10.1093/oxfordjournals.jpart.a024287
  7. Byun JW. A study on the effects of authentic leadership on job stress, job satisfaction and commitment to change : focusing on moderating effects by POS(Perceived Organizational Support). Doctoral dissertation, Kyung Hee University, Seoul. 2016.
  8. Cha JW. Authentic Leadership Influencing Hotel Employee Performance Via Organizational Engagement, Job Satisfaction, Creativity. Doctoral dissertation, Sejong University, Seoul. 2016.
  9. Chang SC. The Effect of Authentic Leadership on the Psychological Well-being in the Workplace. Doctoral dissertation, Gachon University, Seongnam. 2016.
  10. Cho CH. The Effects of Transformational Leadership on Empowerment and Organizational Effectiveness : Focusing on Nurses of Medium and Small Size Hospital in Daegu Area. In The Korean Academic Association of Business Administration Conference, Seoul. 2014. p. 421-442
  11. Choi KW. The effects of psychological, relational, and organizational factors on employee work engagement and performance : relational energy as mediating mechanism. Doctoral dissertation, Hongik University, Seoul. 2018.
  12. Cranny CJ, Smith PC, Stone EF. Job Satisfaction: How People Feel About Their Jobs and How It Affects Their Performance. New York: Lexington Books; 1992.
  13. Gardner WL, Avolio BJ, Luthans F, May DR, Walumbwa F. "Can you see the real me?" A self-based model of authentic leader and follower development. Leadersh Q 2005; 16(3):343-372. https://doi.org/10.1016/j.leaqua.2005.03.003
  14. Greenleaf RK. Servant leadership: A journey into the nature of legitimate power and greatness. New York: Paulist Press; 1977.
  15. Han BH. The Mediating Effects of Empowerment on the Relationship between Leadership Style and Organizational Effectiveness. Doctoral dissertation, Chosun University, Gwangju. 2010.
  16. Harter JK, Schmidt FL, Hayes TL. Business-unit-level relationship between employee satisfaction, employee engagement, and business outcomes: a meta-analysis. J Appl Psychol 2002;87(2):268-279. https://doi.org/10.1037//0021-9010.87.2.268
  17. Herzberg F. One more time: how do you motivate employees?. Harvard Business Review 1968;53-62
  18. Hong JI. An effect of authentic leadership on job engagement and mediation effect of leader-member exchange (LMX). master's thesis, Chung-Ang University, Seoul. 2016.
  19. Hong, OS Yang, HS. A Study on the Influence of Transformational leadership on the Job satisfaction, Organizational commitment and Innovational behavior. JKAIS 2010;11(10):3707-3720. uci: G704-001653.2010.11.10.011
  20. Hoppock R. Job satisfaction. Oxford, England: Harper; 1935.
  21. Hwang SM. Investigation of the impacts by burnout and engagement on presenteeism for airline cabin crew based upon job demand-resource model. Doctoral dissertation, Kyung Hee University, Seoul. 2017.
  22. Jeong HG. Impact of Servant Leadership on Job Satisfaction and Organizational Commitment of Medical Technicians. master's thesis, Catholic University of Pusan, Pusan. 2011.
  23. Jo YS. A Study on the Director's Servant Leadership and Organizational Effectiveness. Doctoral dissertation, Seonam University, Asan. 2015.
  24. Jones GR, George JM. The experience and evolution of trust: Implications for cooperation and teamwork. Acad Manage Rev 1998;23(3):531-546. https://doi.org/10.5465/amr.1998.926625
  25. Kahn WA. Psychological conditions of personal engagement and disengagement at work. Acad Manage J 1990;33(4):692-724. https://doi.org/10.2307/256287
  26. Kang CH. The Effect of Transformational Leadership on Job Attitudes : Focused on the Mediating Effect of Affect. Doctoral dissertation, Mokwon University, Daejeon. 2015.
  27. Kernis MH. Toward a conceptualization of optimal selfesteem. Psychol Inq 2003;14(1):1-26. https://doi.org/10.1207/S15327965PLI1401_01
  28. Kim DC, Kim DG, The Relationship among Main Factors of Positive Organizational Behavior: Focusing on Authentic Leadership, Psychological Capital, and Psychological Ownership. Korean Public Administration Review 2012;46(4); 27-51.
  29. Kim HG. The Perception of Job Characteristics and Justice Affecting Organizational Citizenship Behaviors - In the Case of Public Servants in Gangwon Province. Doctoral dissertation, Kangwon National University, Chuncheon. 2009.
  30. Kim HS. A Study on the Effects of Servant Leadership and Empowerment on the Organizational Effectiveness : Focused on the Public Health Center. Doctoral dissertation, Myongji University, Seoul. 2013.
  31. Kim HS. The Effects of Authentic Leadership on Job Satisfaction of Members: The Mediating Effect of Psychological Well-being and the Moderating Effect of Trust in Leaders. Doctoral dissertation, Ulsan University, Ulsan. 2018.
  32. Kim IK. An Effect of Nursing Leaders' Authentic Leadership on Organizational Effectiveness : with Mediating Effect of Positive Psychological Capital and Job Crafting. Doctoral dissertation, Seoul National University, Seoul. 2018.
  33. Kim JW. The structural relationship between distributed leadership of university organization and self-efficacy, job satisfaction and organizational commitment of administrative staff. Doctoral dissertation, Kyung Hee University, Seoul. 2016.
  34. Kim MJ, Han JY. Effect of Head Nurses' Authentic Leadership on Nurses' Job Satisfaction and Nursing Performance : Focusing on the Mediating Effects of Empowerment. J Korean Acad Nurs Adm 2019;25(1): 25-34. https://doi.org/10.11111/jkana.2019.25.1.25
  35. Kim MS. Antecedents and Consequences of Job Engagement. Doctoral dissertation, Soongsil University, Seoul. 2015.
  36. Kim SR. The mediating effect of consideration of future consequence and the moderating effect of bottom-up learning in the relationship between leader's transformational leadership and member's innovative behavior. Doctoral dissertation, Chung-Ang University, Seoul. 2018.
  37. Kim YH. The Relationship Between the Supervisor’s Authentic Leadership and the Public Servants’Job Engagement and Job Commitment in the Local Administrative Organization. Asia Culture Academy of Incorporated Association 2018;9(5): 1269-1278.
  38. Kim YT. A Study on Effects of Leadership Style on Organizational Effectiveness of the Care Workers in the Long Term Care Facilities : Focused on Mediated Effect of Leaders' Trust. Doctoral dissertation, Gachon University, Seongnam. 2013.
  39. Lee CH, Shin GH, Heo CG. The Effect of Transformational Leadership and Transactional Leadership on Work Engagement: The Mediating Effect of Psychological Capital. Korean J Ind Organ Psychol 2012;25(1):147-169. https://doi.org/10.24230/ksiop.25.1.201202.147
  40. Lee CI. The Effects of Transformational Leadership on the Organizational Effectiveness : Focused on the Mediating Role of Psychological Capital and Attitudes. Doctoral dissertation, Ulsan University, Ulsan. 2009.
  41. Lee KE. Trust and Servant Leadership. Seoul: Eltech.; 2001.
  42. Na ES. A Study on the Relationship between Head Nurses' Leadership and Nurses' Job Satisfaction in Long-term Care Hospitals. master's thesis, Korea National Open University, Seoul. 2013.
  43. Oh, AR. Kim, SH. A Study on the Mediating Effect of Job Engagement between Job Demand-Resource and Innovative Behavior. KMCR 2016;16(4);1-17. uci:G704-SER000008776.2016.16.4.007
  44. Oh HJ. The relationship between transformational leadership and work engagement : The Moderating Role of LMX and Organizational Culture. Doctoral dissertation, Kyung Hee University, Seoul. 2015.
  45. Park SG, Lim SH. A Study on the Effects of Leadership Types of Middle Manager in Hospital Organization on Organizational Effectiveness. The Korean-Japanese Journal of Economics & Management Studies 2014;65:77-103. uci: I410-ECN-0102-2015-300-002297370
  46. Park, HT. Transformational and Transactional Leadership Styles of the Nurse Administrators and Job Satisfaction, Organizational Commitment in Nursing Service. J Nurs Acad Soc 1997;27(1); 228-241. https://doi.org/10.4040/jnas.1997.27.1.228
  47. Rhee JH, Yang YM, Kim CH. A Study on the Relationship between Servant Leadership and Job Satisfaction, Organizational Commitment and Organizational Citizenship Behavior: Focused on the Moderating Effect of Hospital Employees' Belief in Public Service. Korean journal of hospital management 2011;16(3):19-40. uci:I410-ECN-0102-2012-320-002886997
  48. Robinson D, Perryman S, Hayday S. The Drivers of Employee Engagement. UK: Institute for Employment Studies; 2004.
  49. Rusbult CE, Farrell D. A longitudinal test of the investment model: The impact on job satisfaction, job commitment, and turnover of variations in rewards, costs, alternatives, and investments. J Appl Psychol 1983;68(3):429-438. http://dx.doi.org/10.1037/0021-9010.68.3.429
  50. Ryu DU. The effects of Transformational leadership on the subordinates' Job satisfaction and Job performance with the moderating effects of subordinates' personal characteristics. Doctoral dissertation, Keimyung University, Daegu. 2010.
  51. Schaufeli WB, Bakker AB. Job demands, job resources, and their relationship with burnout and engagement: A multi-sample study. J Organ Behav 2004;25(3):293-315. https://doi.org/10.1002/job.248
  52. Schaufeli WB, Bakker AB. Utrecht work engagement scale: Preliminary manual. Occupational Health Psychology Unit, Utrecht University; 2003.
  53. Seo MJ. The Effect of Feminine Leadership of Flight Attendant Team Leader of Air Carriers on Organizational Commitment through Job Engagement and Job Satisfaction. Doctoral dissertation, Kyonggi University, Suwon. 2016.
  54. Song BR, Seomun GA. The Influential Factors Related to Organizational Citizenship Behavior of Nurses: With Focus on Authentic Leadership and Organizational Justice. J Korean Acad Nurs Adm 2014;20(2):237-246. https://doi.org/10.11111/jkana.2014.20.2.237
  55. Song EJ, Kim MH. The Impact of Authentic Leadership on Organizational Effectiveness - The Control of Psychological Capital. In Korean Academy of Management Conference, Daegu. 2011. p. 28-59
  56. Spears LC. Reflections on leadership: How Robert K. Greenleaf's theory of servant-leadership influenced today's Top management thinkers. John Wiley & Sons, New York, NY; 1995. p. 1-14
  57. Stajkovic AD, Luthans F. Social cognitive theory and self-efficacy: Goin beyond traditional motivational and behavioral approaches. Organ Dyn 1998;26(4):62-74. https://doi.org/10.1016/S0090-2616(98)90006-7
  58. Sung YM. The impact of servant leadership on positive psychological capital and behavior. Doctoral dissertation, Sungkyunkwan University, Seoul. 2017.
  59. Walumbwa FO, Avolio BJ, Gardner WL, Wernsing TS, Peterson SJ. Authentic leadership: Development and validation of a theory-based measure. J Manage 2008;34(1):89-126. https://doi.org/10.1177/0149206307308913
  60. Wheeler AR, Coleman Gallagher V, Brouer RL, Sablynski CJ. When person-organization (mis) fit and (dis) satisfaction lead to turnover: The moderating role of perceived job mobility. J Manag Psychol 2007;22(2):203-219. https://doi.org/10.1108/02683940710726447