Smith H L, Hood J N, Piland N F
Anderson Schools of Management, University of New Mexico, Albuquerque 87131.
Home Health Care Serv Q. 1994;14(4):3-22. doi: 10.1300/J027v14n04_02.
Home health care has undergone startling changes in the past decade and, in the process, become a strategically important ingredient of health care delivery. However, the question remains whether home health care organizations can deliver the benefits anticipated for integrated care delivery systems. The answer to this question depends to a great extent on whether home health care organizations build vibrant, visionary leadership capable of transforming organizations and motivating staff to deliver high quality and low cost services. This paper examines a case study of transformational leadership as it relates to the quality of working life for nurses, homemakers, and staff. The findings indicate that leader behaviour is strongly associated with homemakers', and to a lesser extent staff members', job satisfaction, job involvement, and propensity to remain with the organization. These job attitudes have been shown to be related to higher job performance. The implications for leadership in home health agencies are discussed.
在过去十年中，家庭医疗保健发生了惊人的变化，并在此过程中成为医疗保健服务中具有战略重要性的组成部分。然而，家庭医疗保健组织能否提供综合医疗服务系统所预期的益处，这一问题仍然存在。这个问题的答案在很大程度上取决于家庭医疗保健组织是否能建立起充满活力、富有远见的领导力，这种领导力能够变革组织并激励员工提供高质量、低成本的服务。本文考察了一个与护士、家政人员和员工的工作生活质量相关的变革型领导力案例研究。研究结果表明，领导者行为与家政人员的工作满意度、工作投入度以及留在组织的倾向密切相关，与员工的这些方面也有一定关联，但程度稍弱。这些工作态度已被证明与更高的工作绩效相关。文中还讨论了对家庭健康机构领导力的启示。
