Håvold Jon Ivar, Håvold Ole Kristian
Norwegian University of Science and Technology , Ålesund, Norway.
Oslo Metropolitan University , Oslo, Norway.
Leadersh Health Serv (Bradf Engl). 2019 May 7;32(2):195-211. doi: 10.1108/LHS-03-2018-0023. Epub 2019 Jan 21.
The purpose of this paper is to improve understanding of how different kinds of power influence trust and motivation in hospitals.
DESIGN/METHODOLOGY/APPROACH: To analyze the links between power, trust and motivation, a framework of social power is tested on measures of trust in managers and motivation. Quantitative data from 137 respondents were collected. Partial least square is used to evaluate the theoretical model.
Legitimate, referent and reward power has a positive influence on trust, while coercive power has a negative influence on trust. In total, 41.8 per cent of the variation in trust in managers was explained by power. Trust, reward power and expert power explained 30.9 per cent of the variation in motivation.
The research indicates that in knowledge organizations such as hospitals, leaders should be careful in using coercive power. Expert power seems to influence motivation but not trust, while legitimate power seems to influence trust directly and motivation only through trust. Referent power seems to have a weak influence on trust and no direct influence on motivation. Reward power has a very strong influence both on trust and motivation.
ORIGINALITY/VALUE: It is important for leaders to consider how power can influence trust, motivation and the performance of a health organization. Although this study was conducted in Norway and Finland, the findings may have relevance on a broader scale.
本文旨在增进对不同类型权力如何影响医院中的信任和积极性的理解。
设计/方法/途径：为分析权力、信任和积极性之间的联系，在对管理者的信任和积极性的衡量指标上测试了一种社会权力框架。收集了来自137名受访者的定量数据。采用偏最小二乘法来评估理论模型。
法定权力、参照权力和奖赏权力对信任有积极影响，而强制权力对信任有消极影响。总体而言，权力解释了管理者信任度变化的41.8%。信任、奖赏权力和专家权力解释了积极性变化的30.9%。
研究表明，在医院等知识型组织中，领导者在使用强制权力时应谨慎。专家权力似乎影响积极性，但不影响信任，而法定权力似乎直接影响信任，且仅通过信任影响积极性。参照权力似乎对信任影响较弱，对积极性无直接影响。奖赏权力对信任和积极性都有很强的影响。
原创性/价值：领导者考虑权力如何影响健康组织的信任、积极性和绩效很重要。尽管本研究在挪威和芬兰进行，但研究结果可能在更广泛范围内具有相关性。
