Puni Albert, Hilton Sam Kris
Department of Business Administration, University of Professional Studies, Accra, Ghana.
School of Graduate Studies, University of Professional Studies, Accra, Ghana.
Leadersh Health Serv (Bradf Engl). 2020 Aug 17;33(4):365-383. doi: 10.1108/LHS-11-2019-0071.
The purpose of this study is to investigate the causal relationships between the dimensions of authentic leadership and patient care quality in the nursing profession of Ghana.
DESIGN/METHODOLOGY/APPROACH: The study used explanatory and cross-sectional survey designs. The data were obtained from 400 respondents, consisting of 200 nurses and 200 patients in selected general hospitals. The analysis was done using descriptive statistics, correlation and multi-linear regression techniques.
The study found that all four dimensions of authentic leadership, namely, self-awareness, internalized moral perspective, balanced processing and relational transparency positively correlated with patient care quality, however, only internalized moral perspective and self-awareness have positive significant association with patient care quality and internalized moral perspective being the highest predictor. Thus, the results suggest that authentic leadership can positively predict patient care quality.
The study contributes to the understanding of how dimensions of authentic leadership practices affect patient care quality. This understanding is relevant to academics in general and Ghanaian policymakers in particular.
ORIGINALITY/VALUE: The research makes a significant contribution to the existing authentic leadership literature by establishing that the dimensions of authentic leadership predict patient care quality with an internalized moral perspective being the highest predictor followed by self-awareness. Furthermore, the authors anticipate that the outcomes of this research, which so far is the first study in the Ghanaian context, can significantly shape nursing leadership discourse, practices and policies in Ghana and in other developing countries to improve patient care quality.
本研究旨在探讨加纳护理行业中真实领导维度与患者护理质量之间的因果关系。
设计/方法/途径：本研究采用解释性和横断面调查设计。数据来自400名受访者，包括选定综合医院的200名护士和200名患者。分析采用描述性统计、相关性和多元线性回归技术。
研究发现，真实领导的所有四个维度，即自我意识、内化道德视角、平衡处理和关系透明度，均与患者护理质量呈正相关，但只有内化道德视角和自我意识与患者护理质量呈显著正相关，且内化道德视角是最强的预测因素。因此，结果表明真实领导能够积极预测患者护理质量。
本研究有助于理解真实领导实践维度如何影响患者护理质量。这种理解对一般学者尤其是加纳政策制定者具有重要意义。
原创性/价值：本研究通过证实真实领导维度能预测患者护理质量，以内化道德视角为最强预测因素，其次是自我意识，为现有的真实领导文献做出了重大贡献。此外，作者预计，这项目前在加纳背景下开展的首次研究成果，能够显著影响加纳及其他发展中国家的护理领导话语、实践和政策，以提高患者护理质量。
