Building a Performance Outline for Health Care Workers at Teaching Hospitals, Nigeria: The Role of Different Leadership Styles
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Building a Performance Outline for Health Care Workers at Teaching Hospitals, Nigeria: The Role of Different Leadership Styles

Authors: Osuagwu Justine Ugochukwu, Sazali Abd Wahab, Sunday Sunday Akpan

Abstract:

Investigating the effects of transformational and transactional leadership styles on the performance of healthcare employees at the University Teaching Hospital (UNTH) in Enugu, Nigeria, was the goal of the research. The respondents were asked to fill out a structured questionnaire. The respondents were chosen using a straightforward random sampling technique and consisted of 370 health workers at the hospital. The result of the analysis revealed that transactional and transformational leadership style has a positive while ambidextrous leadership has a negative effect on healthcare workers' performance in UNTH, Enugu. Therefore, the management of public hospitals that have the capacity to change their top management approach to leadership styles will gain substantial support from their employees’ thereby increasing organizational commitment and performance among health workers. This will have remarkable social implications, one of which is a change in the work culture and attitude of medical personnel from the seemingly anti-community of patients to friendly engagement and treatment of patients leading to a harmonious coexistence among these individuals in society. Investigating ambidextrous leadership and the use of nonparametric analysis is unique and has brought knowledge to leadership literature.

Keywords: Workers’ performance, transformational leadership, transactional leadership, governance quality, ambidextrous leadership.

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[1] World Health Organization. (2020). Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020 (No. WHO/2019-nCoV/Mental Health/2020.1). World Health Organization.
[2] Oleribe, Obinna Ositadimma; Udofia, Deborah; Oladipo, Olabisi; Ishola, Temitope Arike; Taylor-Robinson, Simon D. (2018). Healthcare workers’ industrial action in Nigeria: a cross-sectional survey of Nigerian physicians. Human Resources for Health, 16(1), 54–. doi:10.1186/s12960-018-0322-8
[3] Adeloye, D., David, R. A., Olaogun, A. A., Auta, A., Adesokan, A., Gadanya, M., ... & Iseolorunkanmi, A. (2017). Health workforce and governance: the crisis in Nigeria. Human resources for health, 15(1), 1-8.
[4] Mayaki, S., & Stewart, M. (2020). Teamwork, Professional Identities, Conflict, and Industrial Action in Nigerian Healthcare. Journal of multidisciplinary healthcare, 13, 1223.
[5] Obinna, D.O & Simon L. (2016). Exploring the influence of trust relationships on motivation in the health sector in Nigeria: A Systematic Review. Resources for Health 13: 18.
[6] Driessen J, Gilson L. (2014). Does identity shape leadership and management practice? Experiences of PHC facility managers in Cape Town, South Africa. Health Policy and Planning 29: ii82–97.
[7] Ihekoronye, M. R., & Osemene, K. P. (2022). Evaluation of the participation of community pharmacists in primary healthcare services in Nigeria: a mixed-method survey. International Journal of Health Policy and Management, 11(6), 829-839.
[8] Antonakis, J (2016). The validity of the transformational, transactional, and laissez-faire leadership model as measured by the Multifactor Leadership Questionnaire (MLQ5X). Ph.D. Thesis. Walden University.
[9] Serban, A., Yammarino, F. J., Dionne, S. D., Kahai, S. S., Hao, C., Mchugh, K. A., et al. (2015). Leadership emergence in face-to-face and virtual teams: a multi-level model with agent-based simulations, quasi-experimental and experimental tests. Leadersh. Q. 26, 402–418. doi: 10.1016/j.leaqua.2015.02.006
[10] Acquino, P.G (2019). The effectiveness of leadership styles of managers and supervisors to employees’ job satisfaction in cooperative organizations in the Philippines. The Macrotheme Review 4: 18–28.
[11] Ahmad AR, Adi MNM, Noor HM, Rahman AGA, Yushuang T. (2018). The influence of leadership style on job satisfaction among nurses. Asian Social Science 9:
[12] Bass BM. (2017). From transactional to transformational leadership: learning to share the vision. Organizational Dynamics 18: 19–31.
[13] Bass BM. (2020). Does the transactional-transformational leadership paradigm transcend organizational and national boundaries? American Psychologist 52: 130–9.
[14] Wang, L., Sun, Y., Li, J., Xu, Y., Chen, M., Zhu, X., & Wang, D. (2022). Effects of Ambidextrous Leadership on Employees’ Work Behavior: The Mediating Role of Psychological Empowerment. Frontiers in Psychology, 13.
[15] Adebayo, Comfort Tosin (2020). Physician-Patient Interactions in Nigeria: A Critical-Cultural Perspective on the Role of Power. Journal of Intercultural Communication Research, (), 1–20. doi:10.1080/17475759.2020.1799845
[16] Zacher, H., & Rosing, K. (2015). Ambidextrous leadership and team innovation. Leadership & Organization Development Journal.
[17] Luo, Biao, Shanshan Zheng, Hongmei Ji, and Liang Liang. "Ambidextrous leadership and TMT-member ambidextrous behavior: the role of TMT behavioral integration and TMT risk propensity." The International Journal of Human Resource Management 29, no. 2 (2018): 338-359.
[18] Jia, J., Yan, J., Cai, Y., and Liu, Y. (2018). Paradoxical leadership incongruence and Chinese individuals’ followership behaviors: moderation effects of hierarchical culture and perceived strength of human resource management system. Asian Bus. Manag. 17, 313–338. doi: 10.1057/s41291-018-0043-9
[19] Bawono, M. (2022). Effect of ambidextrous leadership on firm performance: mediating role of digital business model innovation. Academy of Entrepreneurship Journal, 28(3), 1-17
[20] Marindra, B., Gautama, I., Bandur, A., & Alamsjah, F. (2022). The Influence of Ambidextrous Leadership Mediated by Organizational Agility and Digital Business Model Innovation on the Performance of Telecommunication Companies in Indonesia during the Covid-19 Pandemic. Wseas Transactions on Information Science and Applications, 78-88.
[21] Guo, Z., Yan, J., Wang, X., & Zhen, J. (2020). Ambidextrous leadership and employee work outcomes: a paradox theory perspective. Frontiers in Psychology, 11, 1661.
[22] Cunha, M., Fortes, A., Gomes, E., Rego, A., and Rodrigues, F. (2019). Ambidextrous leadership, paradox and contingency: evidence from Angola. Int.J. Hum. Resour. Manag. 30, 702–727. doi: 10.1080/09585192.2016.1201125
[23] Zacher, H., Robinson, A. J., & Rosing, K. (2016). Ambidextrous leadership and employees' self‐reported innovative performance: The role of exploration and exploitation behaviors. The Journal of Creative Behavior, 50(1), 24-46
[24] Pandya S., Hamal M., Abuya T., Kintu R., Mwanga D., Warren CE., and Agarval S., (2022), Understanding factors that support community health worker motivation, job satisfaction, and performance in three Ugandan districts: Opportunities for strengthening Uganda’s community health worker program. International Journal of Health Policy and Management, x(x):1–9.
[25] Anthonie, W., Tewal, B., Nelwan, O. S., Sendow, G. M., & Lengkong, V. P. (2022). The OCB Roles as a Mediator Self-Actualization, Psychological Well Being, and Work Environment on Health Worker Performance: Study during COVID-19 Pandemic in Indonesia. International Journal of Health Science, 2(2), 54-59.
[26] Muhanuuzi, M. (2020). Reshaping Our Perspectives on Health Worker Performance & Productivity. https://ug.linkedin.com/in/drmamellomuhanuuzi?trk=pulse-article_main-author-card
[27] Kok, M. C., Broerse, J. E., Theobald, S., Ormel, H., Dieleman, M., & Taegtmeyer, M. (2017). Performance of community health workers: situating their intermediary position within complex adaptive health systems. Human resources for health, 15(1), 1-7.
[28] Deussom, R., Mwarey, D., Bayu, M., Abdullah, S. S., & Marcus, R. (2022). Systematic review of performance-enhancing health worker supervision approaches in low-and middle-income countries. Human Resources for Health, 20(1), 1-12.
[29] Dieleman, M., & Harnmeijer, J. W. (2006). Improving health worker performance: in search of promising practices. Geneva: World Health Organization, 1(01), 1-64.
[30] Leonard, K., & Ottar, M. (2016). Measuring the performance of health workers. Health Labor Market Analyses in Low-and Middle-Income Countries: An Evidence-Based Approach, 163-195.
[31] Basri BM, Avolio BJ, Jung DI, Berson Y. (2016). Predicting unit performance by assessing transformational and transactional leadership. Journal of Applied Psychology 88: 207–18.
[32] Fahmi M, Toonen J, Toure H, Martineau T. (2019). The match between motivation and performance management of health sector workers in Mali. Human Resources for Health 4: 2.
[33] Asabir, K., Witter, S., Herbst, C. H., & Dedzo, K. M. (2013). The performance of health workers. Toward Interventions in Human Resources for Health in Ghana, 65.
[34] Yukl H (2020). Good governance and corruption in the health sector: lessons from the Karnataka experience. Health Policy and Planning 26: 471–84.
[35] O'Leary (2018) Anthropology and Social Theory. Durham and London: Duke University Press.
[36] Jung, U and Avolio, O (2019) Determinants and consequences of health worker motivation in hospitals in Jordan and Georgia. Social Science&Medicine 58: 343–55
[37] Bucic, T (2020) Effects of leadership style on team learning. Journal of Workplace Learning 22: 228–48.
[38] Burns, J. M. (1978). Leadership. New York: Harper & Row
[39] Hsu C-C, Chen L, Hu Y-W, Yip W, Shu C-C. (2016). The dimensions of responsiveness of a health system: a Taiwanese perspective. BMC Public Health 6: 72
[40] Alimo-Metcalfe, B (2019). Leadership in the NHS: what are the competencies and qualities needed and how can they be developed? In: Mark AL and Dopson S (eds.) Organisational Behaviour in Health Care. London: Palgrave Macmillan.
[41] Alghamdi, F. (2018). Ambidextrous leadership, ambidextrous employee, and the interaction between ambidextrous leadership and employee innovative performance. Journal of Innovation and Entrepreneurship, 7(1), 1-14.
[42] Rosing, K., Frese, M., & Bausch, A. (2011). Explaining the heterogeneity of the leadership-innovation relationship: Ambidextrous leadership. The leadership quarterly, 22(5), 956-974.
[43] Zhang, H., Sun, J., Liu, T., Zhang, K., & Zhang, Q. (2019). Balancing exploration and exploitation in multiobjective evolutionary optimization. Information Sciences, 497, 129-148.
[44] Krejcie, R. V., & Morgan, D. W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement, 30, 607-610. https://doi.org/10.1177/001316447003000308 (Paper reference 1).
[45] Avolio, B. J. (2004). Examining the full range model of leadership: Looking back to transform forward. In Leader development for transforming organizations (pp. 91-118). Psychology Press.
[46] Jyoti, J., & Sharma, P. (2017). Empirical investigation of a moderating and mediating variable in between mentoring and job performance: A structural model. Revista de Psicología del Trabajo y de las Organizaciones, 33(1), 55-67.
[47] Leon, N, Bhunu, F & Kenyon, C, 2001. Voices of facility managers. In Ntuli, A, Suleman, F, Barron, P & McCoy, D (Eds), South Africa Health Review 2001. Durban, Health Systems Trust, p. 207.