Exploring the Impact of Nurse Leadership Styles on Quality of Work Life and Efficiency in Shiraz Hospitals, Iran, 2024

Document Type : Original Article

Authors

1 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

2 Department of Industrial Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran

3 Department of Health in Disasters and Emergencies, Shiraz University of Medical Sciences, Shiraz, Iran

10.30476/jhmi.2025.106257.1275

Abstract

Introduction:
To examine the impact of nurse leadership styles on the Quality of work life
(QWL) and Efficiency at Shiraz University Hospitals.
Methods:
In this cross sectional study, 40 head nurses and 180 nurses from 20 inpatient
wards were surveyed. Data were collected using Walton’s standard QWL questionnaire, the
Hersey Blanchard leadership style questionnaire, and Data Envelopment Analysis (DEA).
Results:
Transformational leadership (45%) was the most common style associated with
higher QWL and Efficiency. Regression analysis showed that transformational leadership
had a significant positive effect on QWL (B= P<0.001) and Efficiency (B= P<0.001).
Laissez faire leadership was associated with lower QWL and efficiency scores. Path analysis
confirmed the mediating Role of QWL in the impact of transformational leadership on
Efficiency. AN OVA and post hoc tests further validated that transformational leadership
significantly outperforms all other styles regarding Efficiency. Transactional leadership also
showed a moderate positive effect on Efficiency (P=0.03), but its impact on QWL was not
statistically significant.
Conclusion:
Transformational leadership improves QWL and Efficiency in hospitals. Training
in transformational leadership is recommended for head nurses to enhance staff well being
and operational performance. The study’s limitations include its cross sectional design,
reliance on self reported data, and potential lack of generalizability beyond Shiraz University
Hospitals. Further research is suggested to explore the long term impacts of leadership styles.
It includes pati ent outcomes and care quality metrics to understand leadership effectiveness
in healthcare settings better.

Keywords

Main Subjects

References

 
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Health Management & Information Science
Volume 12, Issue 2
April 2025
Pages 75-94

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