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Measuring Transformational Leadership in Establishing Nursing Care Excellence


Moon, S and Van Dam, PJ and Kitsos, A, Measuring Transformational Leadership in Establishing Nursing Care Excellence, Healthcare, 7, (4) pp. 1-11. ISSN 2227-9032 (2019) [Refereed Article]

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© 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (

DOI: doi:10.3390/healthcare7040132


Transformational leadership (TL) is known to be essential to achieving Magnet® recognition, an internationally prestigious status for nursing care excellence. Since its inception in the 1980s, empirical studies have identified benefits of implementing the Magnet® Model involving improved patient care and nursing workforce outcomes. However, little is known about the leadership styles of nurse managers (NMs) working in a regional Australian context, which may hinder achieving Magnet® status. To close the knowledge gap, a self-administered survey was conducted to measure leadership styles of NMs at a large health organization comprising hospitals with a wide range of service profiles in regional Australia using a validated tool—the Multifactor Leadership Questionnaire (MLQ-6S). One-way of variance (ANOVA) was used to identify statistical significance between respondents’ demographic characteristics (e.g., age, education, gender) and their MLQ-6S scores. Respondents (n = 78) reported their leadership styles as more transformational, compared to transactional or passive/avoidant leadership styles. The findings indicated that NMs’ higher education (p = 0.02) and older age (p = 0.03) were associated with TL styles, whereas passive/avoidant leadership was generally reported by female (p = 0.04) and younger (p = 0.06) respondents. This study has identified differences in reported leadership styles among NMs, providing a unique organizational insight into developing strategies to improve NMs’ TL, which could help to facilitate the implementation of the Magnet® framework. Healthcare organizations in similar settings could benefit from replicating this study to identify a dominant leadership style and customize strategies to improve TL.

Item Details

Item Type:Refereed Article
Keywords:transformational leadership; Magnet; Multifactor Leadership Questionnaire; nursing workforce; evidence based; healthcare management; leadership development
Research Division:Commerce, Management, Tourism and Services
Research Group:Human resources and industrial relations
Research Field:Human resources management
Objective Division:Expanding Knowledge
Objective Group:Expanding knowledge
Objective Field:Expanding knowledge in commerce, management, tourism and services
UTAS Author:Moon, S (Ms Sarah Moon)
UTAS Author:Van Dam, PJ (Dr Pieter Van Dam)
UTAS Author:Kitsos, A (Mr Alex Kitsos)
ID Code:135601
Year Published:2019
Web of Science® Times Cited:8
Deposited By:Medicine
Deposited On:2019-11-05
Last Modified:2022-08-29
Downloads:29 View Download Statistics

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