In the organizational context, leadership implies interaction between several individuals and assumes ability to exert influence on them, in order to achieve personal/professionals/organizational goals. The empirical research was based on analytical, correlational and cross-sectional orientation and on a quantitative approach. The aim of this study is to analyse the relation between the quality of the leader- member exchange, the organizational and professional commitment, and the quality of the professional exercise of nurse in hospital context. The instruments used were: LMX-7 Scale member version (LMX) and leader version (CLMX); Organizational commitment scale; Attitudinal Commitment Scale (ACS) and customers' satisfaction with nursing care in the Hospital (SUCEH21). The quality of the professional exercise operationalized through the follow indicators of quality: risk of pressure ulcers rate (UPP); risk of patient fall rate; systematic evaluation of pain rate, and satisfaction from costumers with nursing care. Imogene King’s Goal Attainment Theory was assumed as theoretical framework underlying this research, to the extent that the focus of attention of the subject lies on the level of interpersonal and social system. A preliminary study was conducted with a sample of 161 student nurses with the objetive of testing the behavior of the data collection instruments that would be used in the study. The study was developed in an intentional sample consisting of 15 hospital units of a Hospital Centre, where all the nurses and head nurses were invited to participate, as well as all patients admitted into these units, for three consecutive months. 342 dyads were formed (nurses/head nurses) and obtained a sample of 273 patients. There were also featured the above-mentioned Rates of these units during the same months. The results reveal that the relational leadership is positively correlated with all components of organizational commitment, however with different intensities, being the most relevant the affective and normative components, and with the professional commitment. CLMX was the only one with the ability to individually influence positively the quality of the professional exercise. However, when the LMX is associated to CLMX, to affective and normative components and to ACS; and the ACS is associated to the affective and normative components it seems to exist a positive influence in the professional exercise. It is concluded that the quality of nursing care provided to the population depends on the interaction and relationship between nurse and head nurse, and the commitment of nurses. Therefore it is extremely important the head nurse establish a relationship based on partnership with the other nurses, and the interest of the organization to recognize, enhance and promote the development of these professionals.
Date of Award | 14 Jul 2014 |
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Original language | Portuguese |
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Awarding Institution | - Universidade Católica Portuguesa
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Supervisor | Maria Filomena Mendes Gaspar (Supervisor) |
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- Human resource management in hospitals
- Organization and administration
- Nursing
- Doutoramento em Enfermagem
A liderança relacional, o empenhamento e a qualidade do exercício profissional dos enfermeiros
Nunes, E. M. G. T. (Student). 14 Jul 2014
Student thesis: Doctoral Thesis