THE RELATIONSHIP BETWEEN ENVIRONMENTAL STRESS, HEALTH STATE, LEADERSHIP STYLES AND ITS EFFECT ON JOB SATISFACTION AMONG HOSPITALS EMPLOYEES (STUDY CASE HOSPITALS OF CAIRO)

Abstract

The writings, which dealt with the use of some more information in a multi-dimensional management are the writings and studies foreign due to the recent use of this model in global governance, which is given to discuss the special importance of a study in the ministry of health(hospitals) based on multi-dimensional model. Also a correlation leadership style with health status so the aimed to evaluate leadership styles as a new concept to measure different leadership styles using the multi-dimension model. To determine the significant differences among leadership styles on their influence on employee obligation .Also To find relationship between leadership style and the stress by measuring the cortisol or changes in the circadian rhythm and vital singe. Cross sectional study is based on the descriptive method, did in three governmental hospitals selected randomly (Elelzytoun, Matarea Teaching & Mansheat –Elbakry ) which follow the Egyptian ministry of health. Cluster sample selected from each governmental hospital from 5 departments (surgery-medicine-oby/gyne-paediatrics-clinical pathology).All the stuff of the department including, consultants, specialists, residents, nurses and employees. Each employee subjected to self-administrated questionnaire includes multi-dimensional model .The questionnaire includes a total of 75 items contained in three sections: one on leadership style, another on job satisfaction and a third on demographics, respectively. Contains three basic components as follows: A - Leadership Styles: Driving patterns were measured using a scale consisting of 59 is assembled from multiple studies ( e.g. Riso&Hudson,2000; Wagner,1999; Yarkoni,2002) Terms relating to these statements initially to nine patterns of the multidimensional as follows: - The perfect style , Mentor style ,Star Style ,Creative style . Wise style ,Partner style ,The future style ,Pattern Attorney and Diplomatic style. B - Functional obligations Functional obligation was measured using a scale consisting of 16 words have been used in multiple studies to measure these obligations ( e.g. Devos et al;2001: Freese&Shalk.1999 :Rousseau.2000). Terms relating to these statements by six patterns of functional and liabilities as follows: Performance, Extra role behaviours, Flexibility , Ethics , Loyalty and Employability . Section two is based on the 16-item developed by Spector (1997) to evaluate employee job satisfaction. (Which must be scored reversely).

Participants and settings: Self-administrated questionnaires about 600 had distributed on 600 participants but only 520 questionnaires had collected after counselling about the multi-dimension model. In every department the participants recruited in groups randomly according to the work schedules, every group dealing with the multi-dimension questionnaire which collected in the second day ,every participant examined generally ,chest , abdomen examination , with vital singe specially blood pressure then blood sample collected for complete blood composition and give instruction to avoid food and liquids for 30 minutes before the saliva sample taken.