The Relationship of Nurse Managers' Transformational and Transactional Leadership with Staff Nurses Absenteeism

Abstract

Head nurses, transformational and transactional leadership is an important determinant of the unit nurses in relation to their work, which is reflected on their job satisfaction, health complaints, and absenteeism. Aim: the study aimed at investigating the relation between nurse managers transformational and transactional leadership and absenteeism among their nursing staff through assessing the transformational and transactional leadership behavior among nurse managers, assessing the intensity level of absenteeism among staff nurses, and finding out the relationship between head nurse’ transformational and transactional leadership and absenteeism among their nursing staff. Research design A description correlation design was used to carry out the study. Setting: The study was conducted at two hospitals Elhalal and Dar Elshafa witch affiliated to the Secretary-General of Specialized Medical Centers (Cairo), subjects included in the study were34 head nurses, 250 staff nurses. Data were collected by using Multifactor Leadership Questionnaire (M L Q 5x-short) and absenteeism sheet. Results: The scores of transformational leadership as assessed by head nurses and their staff nurses subordinates were close, with statistical significant differences between them. As regards transformational, transactional leadership the scores of head nurses view were higher compared with their staff nurses p= (0.03*, 0.004*, 0.003*) respectively except for the domain management by exception (Active) p= (0. 04*). Also There statistical significant differences were found between them in relation to leadership outcomes effectiveness, satisfaction p= (0. 047*, 0. 049*). Annual and sick leaves had highest mean scores among nurses (21.4±8.8, 154±17.1) respectively. Conclusion: the study finding indicates the score of transformational and transactional leadership style was higher as viewed by head nurses than nurse's point of view. Dar Al Shifa Hospital and inspirational motivation leadership was the statistically significant negative predictors of total absenteeism days. Finally there was statistical significant negative correlation between head nurses, transformational and transactional leadership style and nurses absenteeism. Recommendation: The study recommended that, urgent need for a plan for training head nurses about leadership styles and management. Further studies are needed to explore the impact of transformational and transactional leadership behaviors on other organizational outcomes.