Research Article
BibTex RIS Cite

THE EFFECTS OF ALTRUISTIC LEADERSHIP ON PHYSICIAN-NURSE COLLABORATION AND LEADER-MEMBER EXCHANGE IN HEALTHCARE ORGANIZATIONS

Year 2023, Volume: 26 Issue: 4, 1033 - 1056, 28.12.2023
https://doi.org/10.61859/hacettepesid.1327439

Abstract

The aim of the current study are, first to determine the altruistic leadership perceptions of physicians and nurses, their tendencies towards physician-nurse collaboration and their levels of leader-member exchange; secondly, it is aimed to reveal whether the altruistic leadership perceptions of physicians and nurses have an effect on their tendency regarding physician-nurse collaboration and the level of leader-member exchange. The findings obtained from a total of 192 physicians and nurses working in a training and research hospital operating in Ankara were evaluated. Analysis results showed that the altruistic leadership perceptions and leader-member exchange levels of the participants were above the average; and their tendency of physician-nurse collaboration was found to be high. According to the findings obtained from the regression analyses, it was determined that altruistic leadership sub dimensions had positive effects on physician-nurse collaboration, leader-member exchange and their sub-dimensions. In line with the results obtained from the research findings, it is recommended that healthcare managers, who aim to increase the levels of physician nurse collaboration and leader member exchange, should exhibit altruistic leadership behaviors.

References

  • Abdillah, M. R., Wu, W. & Anita, R. (2022). Can Altruistic Leadership Prevent Knowledge-Hiding Behaviour? Testing Dual Mediation Mechanisms. Knowledge Management Research & Practice, 20(3), 352-366.
  • Amah, O. (2015). Servant Leadership Relationship with Leader-Member Exchange: The Moderating Role of Motivation-to-Serve and Motivation-to-Lead. International Journal of Management, Economics and Social Sciences, 4(3), 108-127.
  • Amin, M., Till, A. & McKimm, J. (2018). Inclusive and Person-Centred Leadership: Creating a Culture That Involves Everyone. British Journal of Hospital Medicine, 79(7), 402-407.
  • Aquino, M. V., Olander, E. K., Needle, J. J., & Bryar, R. M. (2016). Midwives’ and Health Visitors’ Collaborative Relationships: A Systematic Review of Qualitative and Quantitative Studies. International Journal of Nursing Studies, 62, 193–206
  • Arnold, L. (2002). Assessing Professional Behavior: Yesterday, Today, and Tomorrow. Academic Medicine, 77(6), 502-515.
  • Aslan, Ş. & Özata, M. (2009). Lider-Üye Etkileşiminin (LMX) Yöneticiye Duyulan Güven Düzeyine Etkisi. Sosyal Ekonomik Araştırmalar Dergisi, 9(17), 94-116.
  • Avolio, B. J. & Locke, E. E. (2002). Contrasting Different Philosophies of Leader Motivation: Altruism Versus Egoism. The Leadership Quarterly, 13(2), 169-191.
  • Avolio, B. J., Walumbwa, F. O. & Weber, T. J. (2009). Leadership: Current Theories, Research, and Future Directions. Annual Review of Psychology, 60, 421-449.
  • Axelsson, S. B. & Axelsson, R. (2009). From Territoriality to Altruism in Interprofessional Collaboration and Leadership. Journal of Interprofessional Care, 23(4), 320-330.
  • Baggs, J. G. & Schmitt, M. H. (1988). Collaboration Between Nurses and Physicians. The Journal of Nursing Scholarship, 20(3), 145-149.
  • Barbuto, J. E. & Hayden, R. W. (2011). Testing Relationships Between Servant Leadership Dimensions and Leader Member Exchange (LMX). Journal of Leadership Education, 10(2), 22-37.
  • Barnard, R., Jones, J., & Cruice, M. (2020). Communication Between Therapists and Nurses Working in Inpatient Interprofessional Teams: Systematic Review and Meta-Ethnography. Disability & Rehabilitation, 42(10), 1339–1349.
  • Baş, T., Keskin, N. & Mert, İ. S. (2010). Lider Üye Etkileşimi (LÜE) Modeli ve Ölçme Aracının Türkçe'de Geçerlik ve Güvenilirlik Analizi. Ege Academic Review, 10(3), 1013-1039.
  • Bennis, W. G. & Nanus, B. (1985). Leaders: Strategies for Taking Charge. New York: Harper & Row.
  • Bentler, P. M. (1990). Comparative Fit Indexes in Structural Models. Psychological Bulletin, 107(2), 238-246.
  • Boev, C., & Xia, Y. (2015). Nurse-Physician Collaboration and Hospital-Acquired Infections in Critical Care. Critical Care Nurse, 35(2), 66-72.
  • Boies, K. & Howell, J. M. (2006). Leader–Member Exchange in Teams: an Examination of the Interaction Between Relationship Differentiation and Mean LMX in Explaining Team-Level Outcomes. The Leadership Quarterly, 17(3), 246-257.
  • Bollen, A., Harrison, R., Aslani, P., van Haastregt, & Jolanda, C. M. (2019). Factors Influencing Interprofessional Collaboration Between Community Pharmacists and General Practitioners—A Systematic Review. Health & Social Care in the Community, 27(4), 189–E212.
  • Boswell, C. & Cannon, S. (2005). New Horizons for Collaborative Partnerships. Online Journal of Issues in Nursing, 10(1), 1-5.
  • Brown, T. A. & Moore, M. T. (2012). Confirmatory Factor Analysis. D. A. Kenny (Ed.). Handbook of Structural Equation Modeling (s. 361-379). New York: Guilford Publications.
  • Buford, B. (2016). Altruistic Leadership. Leader to Leader, 2016(82), 19-22.
  • Bulgurcu Gürel, E. (2016). Lider-Üye Etkileşiminin Çalışanların Tutumları Üzerindeki Etkisi: Ampirik Bir Araştırma. Journal of International Social Research, 9(43), 1736-1743.
  • Çakmak, C., Biçer, İ. & Uğurluoğlu, Ö. (2019). Alturistik (Özgeci) Liderlik Ölçeğinin Türkçe Uyarlaması: Geçerlilik ve Güvenilirlik Çalışması. Ankara Hacı Bayram Veli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 21(3), 785-802.
  • Çekmecelioğlu, H. G. & Ülker, F. (2014). Lider-Üye Etkileşimi ve Çalışan Tutumları Üzerindeki Etkisi: Eğitim Sektöründe Bir Araştırma. Kocaeli Üniversitesi Sosyal Bilimler Dergisi, 28, 35-58.
  • Chanko, B. O. & Rahmat, A. (2022). Altruistic Leadership and Organizational Citizenship Behavior: Mediating Role of Leader-Member Exchange. Sains Organisasi, 1(1), 1-9.
  • Chen, C. H. V., Wang, S. J., Chang, W. C. & Hu, C. S. (2008). The Effect of LeaderMember Exchange, Trust, Supervisor Support on Organizational Citizenship Behavior in Nurses. Journal of Nursing Research, 16(4), 321-328.
  • Choudhury, D. & Nortjé, N. (2020). The Hidden Curriculum and Integrating Cure-And Care-Based Approaches to Medicine. Hec Forum, 34(1), 41-53.
  • Dal, L. & Çorbacıoğlu, S. (2014). Hizmetkar Liderlik Davranışları ve Lider-Üye Etkileşimi İlişkisi: Bir Devlet Üniversitesi Üzerine Araştırma. Suleyman Demirel University Journal of Faculty of Economics & Administrative Sciences, 19(4), 287-310.
  • De Valck, C., Bensing, J., Bruynooghe, R. & Batenburg, V. (2001). Cure-Oriented versus Care-Oriented Attitudes in Medicine. Patient Education and Counseling, 45(2), 119-126.
  • Dechawatanapaisal, D. (2018). Nurses' Turnover Intention: The Impact of Leader‐ Member Exchange, Organizational Identification and Job Embeddedness. Journal of Advanced Nursing, 74(6), 1380-1391.
  • Dienesch, R. M. & Liden, R. C. (1986). Leader-Member Exchange Model of Leadership: A Critique and Further Development. Academy of Management Review, 11(3), 618-634.
  • Dünya Sağlık Örgütü. (14 Kasım 2022). Framework for Action on Interprofessional Education and Collaborative Practice. https://www.who.int/publications/i/item/framework-for-action-on-interprofessional-education-collaborative-practice
  • Erikmen, E. & Vatan, F. (2019). Hemşirelerin Bireysel ve Mesleki Otonomilerinin İncelenmesi. Sağlık ve Hemşirelik Yönetimi Dergisi, 2(6), 141-152.
  • Escrig, E. D., Broch, F. F. M., Gómez, R. C. & Alcamí, R. L. (2016). How Does Altruistic Leader Behavior Foster Radical Innovation? The Mediating Effect of Organizational Learning Capability. Leadership & Organization Development Journal, 37(8), 1056-1082.
  • Filiz, M. (2020). Sağlık Kurumlarinda Liderlik ve Örgütsel Bağlılık Arasındaki İlişkiyi İnceleyen Çalışmaların Sistematik Derlemesi. Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 10(20), 276-296.
  • Feigin, S., Owens, G. & Goodyear-Smith, F. (2014). Theories of Human Altruism: A Systematic Review. Annals of Neuroscience and Psychology, 1(1), 1-9.
  • Feldman, M. D. (2017). Altruism and Medical Practice. Journal of General Internal Medicine, 32(7), 719-720.
  • Garber, J. S., Madigan, E. A., Click, E. R. & Fitzpatrick, J. J. (2009). Attitudes Towards Collaboration and Servant Leadership Among Nurses, Physicians and Residents. Journal of Interprofessional Care, 23(4), 331-340.
  • Gardner, D. (2005). Ten Lessons in Collaboration. Online Journal of Issues in Nursing, 10(1), 1-10.
  • Göksel, A. & Aydıntan, B. (2012). Lider-Üye Etkileşimi Düzeyinin Örgütsel Bağlılık Üzerine Etkisi: Görgül Bir Araştırma. Süleyman Demirel Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 17(2), 247-271.
  • Graen, G. B. & Scandura, T. A. (1987). Toward a Psychology of Dyadic Organizing. Research in Organizational Behavior, 9, 175-208.
  • Gunnarsdóttir, S. (2014). Is Servant Leadership Useful for Sustainable Nordic Health Care? Vård i Norden, 34(2), 53-55.
  • Gürbüz, S., & Şahin, F. (2014). Sosyal Bilimlerde Araştırma Yöntemleri. Ankara: Seçkin Yayıncılık.
  • Hanse, J. J., Harlin, U., Jarebrant, C., Ulin, K. & Winkel, J. (2014). Leader-Member Exchange (LMX) and Psychosocial Factors at Work Among Healthcare Professionals. Journal of Nursing & Care, 3(5), 1-5.
  • Hanse, J. J., Harlin, U., Jarebrant, C., Ulin, K., & Winkel, J. (2016). The Impact of Servant Leadership Dimensions on Leader–Member Exchange Among Health Care Professionals. Journal of Nursing Management, 24(2), 228-234.
  • Hojat, M., Fields, S. K., Veloski, J. J., Griffiths, M., Cohen, M. J. & Plumb, J. D. (1999). Psychometric Properties of an Attitude Scale Measuring PhysicianNurse Collaboration. Evaluation & the Health Professions, 22(2), 208-220.
  • Holtman, M. C., Frost, J. S., Hammer, D. P., McGuinn, K. & Nunez, L. M. (2011). Interprofessional Professionalism: Linking Professionalism and Interprofessional Care. Journal of Interprofessional Care, 25(5), 383-385.
  • Hu, L. T. & Bentler, P. M. (1998). Fit Indices in Covariance Structure Modeling: Sensitivity to Underparameterized Model Misspecification. Psychological Methods, 3(4), 424.
  • Institute of Medicine (2010). The Future of Nursing: Leading Change, Advancing Health. Washington, DC: National Academies Press.
  • Johnson, J. M., & Carragher, R. (2018). Interprofessional Collaboration and The Care and Management of Type 2 Diabetic Patients in The Middle East: A Systematic Review. Journal of Interprofessional Care, 32(5), 621–628.
  • Karahalilöz, O. & Çelebi, N. (2021). Öğretmenlerin Algılarına Göre Okul Müdürlerinin Alturistik (Özgeci) Liderlik Davranışları. Yıldız Journal of Educational Research, 6(2), 122-135.
  • Karam, M., Brault, I., Van Durme, T., & Macq, J. (2018). Comparing Interprofessional and Interorganizational Collaboration in Healthcare: A Systematic Review of the Qualitative Research. International Journal of Nursing Studies, 79, 70–83
  • Kim, M. H., & Yi, Y. J. (2019). Impact of Leader‐Member‐Exchange and Team‐Member‐Exchange on Nurses’ Job Satisfaction and Turnover Intention. International Nursing Review, 66(2), 242-249.
  • Konstantinos, N., & Christina, O. (2008). Factors Influencing Stress and Job Satisfaction of Nurses Working in Psychiatric Units: A Research Review. Health Science Journal, 2(4), 183-195.
  • Köse, S. D., Uğurluoğlu, Ö. & Köse, T. (2015). Sağlık Çalışanlarının Hizmetkâr Liderlik Algılarının Lider-Üye Etkileşimi ve Örgütsel Güven Üzerindeki Etkisi. Türkiye Sosyal Araştırmalar Dergisi, 19(2), 239-262.
  • Laschinger, H. K. S., Purdy, N. & Almost, J. (2007). The Impact of Leader-Member Exchange Quality, Empowerment, and Core Self-Evaluation on Nurse Manager's Job Satisfaction. JONA: The Journal of Nursing Administration, 37(5), 221-229.
  • Laschinger, H. K. & Smith, L. M. (2013). The Influence of Authentic Leadership and Empowerment on New-Graduate Nurses’ Perceptions of Interprofessional Collaboration. JONA: The Journal of Nursing Administration, 43(1), 24-29.
  • Leclerc, B., Blanchard, L., Cantinotti, M., Couturier, Y., Gervais, D., Lessard, S., & Mongeau, S. (2014). The Effectiveness of Interdisciplinary Teams in End-Of-Life Palliative Care: A Systematic Review of Comparative Studies. Journal of Palliative Care, 30(1), 44–54.
  • Liden, R. C. & Maslyn, J. M. (1998). Multidimensionality of Leader-Member Exchange: An Empirical Assessment Through Scale Development. Journal of Management, 24(1), 43-72.
  • López-Ibort, N., González-de la Cuesta, D., Antoñanzas-Lombarte, T. & Gascón-Catalán, A. (2020). The Correlation Between Leader–Member Exchange and Organisational Commitment Among Spanish Registered Nurses: The Moderating Role of Sex and Hospital Size. International Journal of Environmental Research and Public Health, 17(3), 721.
  • Ma, C., Park, S. H., & Shang, J. (2018). Inter-and Intra-Disciplinary Collaboration and Patient Safety Outcomes in US Acute Care Hospital Units: A Cross-Sectional Study. International Journal of Nursing Studies, 85, 1-6.
  • MacCallum, R. C., Browne, M. W. & Sugawara, H. M. (1996). Power Analysis and Determination of Sample Size for Covariance Structure Modeling. Psychological Methods, 1(2), 130.
  • Mallén, F., Chiva, R., Alegre, J. & Guinot, J. (2015). Are Altruistic Leaders Worthy? The Role of Organizational Learning Capability. International Journal of Manpower, 36(3), 271-295.
  • Mansur, F. & Uysal, D. (2021). Covid-19 Pandemi Sürecinde Hemşirelerin Etik ve Alturistik Liderlik Algısı. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 7(2), 329-344.
  • Marcia, A., Kassirer, P. K. & Relman, A. (2000). Looking Back on the Millennium in Medicine. The New England Journal of Medicine, 342(1), 42-49.
  • McGaghie, W. C., Mytko, J. J., Brown, W. N. & Cameron, J. R. (2002). Altruism and Compassion in the Health Professions: a Search for Clarity and Precision. Medical Teacher, 24(4), 374-378.
  • McNair, R. P. (2005). The Case for Educating Health Care Students in Professionalism as the Core Content of Interprofessional Education. Medical Education, 39(5), 456-464.
  • Medves, J., Godfrey, C., Turner, C., Paterson, M., Harrison, M., MacKenzie, L. & Durando, P. (2010). Systematic Review of Practice Guideline Dissemination and Implementation Strategies For Healthcare Teams And Team-Based Practice. International Journal of Evidence-Based Healthcare, 8(2), 79–89
  • Miller, L. M., Fink, J. S., Pastore, D. L. & Baker, R. E. (2005). Defining Altruistic Leadership in the Management of Intercollegiate Coaching. The Smart Journal, 2(1), 4-16.
  • Montano, A. R. (2020). “All for One” Experiences of Interprofessional Team Members Caring For Older Adults: A Metasynthesis. International Journal Of Older People Nursing, 15(1).
  • Mostafa, A. M. S. & El-Motalib, E. A. A. (2018). Servant Leadership, Leader–Member Exchange and Proactive Behavior in the Public Health Sector. Public Personnel Management, 48(3), 309-324.
  • Mumtaz, S., & Rowley, C. (2020). The Relationship Between Leader–Member Exchange and Employee Outcomes: Review Of Past Themes and Future Potential. Management Review Quarterly, 70, 165-189.
  • Myrvang, N. A. (2021). Sağlık Çalışanlarında Alturistik Liderlik Yaklaşımı ve Tükenmişlik Düzeyi Arasındaki İlişki. Turkish Studies-Social Sciences, 16(3), 1147-1159.
  • O'Brien, J. L., Martin, D. R., Heyworth, J. & Meyer, N. R. (2008). Negotiating Transformational Leadership: A Key to Effective Collaboration. Nursing & Health Sciences, 10(2), 137-143.
  • Özer, Ö. (2019). Hemşirelerde Hizmetkâr Liderlik ve Çalışan Performansının İncelenmesi. Sağlık Bilimleri ve Meslekleri Dergisi, 6(1), 105-112.
  • Öztürk, M., & Eryeşil, K. (2016). Lider-Üye Etkileşimi ve Örgütsel Destek Algılarının Çalışanların İşten Ayrılma Niyeti Üzerindeki Etkisi. Selçuk Üniversitesi Sosyal Bilimler Meslek Yüksek Okulu Dergisi, 19(2), 123-141.
  • Reeves, S., Pelone, F., Harrison, R., Goldman, J. & Zwarenstein, M. (2017). Interprofessional Collaboration to Improve Professional Practice and Healthcare Outcomes. Cochrane Database of Systematic Reviews, 6, 1-48.
  • Regan, S., Laschinger, H. K. & Wong, C. A. (2016). The Influence of Empowerment, Authentic Leadership, and Professional Practice Environments on Nurses’ Perceived Interprofessional Collaboration. Journal of Nursing Management, 24(1), 54-61.
  • Salas-Vallina, A. & Alegre, J. (2018). Unselfish Leaders? Understanding the Role of Altruistic Leadership and Organizational Learning on Happiness at Work (HAW). Leadership & Organization Development Journal, 39(5), 633-649.
  • Salas‐Vallina, A., Ferrer‐Franco, A. & Fernandez Guerrero, R. (2018). Altruistic Leadership and Affiliative Humor's Role on Service Innovation: Lessons from Spanish Public Hospitals. The International Journal of Health Planning and Management, 33(3), 861-872.
  • Saygılı, M., & Çelik, Y. (2011). Hastane Çalışanlarının Çalışma Ortamlarına İlişkin Algıları ile İş Doyumu Düzeyleri Arasındaki İlişkinin Değerlendirilmesi. Hacettepe Sağlık İdaresi Dergisi, 14(1), 39-71.
  • Sendjaya, S., Sarros, J. C. & Santora, J. C. (2008). Defining and Measuring Servant Leadership Behaviour in Organizations. Journal of Management Studies, 45(2), 402-424.
  • Shah, B., Forsythe, L., & Murray, C. (2018). Effectiveness of Interprofessional Care Teams On Reducing Hospital Readmissions in Patients With Heart Failure: A Systematic Review. Medsurg Nursing, 27(3), 177–185.
  • Silva, A. (2016). What is Leadership? Journal of Business Studies Quarterly, 8(1), 1-5.
  • Singh, N. & Krishnan, V. R. (2008). Self‐sacrifice and Transformational Leadership: Mediating Role of Altruism. Leadership & Organization Development Journal, 29(3), 261-274.
  • Sosik, J. J., Jung, D. & Dinger, S. L. (2009). Values in Authentic Action: Examining the Roots and Rewards of Altruistic Leadership. Group & Organization Management, 34(4), 395-431.
  • Steinberg, D. (2010). Altruism in Medicine: Its Definition, Nature, and Dilemmas. Cambridge Quarterly of Healthcare Ethics, 19(2), 249-257.
  • Steiner, P. (2014). Comte, Altruism and the Critique of Political Economy [Bildiri]. XVIII ISA World Congress of Sociology, Japonya.
  • Sterchi, L. S. (2007). Perceptions That Affect Physician-Nurse Collaboration in the Perioperative Setting. AORN Journal, 86(1), 45-57.
  • Stern, D. T. (2006). Measuring Medical Professionalism. New York: Oxford University Press.
  • Stewart Wherry, H. M. (2012). Authentic Leadership, Leader-Member Exchange, and Organizational Citizenship Behavior: A Multilevel Analysis. Yüksek Lisans Tezi, University of Nebraska, Nebraska.
  • Sturm, B. A. (2009). Principles of Servant-Leadership in Community Health Nursing: Management Issues and Behaviors Discovered in Ethnographic Research. Home Health Care Management & Practice, 21(2), 82-89.
  • Supper, I., Catala, O., Lustman, M., Chemla, C., Bourgueil, Y., & Letrilliart, L. (2015). Interprofessional Collaboration in Primary Health Care: A Review of Facilitators and Barriers Perceived By Involved Actors. Journal of Public Health, 37(4), 716-727.
  • Suva, G., Sharma, T., Campbell, K. E., Sibbald, R. G., An, D., & Woo, K. (2018). Strategies to Support Pressure Injury Best Practices By The Interprofessional Team: A Systematic Review. International Wound Journal, 15(4), 580–589.
  • Şahin, F. (2011). Lider-üye Etkileşimi ile İşten Ayrılma Niyeti Arasındaki İlişki Üzerinde Cinsiyetin Etkisi. Ege Akademik Bakış, 11(2), 277-288.
  • Tapsell, L. C., & Neale, E. P. (2016). The Effect of Interdisciplinary Interventions on Risk Factors For Lifestyle Disease: A Literature Review. Health Education & Behavior, 43(3), 271–285.
  • Terry, V., Sandoval, A., Garza, J., Lowdermilk, J., Lerma, E., Lapka, S., Dingle, A. D. & Manusov, E. G. (2018). What Drives Members of an Interprofessional Care Team: a Sense of Self. Journal of Interprofessional Education & Practice, 13, 27-32.
  • Trastek, V. F., Hamilton, N. W., & Niles, E. E. (2014). Leadership Models in Health Care—A Case For Servant Leadership. In Mayo Clinic Proceedings, 89(3), 374-381.
  • Troy, A. B., Lewis, J. L., & Vaughn, C. M. (2021). Leadership Assessments: A History and Overview of Empirical and Practical Considerations. New Directions for Student Leadership, (170), 23-34.
  • Truckenbrodt, Y. B. (2000). The Relationship Between Leader-Member Exchange and Commitment and Organizational Citizenship Behavior. Acquisition Review Quarterly, 7(3), 233.
  • Tschannen, D. (2004). The Effect of Individual Characteristics on Perceptions of Collaboration in the Work Environment. Medsurg Nursing, 13(5), 312-318.
  • Tucker, L. R. & Lewis, C. (1973). A Reliability Coefficient for Maximum Likelihood Factor Analysis. Psychometrika, 38(1), 1-10.
  • Uçar, Z. M., Akbolat, M. & Özer, A. (2021). Covid-19 Dönemindeki Sağlık Çalışanlarında Alturistik Liderlik ve İşten Ayrılma Niyeti Arasındaki İlişkinin İncelenmesi. M. Akbolat ve Ö. Ünal (Ed.). COVID-19 Pandemisinde İşletme Yönetiminin Dönüşümü (s. 1-12). Ankara: Gazi Kitabevi.
  • Uğurluoğlu, Ö., Şantaş, F. & Demirgil, B. (2013). Lider-Üye Etkileşimi ve Tükenmişlik İlişkisi: Hastanelerde bir Uygulama. Hacettepe Sağlık İdaresi Dergisi, 16(1), 1-21.
  • Ürek, D. (2015). Sağlık Kurumlarında Lider-Üye Etkileşim Düzeyi ve Örgütsel Vatandaşlık Davranışı Arasındaki İlişkinin Değerlendirilmesi. Yüksek Lisans Tezi, Hacettepe Üniversitesi, Ankara.
  • Ürek, D. & Uğurluoğlu, Ö. (2019). Examining the Impact of Leader–Member Exchange on Organizational Citizenship Behaviour in Healthcare Sector. İş ve İnsan Dergisi, 6(1), 81-92.
  • van Biesen, W., Lameire, N., Veys, N. & Vanderhaegen, B. (2004). From Curing to Caring: One Character Change Makes a World of Difference. Issues Related to Withholding/Withdrawing Renal Replacement Therapy (RRT) from Patients with Important Co-Morbidities. Nephrology Dialysis Transplantation, 19(3), 536-540.
  • Van Dierendonck, D. (2011). Servant Leadership: A Review and Synthesis. Journal of Management, 37(4), 1228-1261.
  • Wei, H., Horns, P., Sears, S. F., Huang, K., Smith, C. M., & Wei, T. L. (2022). A Systematic Meta-Review of Systematic Reviews About Interprofessional Collaboration: Facilitators, Barriers, and Outcomes. Journal of Interprofessional Care, 36(5), 735-749.
  • Yadmaa, N. (2020). Lider Üye Etkileşiminin Kariyer Memnuniyeti ve Bireysel Performans Üzerindeki Etkisi: Moğolistan Sağlık Kurumlarında Bir Araştırma. Yüksek Lisans Tezi, Trakya Üniversitesi, Edirne.
  • Yukl, G. (2012). Leadership in Organizations (8. baskı). New Jersey: Pearson
  • Zheltoukhova, K. (2016). Developing and Validating a Scale of Altruistic Leadership. Doktora Tezi, Lancaster University, United Kingdom.

SAĞLIK KURUMLARINDA ALTURİSTİK LİDERLİĞİN HEKİM-HEMŞİRE İŞ BİRLİĞİ VE LİDER-ÜYE ETKİLEŞİMİ ÜZERİNDEKİ ETKİLERİ

Year 2023, Volume: 26 Issue: 4, 1033 - 1056, 28.12.2023
https://doi.org/10.61859/hacettepesid.1327439

Abstract

Bu çalışmanın amacı; hekim ve hemşirelerin alturistik liderlik algıları, hekim hemşire iş birliğine eğilimleri ve lider üye etkileşimi düzeylerinin belirlenmesi; hekim ve hemşirelerin alturistik liderlik algılarının hekim hemşire iş birliğine olan eğilimleri ve lider üye etkileşimi düzeyleri üzerinde etkisinin olup olmadığının tespit edilmesidir. Bu kapsamda Ankara’da faaliyet gösteren bir vakıf üniversitesine bağlı eğitim araştırma hastanesinde görev yapmakta olan toplam 192 hekim ve hemşireden elde edilen veriler değerlendirilmiştir. Analizler sonucunda katılımcıların alturistik liderlik algıları ve lider üye etkileşimi düzeyleri orta seviyenin üzerinde; hekim hemşire iş birliğine yatkınlıkları ise yüksek düzeyde bulunmuştur. Yürütülen regresyon analizlerinden elde edilen bulgulara göre ise alturistik liderlik alt boyutlarının hekim hemşire iş birliği ve alt boyutları ile lider üye etkileşimi ve alt boyutları üzerinde istatistiksel olarak anlamlı ve pozitif yönde etkilere sahip olduğu belirlenmiştir. Araştırma bulgularından elde edilen sonuçlar doğrultusunda hekim hemşire iş birliği ve lider üye etkileşimi düzeylerini artırma amacında olan sağlık yöneticilerine alturistik liderlik davranışları sergilemeleri önerilmektedir.

References

  • Abdillah, M. R., Wu, W. & Anita, R. (2022). Can Altruistic Leadership Prevent Knowledge-Hiding Behaviour? Testing Dual Mediation Mechanisms. Knowledge Management Research & Practice, 20(3), 352-366.
  • Amah, O. (2015). Servant Leadership Relationship with Leader-Member Exchange: The Moderating Role of Motivation-to-Serve and Motivation-to-Lead. International Journal of Management, Economics and Social Sciences, 4(3), 108-127.
  • Amin, M., Till, A. & McKimm, J. (2018). Inclusive and Person-Centred Leadership: Creating a Culture That Involves Everyone. British Journal of Hospital Medicine, 79(7), 402-407.
  • Aquino, M. V., Olander, E. K., Needle, J. J., & Bryar, R. M. (2016). Midwives’ and Health Visitors’ Collaborative Relationships: A Systematic Review of Qualitative and Quantitative Studies. International Journal of Nursing Studies, 62, 193–206
  • Arnold, L. (2002). Assessing Professional Behavior: Yesterday, Today, and Tomorrow. Academic Medicine, 77(6), 502-515.
  • Aslan, Ş. & Özata, M. (2009). Lider-Üye Etkileşiminin (LMX) Yöneticiye Duyulan Güven Düzeyine Etkisi. Sosyal Ekonomik Araştırmalar Dergisi, 9(17), 94-116.
  • Avolio, B. J. & Locke, E. E. (2002). Contrasting Different Philosophies of Leader Motivation: Altruism Versus Egoism. The Leadership Quarterly, 13(2), 169-191.
  • Avolio, B. J., Walumbwa, F. O. & Weber, T. J. (2009). Leadership: Current Theories, Research, and Future Directions. Annual Review of Psychology, 60, 421-449.
  • Axelsson, S. B. & Axelsson, R. (2009). From Territoriality to Altruism in Interprofessional Collaboration and Leadership. Journal of Interprofessional Care, 23(4), 320-330.
  • Baggs, J. G. & Schmitt, M. H. (1988). Collaboration Between Nurses and Physicians. The Journal of Nursing Scholarship, 20(3), 145-149.
  • Barbuto, J. E. & Hayden, R. W. (2011). Testing Relationships Between Servant Leadership Dimensions and Leader Member Exchange (LMX). Journal of Leadership Education, 10(2), 22-37.
  • Barnard, R., Jones, J., & Cruice, M. (2020). Communication Between Therapists and Nurses Working in Inpatient Interprofessional Teams: Systematic Review and Meta-Ethnography. Disability & Rehabilitation, 42(10), 1339–1349.
  • Baş, T., Keskin, N. & Mert, İ. S. (2010). Lider Üye Etkileşimi (LÜE) Modeli ve Ölçme Aracının Türkçe'de Geçerlik ve Güvenilirlik Analizi. Ege Academic Review, 10(3), 1013-1039.
  • Bennis, W. G. & Nanus, B. (1985). Leaders: Strategies for Taking Charge. New York: Harper & Row.
  • Bentler, P. M. (1990). Comparative Fit Indexes in Structural Models. Psychological Bulletin, 107(2), 238-246.
  • Boev, C., & Xia, Y. (2015). Nurse-Physician Collaboration and Hospital-Acquired Infections in Critical Care. Critical Care Nurse, 35(2), 66-72.
  • Boies, K. & Howell, J. M. (2006). Leader–Member Exchange in Teams: an Examination of the Interaction Between Relationship Differentiation and Mean LMX in Explaining Team-Level Outcomes. The Leadership Quarterly, 17(3), 246-257.
  • Bollen, A., Harrison, R., Aslani, P., van Haastregt, & Jolanda, C. M. (2019). Factors Influencing Interprofessional Collaboration Between Community Pharmacists and General Practitioners—A Systematic Review. Health & Social Care in the Community, 27(4), 189–E212.
  • Boswell, C. & Cannon, S. (2005). New Horizons for Collaborative Partnerships. Online Journal of Issues in Nursing, 10(1), 1-5.
  • Brown, T. A. & Moore, M. T. (2012). Confirmatory Factor Analysis. D. A. Kenny (Ed.). Handbook of Structural Equation Modeling (s. 361-379). New York: Guilford Publications.
  • Buford, B. (2016). Altruistic Leadership. Leader to Leader, 2016(82), 19-22.
  • Bulgurcu Gürel, E. (2016). Lider-Üye Etkileşiminin Çalışanların Tutumları Üzerindeki Etkisi: Ampirik Bir Araştırma. Journal of International Social Research, 9(43), 1736-1743.
  • Çakmak, C., Biçer, İ. & Uğurluoğlu, Ö. (2019). Alturistik (Özgeci) Liderlik Ölçeğinin Türkçe Uyarlaması: Geçerlilik ve Güvenilirlik Çalışması. Ankara Hacı Bayram Veli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 21(3), 785-802.
  • Çekmecelioğlu, H. G. & Ülker, F. (2014). Lider-Üye Etkileşimi ve Çalışan Tutumları Üzerindeki Etkisi: Eğitim Sektöründe Bir Araştırma. Kocaeli Üniversitesi Sosyal Bilimler Dergisi, 28, 35-58.
  • Chanko, B. O. & Rahmat, A. (2022). Altruistic Leadership and Organizational Citizenship Behavior: Mediating Role of Leader-Member Exchange. Sains Organisasi, 1(1), 1-9.
  • Chen, C. H. V., Wang, S. J., Chang, W. C. & Hu, C. S. (2008). The Effect of LeaderMember Exchange, Trust, Supervisor Support on Organizational Citizenship Behavior in Nurses. Journal of Nursing Research, 16(4), 321-328.
  • Choudhury, D. & Nortjé, N. (2020). The Hidden Curriculum and Integrating Cure-And Care-Based Approaches to Medicine. Hec Forum, 34(1), 41-53.
  • Dal, L. & Çorbacıoğlu, S. (2014). Hizmetkar Liderlik Davranışları ve Lider-Üye Etkileşimi İlişkisi: Bir Devlet Üniversitesi Üzerine Araştırma. Suleyman Demirel University Journal of Faculty of Economics & Administrative Sciences, 19(4), 287-310.
  • De Valck, C., Bensing, J., Bruynooghe, R. & Batenburg, V. (2001). Cure-Oriented versus Care-Oriented Attitudes in Medicine. Patient Education and Counseling, 45(2), 119-126.
  • Dechawatanapaisal, D. (2018). Nurses' Turnover Intention: The Impact of Leader‐ Member Exchange, Organizational Identification and Job Embeddedness. Journal of Advanced Nursing, 74(6), 1380-1391.
  • Dienesch, R. M. & Liden, R. C. (1986). Leader-Member Exchange Model of Leadership: A Critique and Further Development. Academy of Management Review, 11(3), 618-634.
  • Dünya Sağlık Örgütü. (14 Kasım 2022). Framework for Action on Interprofessional Education and Collaborative Practice. https://www.who.int/publications/i/item/framework-for-action-on-interprofessional-education-collaborative-practice
  • Erikmen, E. & Vatan, F. (2019). Hemşirelerin Bireysel ve Mesleki Otonomilerinin İncelenmesi. Sağlık ve Hemşirelik Yönetimi Dergisi, 2(6), 141-152.
  • Escrig, E. D., Broch, F. F. M., Gómez, R. C. & Alcamí, R. L. (2016). How Does Altruistic Leader Behavior Foster Radical Innovation? The Mediating Effect of Organizational Learning Capability. Leadership & Organization Development Journal, 37(8), 1056-1082.
  • Filiz, M. (2020). Sağlık Kurumlarinda Liderlik ve Örgütsel Bağlılık Arasındaki İlişkiyi İnceleyen Çalışmaların Sistematik Derlemesi. Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 10(20), 276-296.
  • Feigin, S., Owens, G. & Goodyear-Smith, F. (2014). Theories of Human Altruism: A Systematic Review. Annals of Neuroscience and Psychology, 1(1), 1-9.
  • Feldman, M. D. (2017). Altruism and Medical Practice. Journal of General Internal Medicine, 32(7), 719-720.
  • Garber, J. S., Madigan, E. A., Click, E. R. & Fitzpatrick, J. J. (2009). Attitudes Towards Collaboration and Servant Leadership Among Nurses, Physicians and Residents. Journal of Interprofessional Care, 23(4), 331-340.
  • Gardner, D. (2005). Ten Lessons in Collaboration. Online Journal of Issues in Nursing, 10(1), 1-10.
  • Göksel, A. & Aydıntan, B. (2012). Lider-Üye Etkileşimi Düzeyinin Örgütsel Bağlılık Üzerine Etkisi: Görgül Bir Araştırma. Süleyman Demirel Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 17(2), 247-271.
  • Graen, G. B. & Scandura, T. A. (1987). Toward a Psychology of Dyadic Organizing. Research in Organizational Behavior, 9, 175-208.
  • Gunnarsdóttir, S. (2014). Is Servant Leadership Useful for Sustainable Nordic Health Care? Vård i Norden, 34(2), 53-55.
  • Gürbüz, S., & Şahin, F. (2014). Sosyal Bilimlerde Araştırma Yöntemleri. Ankara: Seçkin Yayıncılık.
  • Hanse, J. J., Harlin, U., Jarebrant, C., Ulin, K. & Winkel, J. (2014). Leader-Member Exchange (LMX) and Psychosocial Factors at Work Among Healthcare Professionals. Journal of Nursing & Care, 3(5), 1-5.
  • Hanse, J. J., Harlin, U., Jarebrant, C., Ulin, K., & Winkel, J. (2016). The Impact of Servant Leadership Dimensions on Leader–Member Exchange Among Health Care Professionals. Journal of Nursing Management, 24(2), 228-234.
  • Hojat, M., Fields, S. K., Veloski, J. J., Griffiths, M., Cohen, M. J. & Plumb, J. D. (1999). Psychometric Properties of an Attitude Scale Measuring PhysicianNurse Collaboration. Evaluation & the Health Professions, 22(2), 208-220.
  • Holtman, M. C., Frost, J. S., Hammer, D. P., McGuinn, K. & Nunez, L. M. (2011). Interprofessional Professionalism: Linking Professionalism and Interprofessional Care. Journal of Interprofessional Care, 25(5), 383-385.
  • Hu, L. T. & Bentler, P. M. (1998). Fit Indices in Covariance Structure Modeling: Sensitivity to Underparameterized Model Misspecification. Psychological Methods, 3(4), 424.
  • Institute of Medicine (2010). The Future of Nursing: Leading Change, Advancing Health. Washington, DC: National Academies Press.
  • Johnson, J. M., & Carragher, R. (2018). Interprofessional Collaboration and The Care and Management of Type 2 Diabetic Patients in The Middle East: A Systematic Review. Journal of Interprofessional Care, 32(5), 621–628.
  • Karahalilöz, O. & Çelebi, N. (2021). Öğretmenlerin Algılarına Göre Okul Müdürlerinin Alturistik (Özgeci) Liderlik Davranışları. Yıldız Journal of Educational Research, 6(2), 122-135.
  • Karam, M., Brault, I., Van Durme, T., & Macq, J. (2018). Comparing Interprofessional and Interorganizational Collaboration in Healthcare: A Systematic Review of the Qualitative Research. International Journal of Nursing Studies, 79, 70–83
  • Kim, M. H., & Yi, Y. J. (2019). Impact of Leader‐Member‐Exchange and Team‐Member‐Exchange on Nurses’ Job Satisfaction and Turnover Intention. International Nursing Review, 66(2), 242-249.
  • Konstantinos, N., & Christina, O. (2008). Factors Influencing Stress and Job Satisfaction of Nurses Working in Psychiatric Units: A Research Review. Health Science Journal, 2(4), 183-195.
  • Köse, S. D., Uğurluoğlu, Ö. & Köse, T. (2015). Sağlık Çalışanlarının Hizmetkâr Liderlik Algılarının Lider-Üye Etkileşimi ve Örgütsel Güven Üzerindeki Etkisi. Türkiye Sosyal Araştırmalar Dergisi, 19(2), 239-262.
  • Laschinger, H. K. S., Purdy, N. & Almost, J. (2007). The Impact of Leader-Member Exchange Quality, Empowerment, and Core Self-Evaluation on Nurse Manager's Job Satisfaction. JONA: The Journal of Nursing Administration, 37(5), 221-229.
  • Laschinger, H. K. & Smith, L. M. (2013). The Influence of Authentic Leadership and Empowerment on New-Graduate Nurses’ Perceptions of Interprofessional Collaboration. JONA: The Journal of Nursing Administration, 43(1), 24-29.
  • Leclerc, B., Blanchard, L., Cantinotti, M., Couturier, Y., Gervais, D., Lessard, S., & Mongeau, S. (2014). The Effectiveness of Interdisciplinary Teams in End-Of-Life Palliative Care: A Systematic Review of Comparative Studies. Journal of Palliative Care, 30(1), 44–54.
  • Liden, R. C. & Maslyn, J. M. (1998). Multidimensionality of Leader-Member Exchange: An Empirical Assessment Through Scale Development. Journal of Management, 24(1), 43-72.
  • López-Ibort, N., González-de la Cuesta, D., Antoñanzas-Lombarte, T. & Gascón-Catalán, A. (2020). The Correlation Between Leader–Member Exchange and Organisational Commitment Among Spanish Registered Nurses: The Moderating Role of Sex and Hospital Size. International Journal of Environmental Research and Public Health, 17(3), 721.
  • Ma, C., Park, S. H., & Shang, J. (2018). Inter-and Intra-Disciplinary Collaboration and Patient Safety Outcomes in US Acute Care Hospital Units: A Cross-Sectional Study. International Journal of Nursing Studies, 85, 1-6.
  • MacCallum, R. C., Browne, M. W. & Sugawara, H. M. (1996). Power Analysis and Determination of Sample Size for Covariance Structure Modeling. Psychological Methods, 1(2), 130.
  • Mallén, F., Chiva, R., Alegre, J. & Guinot, J. (2015). Are Altruistic Leaders Worthy? The Role of Organizational Learning Capability. International Journal of Manpower, 36(3), 271-295.
  • Mansur, F. & Uysal, D. (2021). Covid-19 Pandemi Sürecinde Hemşirelerin Etik ve Alturistik Liderlik Algısı. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 7(2), 329-344.
  • Marcia, A., Kassirer, P. K. & Relman, A. (2000). Looking Back on the Millennium in Medicine. The New England Journal of Medicine, 342(1), 42-49.
  • McGaghie, W. C., Mytko, J. J., Brown, W. N. & Cameron, J. R. (2002). Altruism and Compassion in the Health Professions: a Search for Clarity and Precision. Medical Teacher, 24(4), 374-378.
  • McNair, R. P. (2005). The Case for Educating Health Care Students in Professionalism as the Core Content of Interprofessional Education. Medical Education, 39(5), 456-464.
  • Medves, J., Godfrey, C., Turner, C., Paterson, M., Harrison, M., MacKenzie, L. & Durando, P. (2010). Systematic Review of Practice Guideline Dissemination and Implementation Strategies For Healthcare Teams And Team-Based Practice. International Journal of Evidence-Based Healthcare, 8(2), 79–89
  • Miller, L. M., Fink, J. S., Pastore, D. L. & Baker, R. E. (2005). Defining Altruistic Leadership in the Management of Intercollegiate Coaching. The Smart Journal, 2(1), 4-16.
  • Montano, A. R. (2020). “All for One” Experiences of Interprofessional Team Members Caring For Older Adults: A Metasynthesis. International Journal Of Older People Nursing, 15(1).
  • Mostafa, A. M. S. & El-Motalib, E. A. A. (2018). Servant Leadership, Leader–Member Exchange and Proactive Behavior in the Public Health Sector. Public Personnel Management, 48(3), 309-324.
  • Mumtaz, S., & Rowley, C. (2020). The Relationship Between Leader–Member Exchange and Employee Outcomes: Review Of Past Themes and Future Potential. Management Review Quarterly, 70, 165-189.
  • Myrvang, N. A. (2021). Sağlık Çalışanlarında Alturistik Liderlik Yaklaşımı ve Tükenmişlik Düzeyi Arasındaki İlişki. Turkish Studies-Social Sciences, 16(3), 1147-1159.
  • O'Brien, J. L., Martin, D. R., Heyworth, J. & Meyer, N. R. (2008). Negotiating Transformational Leadership: A Key to Effective Collaboration. Nursing & Health Sciences, 10(2), 137-143.
  • Özer, Ö. (2019). Hemşirelerde Hizmetkâr Liderlik ve Çalışan Performansının İncelenmesi. Sağlık Bilimleri ve Meslekleri Dergisi, 6(1), 105-112.
  • Öztürk, M., & Eryeşil, K. (2016). Lider-Üye Etkileşimi ve Örgütsel Destek Algılarının Çalışanların İşten Ayrılma Niyeti Üzerindeki Etkisi. Selçuk Üniversitesi Sosyal Bilimler Meslek Yüksek Okulu Dergisi, 19(2), 123-141.
  • Reeves, S., Pelone, F., Harrison, R., Goldman, J. & Zwarenstein, M. (2017). Interprofessional Collaboration to Improve Professional Practice and Healthcare Outcomes. Cochrane Database of Systematic Reviews, 6, 1-48.
  • Regan, S., Laschinger, H. K. & Wong, C. A. (2016). The Influence of Empowerment, Authentic Leadership, and Professional Practice Environments on Nurses’ Perceived Interprofessional Collaboration. Journal of Nursing Management, 24(1), 54-61.
  • Salas-Vallina, A. & Alegre, J. (2018). Unselfish Leaders? Understanding the Role of Altruistic Leadership and Organizational Learning on Happiness at Work (HAW). Leadership & Organization Development Journal, 39(5), 633-649.
  • Salas‐Vallina, A., Ferrer‐Franco, A. & Fernandez Guerrero, R. (2018). Altruistic Leadership and Affiliative Humor's Role on Service Innovation: Lessons from Spanish Public Hospitals. The International Journal of Health Planning and Management, 33(3), 861-872.
  • Saygılı, M., & Çelik, Y. (2011). Hastane Çalışanlarının Çalışma Ortamlarına İlişkin Algıları ile İş Doyumu Düzeyleri Arasındaki İlişkinin Değerlendirilmesi. Hacettepe Sağlık İdaresi Dergisi, 14(1), 39-71.
  • Sendjaya, S., Sarros, J. C. & Santora, J. C. (2008). Defining and Measuring Servant Leadership Behaviour in Organizations. Journal of Management Studies, 45(2), 402-424.
  • Shah, B., Forsythe, L., & Murray, C. (2018). Effectiveness of Interprofessional Care Teams On Reducing Hospital Readmissions in Patients With Heart Failure: A Systematic Review. Medsurg Nursing, 27(3), 177–185.
  • Silva, A. (2016). What is Leadership? Journal of Business Studies Quarterly, 8(1), 1-5.
  • Singh, N. & Krishnan, V. R. (2008). Self‐sacrifice and Transformational Leadership: Mediating Role of Altruism. Leadership & Organization Development Journal, 29(3), 261-274.
  • Sosik, J. J., Jung, D. & Dinger, S. L. (2009). Values in Authentic Action: Examining the Roots and Rewards of Altruistic Leadership. Group & Organization Management, 34(4), 395-431.
  • Steinberg, D. (2010). Altruism in Medicine: Its Definition, Nature, and Dilemmas. Cambridge Quarterly of Healthcare Ethics, 19(2), 249-257.
  • Steiner, P. (2014). Comte, Altruism and the Critique of Political Economy [Bildiri]. XVIII ISA World Congress of Sociology, Japonya.
  • Sterchi, L. S. (2007). Perceptions That Affect Physician-Nurse Collaboration in the Perioperative Setting. AORN Journal, 86(1), 45-57.
  • Stern, D. T. (2006). Measuring Medical Professionalism. New York: Oxford University Press.
  • Stewart Wherry, H. M. (2012). Authentic Leadership, Leader-Member Exchange, and Organizational Citizenship Behavior: A Multilevel Analysis. Yüksek Lisans Tezi, University of Nebraska, Nebraska.
  • Sturm, B. A. (2009). Principles of Servant-Leadership in Community Health Nursing: Management Issues and Behaviors Discovered in Ethnographic Research. Home Health Care Management & Practice, 21(2), 82-89.
  • Supper, I., Catala, O., Lustman, M., Chemla, C., Bourgueil, Y., & Letrilliart, L. (2015). Interprofessional Collaboration in Primary Health Care: A Review of Facilitators and Barriers Perceived By Involved Actors. Journal of Public Health, 37(4), 716-727.
  • Suva, G., Sharma, T., Campbell, K. E., Sibbald, R. G., An, D., & Woo, K. (2018). Strategies to Support Pressure Injury Best Practices By The Interprofessional Team: A Systematic Review. International Wound Journal, 15(4), 580–589.
  • Şahin, F. (2011). Lider-üye Etkileşimi ile İşten Ayrılma Niyeti Arasındaki İlişki Üzerinde Cinsiyetin Etkisi. Ege Akademik Bakış, 11(2), 277-288.
  • Tapsell, L. C., & Neale, E. P. (2016). The Effect of Interdisciplinary Interventions on Risk Factors For Lifestyle Disease: A Literature Review. Health Education & Behavior, 43(3), 271–285.
  • Terry, V., Sandoval, A., Garza, J., Lowdermilk, J., Lerma, E., Lapka, S., Dingle, A. D. & Manusov, E. G. (2018). What Drives Members of an Interprofessional Care Team: a Sense of Self. Journal of Interprofessional Education & Practice, 13, 27-32.
  • Trastek, V. F., Hamilton, N. W., & Niles, E. E. (2014). Leadership Models in Health Care—A Case For Servant Leadership. In Mayo Clinic Proceedings, 89(3), 374-381.
  • Troy, A. B., Lewis, J. L., & Vaughn, C. M. (2021). Leadership Assessments: A History and Overview of Empirical and Practical Considerations. New Directions for Student Leadership, (170), 23-34.
  • Truckenbrodt, Y. B. (2000). The Relationship Between Leader-Member Exchange and Commitment and Organizational Citizenship Behavior. Acquisition Review Quarterly, 7(3), 233.
  • Tschannen, D. (2004). The Effect of Individual Characteristics on Perceptions of Collaboration in the Work Environment. Medsurg Nursing, 13(5), 312-318.
  • Tucker, L. R. & Lewis, C. (1973). A Reliability Coefficient for Maximum Likelihood Factor Analysis. Psychometrika, 38(1), 1-10.
  • Uçar, Z. M., Akbolat, M. & Özer, A. (2021). Covid-19 Dönemindeki Sağlık Çalışanlarında Alturistik Liderlik ve İşten Ayrılma Niyeti Arasındaki İlişkinin İncelenmesi. M. Akbolat ve Ö. Ünal (Ed.). COVID-19 Pandemisinde İşletme Yönetiminin Dönüşümü (s. 1-12). Ankara: Gazi Kitabevi.
  • Uğurluoğlu, Ö., Şantaş, F. & Demirgil, B. (2013). Lider-Üye Etkileşimi ve Tükenmişlik İlişkisi: Hastanelerde bir Uygulama. Hacettepe Sağlık İdaresi Dergisi, 16(1), 1-21.
  • Ürek, D. (2015). Sağlık Kurumlarında Lider-Üye Etkileşim Düzeyi ve Örgütsel Vatandaşlık Davranışı Arasındaki İlişkinin Değerlendirilmesi. Yüksek Lisans Tezi, Hacettepe Üniversitesi, Ankara.
  • Ürek, D. & Uğurluoğlu, Ö. (2019). Examining the Impact of Leader–Member Exchange on Organizational Citizenship Behaviour in Healthcare Sector. İş ve İnsan Dergisi, 6(1), 81-92.
  • van Biesen, W., Lameire, N., Veys, N. & Vanderhaegen, B. (2004). From Curing to Caring: One Character Change Makes a World of Difference. Issues Related to Withholding/Withdrawing Renal Replacement Therapy (RRT) from Patients with Important Co-Morbidities. Nephrology Dialysis Transplantation, 19(3), 536-540.
  • Van Dierendonck, D. (2011). Servant Leadership: A Review and Synthesis. Journal of Management, 37(4), 1228-1261.
  • Wei, H., Horns, P., Sears, S. F., Huang, K., Smith, C. M., & Wei, T. L. (2022). A Systematic Meta-Review of Systematic Reviews About Interprofessional Collaboration: Facilitators, Barriers, and Outcomes. Journal of Interprofessional Care, 36(5), 735-749.
  • Yadmaa, N. (2020). Lider Üye Etkileşiminin Kariyer Memnuniyeti ve Bireysel Performans Üzerindeki Etkisi: Moğolistan Sağlık Kurumlarında Bir Araştırma. Yüksek Lisans Tezi, Trakya Üniversitesi, Edirne.
  • Yukl, G. (2012). Leadership in Organizations (8. baskı). New Jersey: Pearson
  • Zheltoukhova, K. (2016). Developing and Validating a Scale of Altruistic Leadership. Doktora Tezi, Lancaster University, United Kingdom.
There are 112 citations in total.

Details

Primary Language Turkish
Subjects Health Management
Journal Section Makaleler
Authors

Ecenur Aydemir 0000-0003-0107-4370

Özgür Uğurluoğlu 0000-0002-9453-9925

Publication Date December 28, 2023
Published in Issue Year 2023 Volume: 26 Issue: 4

Cite

APA Aydemir, E., & Uğurluoğlu, Ö. (2023). SAĞLIK KURUMLARINDA ALTURİSTİK LİDERLİĞİN HEKİM-HEMŞİRE İŞ BİRLİĞİ VE LİDER-ÜYE ETKİLEŞİMİ ÜZERİNDEKİ ETKİLERİ. Hacettepe Sağlık İdaresi Dergisi, 26(4), 1033-1056. https://doi.org/10.61859/hacettepesid.1327439
AMA Aydemir E, Uğurluoğlu Ö. SAĞLIK KURUMLARINDA ALTURİSTİK LİDERLİĞİN HEKİM-HEMŞİRE İŞ BİRLİĞİ VE LİDER-ÜYE ETKİLEŞİMİ ÜZERİNDEKİ ETKİLERİ. HSİD. December 2023;26(4):1033-1056. doi:10.61859/hacettepesid.1327439
Chicago Aydemir, Ecenur, and Özgür Uğurluoğlu. “SAĞLIK KURUMLARINDA ALTURİSTİK LİDERLİĞİN HEKİM-HEMŞİRE İŞ BİRLİĞİ VE LİDER-ÜYE ETKİLEŞİMİ ÜZERİNDEKİ ETKİLERİ”. Hacettepe Sağlık İdaresi Dergisi 26, no. 4 (December 2023): 1033-56. https://doi.org/10.61859/hacettepesid.1327439.
EndNote Aydemir E, Uğurluoğlu Ö (December 1, 2023) SAĞLIK KURUMLARINDA ALTURİSTİK LİDERLİĞİN HEKİM-HEMŞİRE İŞ BİRLİĞİ VE LİDER-ÜYE ETKİLEŞİMİ ÜZERİNDEKİ ETKİLERİ. Hacettepe Sağlık İdaresi Dergisi 26 4 1033–1056.
IEEE E. Aydemir and Ö. Uğurluoğlu, “SAĞLIK KURUMLARINDA ALTURİSTİK LİDERLİĞİN HEKİM-HEMŞİRE İŞ BİRLİĞİ VE LİDER-ÜYE ETKİLEŞİMİ ÜZERİNDEKİ ETKİLERİ”, HSİD, vol. 26, no. 4, pp. 1033–1056, 2023, doi: 10.61859/hacettepesid.1327439.
ISNAD Aydemir, Ecenur - Uğurluoğlu, Özgür. “SAĞLIK KURUMLARINDA ALTURİSTİK LİDERLİĞİN HEKİM-HEMŞİRE İŞ BİRLİĞİ VE LİDER-ÜYE ETKİLEŞİMİ ÜZERİNDEKİ ETKİLERİ”. Hacettepe Sağlık İdaresi Dergisi 26/4 (December 2023), 1033-1056. https://doi.org/10.61859/hacettepesid.1327439.
JAMA Aydemir E, Uğurluoğlu Ö. SAĞLIK KURUMLARINDA ALTURİSTİK LİDERLİĞİN HEKİM-HEMŞİRE İŞ BİRLİĞİ VE LİDER-ÜYE ETKİLEŞİMİ ÜZERİNDEKİ ETKİLERİ. HSİD. 2023;26:1033–1056.
MLA Aydemir, Ecenur and Özgür Uğurluoğlu. “SAĞLIK KURUMLARINDA ALTURİSTİK LİDERLİĞİN HEKİM-HEMŞİRE İŞ BİRLİĞİ VE LİDER-ÜYE ETKİLEŞİMİ ÜZERİNDEKİ ETKİLERİ”. Hacettepe Sağlık İdaresi Dergisi, vol. 26, no. 4, 2023, pp. 1033-56, doi:10.61859/hacettepesid.1327439.
Vancouver Aydemir E, Uğurluoğlu Ö. SAĞLIK KURUMLARINDA ALTURİSTİK LİDERLİĞİN HEKİM-HEMŞİRE İŞ BİRLİĞİ VE LİDER-ÜYE ETKİLEŞİMİ ÜZERİNDEKİ ETKİLERİ. HSİD. 2023;26(4):1033-56.