Adopting an effective leadership style is of critical importance in increasing healthcare efficiency and therefore determining patient satisfaction. For example, although there are many new and effective leadership types today, the paternalistic leadership approach can still play an effective role in developing countries.
OBJECTIVE:
The aim of this study is to examine the moderating role of paternalistic leadership in the relationship between job satisfaction and job stress.
METHODS:
A total of 466 healthcare workers completed measures of perceived paternalistic leadership, job stress, and job satisfaction. The research was conducted in the center of Gaziantep, one of the largest cities in Turkey. Regression analysis was used to evaluate the moderate variable. Dawson slope were used to visualize the results.
RESULTS:
A negative relationship was found between job satisfaction and job stress. Additionally, it has been determined that the perception of paternalistic leadership has a moderating role. It has been observed that as the perception of paternalistic leadership increases, the negative relationship between job satisfaction and job stress decreases.
CONCLUSION:
It has been concluded that the paternalistic leadership approach can play a critical role in increasing the productivity of healthcare workers and reducing the negative effect of stress on satisfaction. It has been suggested that policies be developed to develop appropriate strategies for creating work environments that will increase employees’ perceptions of paternalistic leadership.
SungurC, ÖzerÖ, SaygiliM, UğurluoğluÖ. Paternalistic leadership, organizational cynicism, and intention toquit one’s job in nursing. Hospital Topics. 2019;97(4):139–47.
2.
KumarRD. Leadership in healthcare. Anaesthesia & Intensive Care Medicine. 2013;14(1):39–41.
3.
LundqvistD, WalloA, ReineholmC. Leadership and well-being of employees in the Nordic countries: A literature review. Work. 2023;74(4):1331–52.
4.
van DiggeleC, BurgessA, RobertsC, MellisC. Leadership in healthcare education. BMC Medical Education. 2020;20(1):1–6.
5.
Al-SawaiA. Leadership of healthcare professionals: where do we stand?Oman Medical Journal. 2013;28(4):285–90.
6.
NalM, SevimE. The effect of paternalist leadership on work engagement: a research on health workers. Journal of International Health Sciences and Management. 2020;6(10):90–107.
7.
SaygiliM, ÖzerÖ, KarakayaPÖ. Paternalisticleadership, ethical climate and performance in health staff. Hospital Topics. 2020;98(1):26–35.
8.
UgurluogluO, AldoganEU, TurgutM, OzatkanY. The effect of paternalistic leadership on job performance and intention to leave the job. Journal of Health Management. 2018;20(1):46–55.
9.
GullN, SongZ, ShiR, AsgharM, RafiqueMA, LiuY. Paternalistic leadership, polychronicity, and life satisfaction of nurses: the role of work-family conflict and family-work conflict in public sector hospitals. Frontiers in Psychology. 2021;12(1):1–5.
10.
AziriB. Job satisfaction: A literature review. Management Research & Practice. 2011;3(4):77–86.
11.
PenconekT, TateK, BernardesA, LeeS, MicaroniSP, BalsanelliAP, et al.Determinants of nurse manager job satisfaction: A systematic review. International Journal of Nursing Studies. 2021;118(1):1–6.
12.
McVicarA. Scoping the common antecedents of job stress and job satisfaction for nurses (2000–2013) using the job demands–resources model of stress. Journal of Nursing Management. 2016;24(2):E112–E36.
13.
MishraP. Job satisfaction. IOSR Journal of Humanities and Social Science. 2013;14(5):45–54.
14.
MeierLL, SpectorPE. Job satisfaction. Wiley Encyclopedia of Management. 2015;1(1):1–3.
15.
EliyanaA, Ma’arifS. Job satisfaction and organizational commitment effect in the transformational leadership towards employee performance. European Research on Management and Business Economics. 2019;25(3):144–50.
16.
BonenbergerM, AikinsM, AkweongoP, WyssK. The effects of health worker motivation and job satisfaction on turnover intention in Ghana: a cross-sectional study. Human Resources for Health. 2014;12(1):1–12.
17.
ArasFM, GümüşsoyS. Emotional burnout, jobsatisfaction, and intention to leave among pre-hospital emergencyhealthcare workers during the COVID-19 pandemic. Work. 2024(Preprint):1–13.
18.
FaragherEB, CassM, CooperCL. The relationship between job satisfaction and health: a meta-analysis. Occupational and Environmental Medicine. 2005;62(2):105–12.
19.
PrasetioAP, LuturleanBS, AgathanisaC. Examining employee’s compensation satisfaction and work stress in a retail company and its effect to increase employee job satisfaction. International Journal of Human Resource Studies. 2019;9(2):239–65.
20.
KanaanSF, Abu HannaAM, HadoushH, KhalilH, AlmhdawiK. Physiotherapists’ job satisfaction in the workplace: A cross-sectional study in Jordan, Lebanon, West Bank, and Gaza. Work. 2023;75(3):917–25.
21.
LombardoC, MentoC, De StefanoR, InfortunaC, IannuzzoF, MateriaN, et al.Job satisfaction in the health professions: The role of affective temperaments. Work. 2023;75(3):1001–7.
22.
PlatisC, ReklitisP, ZimerasS. Relation between job satisfaction and job performance in healthcare services. Social and Behavioral Sciences. 2015;175(1):480–7.
23.
ShiraliG-A, AmiriA, ChananiKT, SilaviM, MohipoorS, RashnuodiP. Job stress and resilience in Iranian nurses during the COVID-19 pandemic: A case-control study. Work. 2021;70(4):1011–20.
24.
Van HamI, VerhoevenAA, GroenierKH, GroothoffJW, De HaanJ. Job satisfaction among general practitioners: a systematic literature review. The European Journal of General Practice. 2006;12(4):174–80.
25.
KoolhaasJM, BartolomucciA, BuwaldaB, de BoerSF, FlüggeG, KorteSM, et al.Stress revisited: a critical evaluation of the stress concept. Neuroscience & Biobehavioral Reviews. 2011;35(5):1291–301.
26.
RenersM, BrecxM. Stress and periodontal disease. International Journal of Dental Hygiene. 2007;5(4):199–204.
27.
Stults-KolehmainenMA, SinhaR. The effects of stress on physical activity and exercise. Sports Medicine. 2014;44(1):81–121.
28.
HolmesTH, RaheRH. The social readjustment rating scale. Journal of Psychosomatic Research. 1967;11(2):213–8.
29.
CooperCL. Identifying stressors at work: Recent research developments. Journal of Psychosomatic Research. 1983;27(5):369–76.
30.
KivimäkiM, KawachiI. Work stress as a risk factor forcardiovascular disease. Current Cardiology Reports. 2015;17(1):1–9.
31.
BeehrTA, NewmanJE. Job stress, employee health, and organizational effectiveness: A facet analysis, model, and literature review 1. Personnel Psychology. 1978;31(4):665–99.
32.
BackéE-M, SeidlerA, LatzaU, RossnagelK, SchumannB. The role of psychosocial stress at work for the development of cardiovascular diseases: a systematic review. International Archives of Occupational and Environmental Health. 2012;85(1):67–79.
33.
MoustakaE, ConstantinidisTC. Sources and effects of work-related stress in nursing. Health Science Journal. 2010;4(4):210–4.
34.
BragardI, DupuisG, FleetR. Quality of work life, burnout, and stress in emergency department physicians: a qualitative review. European Journal of Emergency Medicine. 2015;22(4):227–34.
35.
JasińskiAM, DerbisR. The impact of workload and jobsatisfaction on occupational stress–A comparison among newlyqualified and experienced midwives. Work. 2023;74(2):621–30.
36.
VinothkumarM, ArathiA, JosephM, NayanaP, JishmaEJ, SahanaU. Coping, perceived stress, and job satisfaction among medical interns: The mediating effect of mindfulness. Industrial Psychiatry Journal. 2016;25(2):195–200.
37.
AntonakisJ, DayDV. The Nature of Leadership. USA: Sage Publications; 2017.
38.
BediA. A meta-analytic review of paternalistic leadership. Applied Psychology. 2020;69(3):960–1008.
39.
FarhJ-L, ChengB-S. A cultural analysis of paternalistic leadership in Chinese organizations. Management and organizations in the Chinese context: Springer; 2000. p. 84–127.
40.
ZhijieS, GullN, AsgharM, ShiR, SarfrazM. Paternalistic leadership as an antecedent: Examining the comprehensive model of nurse’s life satisfaction. Work. 2022;73(3):961–8.
41.
PutraGP. Job satisfaction is driven by paternalistic leadership styles and work stress through motivation. Enrichment: Journal of Management. 2023;12(6):4669–77.
42.
NassirM, BenolielP. The differences in the implications of participative decision-making and paternalistic leadership for teachers’ perceived stress in the education system of the Israeli Arab minority. Journal of Educational Administration. 2023;61(6):623–45.
43.
KaraerM, TatlıdilH. Evaluation of some health indicators of 81provinces in Turkey in terms of principal component analysis andgrey relational analysis. Gümüşhane University Journalof Health Sciences. 2019;8(1):44–54.
44.
TekinB. Grouping of cities in terms of primary health indicators inTurkey: An application of cluster analysis. ÇankırıKaratekin University Journal of The Faculty of Economics andAdministrative Sciences. 2015;5(2):389–416.
45.
JudgeTA, LockeEA, DurhamCC, KlugerAN. Dispositional effects on job and life satisfaction: the role of core evaluations. Journal of Applied Psychology. 1998;83(1):17–24.
46.
KeserA, BilirKBÖ. Iş tatmini ölçeğinintürkçe güvenilirlik ve geçerlilik çalişmasi. Kırklareli Üniversitesi Sosyal Bilimler Dergisi. 2019;3(3):229–39.
47.
CohenS, KamarckT, MermelsteinR. A global measure of perceived stress. Journal of Health and Social Behavior. 1983;24(4):385–96.
48.
EskinM, HarlakH, DemirkıranF, DereboyÇ. Algılananstres ölçeğinin Türkçeye uyarlanması:güvenirlik ve geçerlik analizi. Yeni Symposium Journal. 2013;51(3):132–40.
49.
AycanZ, SchynsB, SunJ-M, FelfeJ, SaherN. Convergence and divergence of paternalistic leadership: A cross-cultural investigation of prototypes. Journal of International Business Studies. 2013;44(1):962–9.
50.
DawsonJF. Moderation in management research: What, why, when, and how. Journal of Business and Psychology. 2014;29(1):1–19.
51.
AruorenEE. Job satisfaction and paternalistic leadership behaviour. Journal of Social and Management Sciences. 2020;15(1):58–67.
52.
YehyaA, SankaranarayananA, AlkhalA, Al NaemiH, AlmeerN, KhanA, et al.Job satisfaction and stress among healthcare workers inpublic hospitals in Qatar. Archives of Environmental & Occupational Health. 2020;75(1):10–7.
53.
LiuJ, ZhuB, WuJ, MaoY. Job satisfaction, work stress, and turnover intentions among rural health workers: a cross-sectional study in 11 western provinces of China. BMC Family Practice. 2019;20(1):1–11.
54.
HeG, AnR, HewlinPF. Paternalistic leadership and employee well-being: a moderated mediation model. Chinese Management Studies. 2019;13(3):645–63.
55.
LawalOA, BabalolaSS. Moderating roles of leadership effectiveness and job stress on relationship between paternalism and leadership-induced stress. International Journal of Engineering Business Management. 2017;9(1):1–6.
