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Measuring Transformational Leadership in Establishing Nursing Care Excellence

Moon, S, Van Dam, PJ ORCID: 0000-0003-3341-6793 and Kitsos, A ORCID: 0000-0003-4319-1559 2019 , 'Measuring Transformational Leadership in Establishing Nursing Care Excellence' , Healthcare, vol. 7, no. 4 , pp. 1-11 , doi:

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Transformational leadership (TL) is known to be essential to achieving Magnet® recognition,an internationally prestigious status for nursing care excellence. Since its inception in the 1980s,empirical studies have identified benefits of implementing the Magnet® Model involving improvedpatient care and nursing workforce outcomes. However, little is known about the leadership styles ofnurse managers (NMs) working in a regional Australian context, which may hinder achieving Magnet®status. To close the knowledge gap, a self-administered survey was conducted to measure leadershipstyles of NMs at a large health organization comprising hospitals with a wide range of service profilesin regional Australia using a validated tool—the Multifactor Leadership Questionnaire (MLQ-6S).One-way of variance (ANOVA) was used to identify statistical significance between respondents’demographic characteristics (e.g., age, education, gender) and their MLQ-6S scores. Respondents(n = 78) reported their leadership styles as more transformational, compared to transactional orpassive/avoidant leadership styles. The findings indicated that NMs’ higher education (p = 0.02)and older age (p = 0.03) were associated with TL styles, whereas passive/avoidant leadership wasgenerally reported by female (p = 0.04) and younger (p = 0.06) respondents. This study has identifieddifferences in reported leadership styles among NMs, providing a unique organizational insight intodeveloping strategies to improve NMs’ TL, which could help to facilitate the implementation of theMagnet® framework. Healthcare organizations in similar settings could benefit from replicating thisstudy to identify a dominant leadership style and customize strategies to improve TL.

Item Type: Article
Authors/Creators:Moon, S and Van Dam, PJ and Kitsos, A
Keywords: transformational leadership; Magnet; Multifactor Leadership Questionnaire; nursing workforce; evidence based; healthcare management; leadership development
Journal or Publication Title: Healthcare
Publisher: Switzerland
ISSN: 2227-9032
DOI / ID Number:
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© 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (

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