The correlation between head nurse leadership styles and nursing performance in inpatient wards
DOI:
https://doi.org/10.63868/majhs.v1i02.98Keywords:
Head Nurse; Leadership Style; Nursing Management; Nurse Performance.Abstract
Background: The leadership style of a head nurse is a pivotal determinant in shaping the clinical work environment and directly influences nursing performance. Despite established managerial frameworks in regional hospitals, inconsistent leadership approaches and suboptimal communication frequently hinder nurses' clinical engagement and overall care delivery.
Objective: This study aimed to investigate the correlation between head nurse leadership styles and nurse performance in the inpatient wards of a regional public hospital.
Methods: A quantitative correlational study utilizing a cross-sectional design was conducted at the Regional General Hospital of North Lombok Regency. A total sampling technique was applied, recruiting 95 clinical nurses. Data regarding perceived leadership styles and nurse performance were collected using validated structured questionnaires. Due to the specific distribution of the categorical data, bivariate analysis was performed using Fisher's Exact Test.
Results: The participative leadership style was the most dominantly perceived by respondents (54.7%), followed by democratic (41.1%), laissez-faire (3.2%), and authoritarian (1.1%). Concurrently, the vast majority of the nurses demonstrated good performance (87.4%), while 11.6% showed sufficient performance, and 1.1% showed poor performance. The statistical analysis revealed a highly significant correlation between the head nurse's leadership style and nursing performance (p < 0.001).
Conclusion: Effective leadership styles, particularly participative and democratic approaches, are significantly associated with high nursing performance. Hospital management should implement targeted leadership development programs for head nurses to foster a supportive clinical environment and optimize the quality of nursing care.
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