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Research article
First published online June 1, 2014

Is Servant Leadership Useful for Sustainable Nordic Health Care?

Abstract

The philosophy of servant leadership receives a growing interest in academia and among clinical health care leaders. Few European studies are available about the importance of this philosophy for patient and staff outcomes. Prior nursing studies in the US show that servant leadership is related to job satisfaction and better performance. For the purpose of investigating this among Nordic health care workers a questionnaire survey was conducted among health care staff in nursing care in four hospitals in Iceland (n=138). A new Dutch instrument (SLS) was used in an Icelandic version. The study shows that servant leadership is practiced in departments of nursing in these Icelandic hospitals and significant correlation was found between job satisfaction and servant leadership. The findings support prior findings and indicate that servant leadership among hospital managers is important for staff satisfaction. Organizational trust is foundational to servant leadership, an important element of Nordic organizational structure and among current challenges of sustainable Nordic health care services. There are reasons to continue to investigate the importance of this leadership style in Nordic health care settings and, in particular, to investigate potential links to performance and patient outcomes.

References

1. Greenleaf RK. The Institution as Servant. Westfield: The Greenleaf Center for Servant Leadership; 1972/2009.
2. Prosser S. Servant Leadership: More Philosophy, Less Theory. Westfield: The Greenleaf Center for Servant Leadership; 2010.
3. Greenleaf RK. The Servant as Leader. Westfield: The Greenleaf Center for Servant Leadership; 2008.
4. Van Dierendonck D, Niujten I. The Servant Leadership Survey: Development and Validation of a Multidimensional Measure. Journal of Business and Psychology 2010.
5. Trastek VF, Hamilton NW, Niles EE. Leadership Models in Health Care — A Case for Servant Leadership. Mayo Clinic Proc 2014; 89(3): 374–381.
6. Garber JS, Madigan EA, Click ER, Fitzatrick JJ. Attitudes towards collaboration and *servant leadership among nurses, physicians and residents. Journal of Interprofessional Care 2009; 23(4): 331–340.
7. Jenkins M, Stewart AC. The importance of a servant leader orientation. Health Care Management Review 2010; 35(1): 46–54.
8. Keith KM. The Case for Servant Leadership. Westfield: The Greenleaf Center for Servant Leadership; 2008.
9. Van Dierendonck D, Nuijten I, Heeren I. Servant-leadership, key to follower well-being. In: Tjosvold D, Wisse B. (eds.): Power and Inter-dependence in Organizations. Cambridge: Cambridge University Press; 2009: 319–337.
10. Aiken LH, Sermeus W, van den Heede K, Sloane DM, Busse R, McKee M, Kuntey-Lee A. Patient saftey, satisfaction, and quality of hospital care: Cross sectional surveys og nurses and patients in 12 contries in Europa and the United States. British Medical Journal 2012;
11. Kramer M, Schmalenberg C, Maguire P. Nine structures and leadership practices essential for magnetic (healthy) work environment. Nursing Administration Quarterly 2010; 30(1): 4–17.
12. Laschinger HKS, Wilk P, Cho J, Greco P. Empowerment, engagement and perceived effectiveness in nursing work environments: Does experience matter? Journal of Nursing Management 2009; 17: 636–646.
13. Gunnarsdottir S, Clarke S, Rafferty AM, Nutbeam D. Front-line management, staffing and nurse—doctor relationships as predictors of nurse and patient outcomes. A survey of Icelandic hospital nurses. International Journal of Nursing Studies 2009; 46: 920–927.
14. Armstrong KJ, Laschinger H. Structural Empowerment, magnet hospital characteristics, and patient safety culture. Making the link. Journal of Nursing Care Quality 2006; 21(2): 124–132.
15. Amadeo CA. A Correlational Study of Servant Leadership and Registered Nurse Job Satisfaction in Acute Health-Care Settings. Unpublished PhD thesis. University of Phoenix; 2008.
16. Sendjaya S, Pekerti A. Servant leadership as antecedent of trust in organizations. Leadership & Organization Development Journal 2010; 31(7): 643–663.
17. Ruiz P, Martinez R, Rodrigo J. Intra-organizational social capital in business organizations: A theoretical model with a focus on servant leadership as antecedent. Ramon Llull journal of applied ethics 2010; 15: 43–59.
18. Rechel B, Wright S, Edwards N, Dowdeswell B, McKee M. Conclusions and critical success factors. In: Rechel B, Wright S, Edwards N, Dowdeswell B, McKee M. (eds.). Investing in hospitals of the future. Copenhagen, World Health Organization, European Observatory on Health Systems and Policies; 2009.
19. IOM. The Future of Nursing: Leading Change, Advancing Health. Washington, DC: Institute of medicine of the national academies; 2010.
20. Field A. Discovering statistics using SPSS (3rd edition). London: SAGE publications Ltd.; 2009.
21. Kramer M, Schmalenberg C. (2008). Confirmation ofa healthy work environment. Critical Care nurse 2008; 28(2): 56–63.
22. Smith PB, Aarum J, Ekelund B, Graversen G, Rope A. In search of Nordic Management style. Scandinavian Journal of Management 2003; 19: 491–507.

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Published In

Article first published online: June 1, 2014
Issue published: June 2014

Keywords

  1. Servant leadership
  2. nurses
  3. job satisfaction
  4. Nordic model

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© 2014 Vårdförbundet.
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Authors

Affiliations

Dr. Sigrún Gunnarsdóttir
Associate professor

Notes

Dr. Sigrún Gunnarsdóttir — Associate professor, Faculty of Nursing, University of Iceland, Eiriksgata 34, IS - 101 Reykjavík; Tel: 354 525 4919; [email protected]

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Crossref: 8

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