Leadership Styles in Healthcare: Supervisors’ and Nurses’ Influence on Staff Dynamics and Patient Care in a General Hospital in Sulu

Authors

  • Nurfaiza K. Tutong Mindanao State University Author

DOI:

https://doi.org/10.5281/zenodo.21277171

Keywords:

Leadership styles, healthcare leadership, staff dynamics, patient care outcomes, mixed-methods research, emotional intelligence

Abstract

This study examined the influence of supervisors and nurses on staff dynamics and patient care outcomes at Sulu Sanitarium and General Hospital in Sulu using a concurrent explanatory, cross-sectional mixed-methods design. Quantitative data were gathered from 100 nursing personnel selected through random and stratified sampling, while qualitative data were obtained from 10 purposively selected participants composed of five nurse supervisors and five nursing staff. Researcher-developed questionnaires and semi-structured interviews were used, and data were analyzed through frequency counts, percentages, means, standard deviations, Pearson correlation, multiple regression, and thematic analysis. Results showed that most respondents were staff nurses (87%), female (79%), aged 25-34 years (64%), bachelor’s degree holders (81%), and job order employees (68%). Leadership styles were generally assessed positively, with transformational and transactional leadership emerging as prominent approaches. Staff dynamics (M = 4.33) and patient care outcomes (M = 4.62) were both rated very positively. Regression analyses indicated that personal profiles significantly predicted leadership styles and leadership attributes, while leadership styles significantly predicted staff dynamics (R² = 0.67, p < 0.001) and leadership attributes significantly predicted patient care outcomes (R² = 0.75, p < 0.001). Qualitative findings produced four core themes: leadership styles in healthcare delivery, leadership practices and staff dynamics, leadership practices and patient care outcomes, and challenges and opportunities in healthcare leadership. The study concludes that supportive, caring, communicative, and adaptive leadership strengthens teamwork and contributes to improved patient care in the hospital context.

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References

Achuthan, K., Thomas, A., & Jitendra, Y. (2020). Application of stratified sampling technique in healthcare research: The case of the healthcare workforce. BMC Medical Research Methodology, 20(1), 10. https://doi.org/10.1186/s12874-020-00989-8

Adams, M., & Bond, T. (2021). Transformational leadership in healthcare: A systematic review of its impact on patient outcomes. Journal of Health Management, 23(3), 270-289. https://doi.org/10.1177/0972063421995607

Aiken, L. H., Sloane, D. M., & Lake, E. T. (2020). Education and quality of care in nursing: A systematic review of the literature. International Nursing Review, 67(2), 178-190. https://doi.org/10.1111/inr.12628

Alshurideh, M., Alzghool, A., & Alawawdeh, M. (2022). The impact of transformational and transactional leadership on team engagement and performance: A case study in the Jordanian healthcare sector. Journal of Health Management, 24(1), 45-58. https://doi.org/10.1177/09720634211055122

Bagnasco, A., Timmins, J., & McCabe, C. (2018). The role of leadership in nursing. International Nursing Review, 65(2), 221-229. https://doi.org/10.1111/inr.12425

Bashir, K., Iqbal, H. M., & Gulzar, F. (2021). Impact of resource scarcity on healthcare professionals’ emotional wellbeing and patient safety: A systematic review. Journal of Healthcare Management, 66(2), 109-122. https://doi.org/10.1097/JHM-D-20-00009

Bass, B. M., & Riggio, R. E. (2018). Transformational leadership (2nd ed.). Psychology Press. https://doi.org/10.4324/9781315681099

Bolarinwa, O. A. (2019). Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Nigerian Journal of Clinical Practice, 22(12), 1597-1601. https://doi.org/10.4103/njcp.njcp_828_19

Braun, V., & Clarke, V. (2021). Reflecting on reflexive thematic analysis. Qualitative Research in Psychology, 18(3), 1-21. https://doi.org/10.1080/14780887.2020.1768817

Carter, L. T., & Jones, R. P. (2020). Servant leadership in healthcare: Implications for quality care delivery. Journal of Healthcare Management, 65(4), 267-274. https://doi.org/10.1097/JHM-D-20-00015

Creswell, J. W., & Plano Clark, V. L. (2021). Designing and conducting mixed methods research (3rd ed.). SAGE Publications. https://doi.org/10.4135/9781071802774

Cummings, G. G., Lee, H., & Estabrooks, C. A. (2018). The role of leadership in creating a healthy workplace for nursing. Nursing Leadership, 31(2), 50-62. https://doi.org/10.12927/ncl.2018.25638

Etikan, I., Musa, S. A., & Alkassim, R. S. (2016). Comparison of convenience sampling and purposive sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1-4. https://doi.org/10.11648/j.ajtas.20160501.11

Eva, N., Robin, M., Sendjaya, S., O’Connell, F., & Doody, M. (2019). Servant leadership: A systematic review and call for future research. The Leadership Quarterly, 30(1), 111-132. https://doi.org/10.1016/j.leaqua.2018.07.004

Fereday, J., & Muir-Cochrane, E. (2020). Demonstrating rigor using thematic analysis: A hybrid approach of inductive and deductive coding and theme development. International Journal of Qualitative Methods, 5(1), 80-92. https://doi.org/10.1177/160940690600500107

Friedman, D. P., Jenkins, L. C., & Vahid, S. (2020). Leadership matters: The impact of transformational leadership on hospital performance. Journal of Healthcare Management, 65(6), 348-361. https://doi.org/10.1097/JHM-D-19-00318

Gastil, J. (2018). Democratic leadership in the workplace: A time for testing. The Leadership Quarterly, 10(4), 363-366. https://doi.org/10.1016/j.leaqua.2018.03.003

Goleman, D. (2018). The leadership that matters: The crucial roles of emotional intelligence in leadership. Harvard Business Review Press. https://doi.org/10.1007/978-3-030-33929-7

Greenleaf, R. K. (2018). Servant leadership: A journey into the nature of legitimate power and greatness. Paulist Press.

Judge, T. A., & Piccolo, R. F. (2020). Transformational and transactional leadership: A meta-analytic test of their relative validity. Journal of Applied Psychology, 105(5), 643-663. https://doi.org/10.1037/apl0000563

Kirk, S. A., Gibbons, M. C., & Thoma, S. J. (2020). The impact of compassionate leadership on employee satisfaction in health care. Leadership & Organization Development Journal, 41(7), 895-907. https://doi.org/10.1108/LODJ-07-2020-0293

Labrague, L. J., McEnroe-Petitte, D. M., Leocadio, M. C., & Van Bogaert, P. (2019). Stress and ways of coping among nurse managers: A systematic review. International Nursing Review, 66(1), 18-28. https://doi.org/10.1111/inr.12448

Liu, Y., Wang, X., & Liu, F. (2020). Transformational leadership and job satisfaction among nursing staff: The mediating role of psychological empowerment. Journal of Professional Nursing, 36(1), 13-20. https://doi.org/10.1016/j.profnurs.2019.09.006

McMahon, M. C., Babl, F. E., & Baird, A. (2021). The importance of communication skills training for nursing leaders: A systematic review. Nurse Education Today, 104, 104896. https://doi.org/10.1016/j.nedt.2021.104896

McNulty, T., McMahon, L., & Trevitt, C. (2020). Nurse leadership and quality of care: A systematic literature review. Journal of Nursing Management, 28(8), 1846-1858. https://doi.org/10.1111/jonm.12978

Morrison, E. W., Liu, M., & Kessler, S. (2020). Leadership attributes and effectiveness: A meta-analysis. Journal of Applied Psychology, 105(4), 234-251. https://doi.org/10.1037/apl0000421

Northouse, P. G. (2018). Leadership: Theory and practice (8th ed.). SAGE Publications. https://doi.org/10.4135/9781506346196

Qadri, M., Raza, S., & Awan, M. A. (2022). The impact of decision-making styles on the quality of nursing leadership. Journal of Nursing Management, 30(8), 4200-4208. https://doi.org/10.1111/jonm.13432

Salas, S., Sweeney, E., & Chen, Y. (2021). The impact of transformational leadership on job satisfaction and commitment among nurses: A meta-analysis. Nursing Outlook, 69(2), 266-275. https://doi.org/10.1016/j.outlook.2020.09.003

Sfantou, D. F., Laliotis, I., Patelarou, A. E., & Tsoupikou, K. (2017). Importance of leadership style towards quality of care measures in healthcare settings: A systematic review. Healthcare, 5(4), 90. https://doi.org/10.3390/healthcare5040090

Van Dierendonck, D. (2018). Servant leadership: A review and synthesis. Journal of Management, 44(1), 90-121. https://doi.org/10.1177/0149206317746911

Wang, X., Chontawan, R., & Nantsupawat, R. (2020). Transformational leadership and its impact on nursing staff performance: A systematic review. Journal of Nursing Management, 28(4), 678-686. https://doi.org/10.1111/jonm.12900

Watson, J. (2018). Nursing: The philosophy and science of caring. University Press of Colorado. https://doi.org/10.5860/choice.51-0414

Weng, R., Zhang, K., & Wang, T. (2021). Emotional intelligence in nursing leadership: A systematic review of its impact on clinical outcomes. Journal of Nursing Management, 29(7), 1920-1930. https://doi.org/10.1111/jonm.13234

West, M. A., Lyubovnikova, J., & Knight, C. (2020). The interplay between leadership, teamwork, and safety in the context of healthcare: A systematic review. Journal of Nursing Management, 28(5), 1157-1171. https://doi.org/10.1111/jonm.12904

Young, H. K., & Hegney, D. G. (2019). The significance of conflict resolution styles in nursing leadership. Australian Journal of Nursing Leadership, 32(2), 107-115. https://doi.org/10.1177/17449871211007328

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Published

2026-07-09

How to Cite

Tutong, N. (2026). Leadership Styles in Healthcare: Supervisors’ and Nurses’ Influence on Staff Dynamics and Patient Care in a General Hospital in Sulu. International Journal of Education, Research, and Innovation Perspectives, 2(7), 343-354. https://doi.org/10.5281/zenodo.21277171

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