Paternalistic Leadership Training Program and Its Effect on Nurse Managers' Organizational Citizenship Behavior

Öz

Context: Paternalistic leadership behavior emphasizes traditionally based authority and familial-based relationships by promoting work engagement, empowerment, loyalty, and trust in healthcare organizations. Additionally, it enhances organizational citizenship behavior by guiding activities that contribute to achieving organizational goals.

Aim: This study was conducted to investigate the impact of a paternalistic leadership training program on the organizational citizenship behavior of nurse managers.

Methods: A quasi-experimental research design (one-group pre-/post-test) was employed. The study setting was at Ain Shams University hospitals (Ain Shams University Hospital, El-Demerdash Hospital, Obstetrics and Gynecological Hospital, and Pediatric Hospitals). The study subjects included 98 nurse managers. Researchers gathered data using three tools, comprising the paternalistic leadership knowledge assessment questionnaire, the paternalistic leadership observational checklist, and the organizational citizenship behavior scale.

Results: The study demonstrated a highly statistically significant improvement in nurse managers' knowledge, increasing from 12.2% pre-program to 77.3% post-program and then slightly declining to 70.2% at the follow-up phase. Additionally, significant improvements were observed in all dimensions of paternalistic leadership performance during both the post-program and follow-up phases of the intervention (p<0.001). Additionally, three-quarters (77.6%) of nurse managers had a negative level of organizational citizenship behavior before the program. Less than three-quarters of them (74.2% and 72.8%) had a positive level of organizational citizenship behavior post-program and in the follow-up, respectively.

Conclusion: The paternalistic leadership training program enhances managers' knowledge of paternalistic leadership and improves their performance in this area, resulting in a positive impact on organizational citizenship behavior (OCB). Implementing paternalistic leadership training programs tailored for nurse managers in educational services within healthcare institutions holds significant promise for enhancing leadership effectiveness and fostering organizational citizenship behavior (OCB) among staff.