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Title: | The impacts of self-expectation leadership and organizational commitment on hand hygiene behavior of medical staff based on the theory of implicit leadership | Authors: | Wang, Q Lai, X Zheng, F Yu, T Wang, L Wu, Y Wang, K Zhang, X Zhou, Q Tan, L |
Issue Date: | 2022 | Source: | Frontiers in psychology, 2022, v. 13, 992920 | Abstract: | Hand hygiene behavior (HHB) in healthcare settings remains suboptimal globally. Self-expectation leadership and organizational commitment are emphasized as important factors influencing HHB. However, there are no studies to support any relationship between self-expectation leadership and organizational commitment to HHB. This study will fill the gap by applying implicit leadership theory (ILT) to support the further promote HHB among medical staff. A cross-sectional study of 23,426 medical staff was conducted in all second-level and third-level hospitals in Hubei province, China. Based on ILT, an online self-administered and anonymous questionnaire was designed for measuring the medical staff’s self-expectation leadership, organizational commitment, and HHB based on Offermann’s 8 dimensions scale, Chang’s 3 dimensions scale, and the specification of hand hygiene for healthcare workers, respectively, in which self-expectation leadership was divided into positive traits and negative traits parts. The structural equation model was used to examine the direct, indirect, and mediating effects of the variables. Positive traits of self-expectation leadership had a positive effect on organizational commitment (β = 0.617, p < 0.001) and HHB (β = 0.180, p < 0.001). Negative traits of self-expectation leadership had a negative effect on organizational commitment (β = –0.032, p < 0.001), while a positive effect on HHB (β = 0.048, p < 0.001). The organizational commitment had a positive effect on HHB (β = 0.419, p < 0.001). The mediating effect of the organizational commitment showed positively between positive traits of self-expectation leadership and HHB (β = 0.259, p < 0.001), while negatively between negative traits of self-expectation leadership and HHB (β = –0.013, p < 0.001). Positive traits of self-expectation leadership are important predictors of promoting organizational commitment and HHB, while negative traits of self-expectation leadership have a limited impact on organizational commitment and HHB in the field of healthcare-associated infection prevention and control. These findings suggest the need to focus on positive traits of self-expectation leadership; although negative traits of self-expectation leadership can also promote HHB to a lesser degree among medical staff, it will reduce their organizational commitment. | Keywords: | Hand hygiene behavior Healthcare-associated infection Impact mechanism Implicit leadership theory Medical staff Negative traits of self-expectation leadership Organizational commitment Positive traits of self-expectation leadership |
Publisher: | Frontiers Research Foundation | Journal: | Frontiers in psychology | EISSN: | 1664-1078 | DOI: | 10.3389/fpsyg.2022.992920 | Rights: | Copyright © 2022 Wang, Lai, Zheng, Yu, Wang, Wu, Wang, Zhang, Zhou and Tan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. The following publication Wang Q, Lai X, Zheng F, Yu T, Wang L, Wu Y, Wang K, Zhang X, Zhou Q and Tan L (2022) The impacts of self-expectation leadership and organizational commitment on hand hygiene behavior of medical staff based on the theory of implicit leadership. Front. Psychol. 13:992920 is available at https://doi.org/10.3389/fpsyg.2022.992920. |
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