A Structural Equation Model of Transformational Leadership, Innovation Management, and Innovation Performance as Perceived by First-line Nurse Managers of General Hospitals under Ministry of Public Health
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Abstract
The purposes of this survey research were to analyze the structural equation model and to identify the influences among transformational leadership, innovation management, and innovation performance as perceived by first-line nurse managers of a general hospital under the Ministry of Public Health. The samples were 264 nurse managers who were selected using cluster and simple sampling. Data were gathered using 5-point rating scale questionnaires. Data were collected between 14 November 2019 - 15 February 2020. The research instrument was a questionnaire consisting of 4 parts as general information, transformational leadership, innovation management and innovation performance. The content validity index was 1.0, .85 and .96 and Cronbach's alpha coefficient of .96, .98 and 98 respectively. Data were analyzed using descriptive statistics and statistical analysis of Structural Equation Models.
The results showed that first-line nurse managers had perceived an averaged transformational leadership, innovation management and innovation performance were at high level ( = 3.23 SD = .45, = 3.12, SD = .48,= 2.67 SD = .43) respectively. The fit indices showed that the proposed model had an appropriate fit (c2/df = 1.62, GFI = 0.94, AGFI = 0.91, CFI = 0.99, SRMR = 0.03, RMSEA = 0.04). Transformational leadership had direct effect on innovation performance (β = .38, p< .01), indirect effect on innovation performance through innovation management (β = .52, p<.01) and a statistically significant total effect on innovation performance (TE = .90, p<.01). The innovation performance had 89 percent variance (R2 = .89).
Results of the study suggested that management of innovation performance will be achieved in accordance with the goals of the organization. Finally, nursing administrators must have a clear ability to manage innovation by considering the influences that have characteristics of transformational leadership to inspire and stimulate new ideas for innovative performance in the organization.
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