The Influence of Transformational Leadership by Head Nurses and Work Engagement on the Job Performance of Professional Nurses in a Tertiary Hospital under the Ministry of Public Health in Health Region 2

Authors

  • Punnika Krowtrakool Faculty of Nursing, Naresuan University, Phitsanulok Province
  • Jirarat Ruetrakul Faculty of Nursing, Naresuan University, Phitsanulok Province

Keywords:

job performance, transformational leadership, work engagement

Abstract

This study was a predictive correlational research. It was a purpose to study The Influence of Transformational Leadership of In-Patient Unit Head Nurses as Perceived by Professional Nurses and Work Engagement on Job Performance of Professional Nurses in tertiary hospital Affiliation Ministry of Public Health, Regional Health 2. The sample group consisted of 174 professional nurses with at least 1 year of experience working in in-patient wards at tertiary hospital under the Ministry of Public Health, Regional Health 2. The sample size was determined using the G*power program and the Multistage Sampling method. The research instruments were five rating scale questionnaires on Transformational leadership, Work engagement and Job performance of professional nurses , with reliability values of Cronbach's alpha coefficients of 0.943, 0.952, and 0.932, respectively. Data were analyzed using statistics such as frequency, percentage, mean, standard deviation and stepwise multiple regression analysis.

The research findings found that the transformational leadership of the in-patient unit head and the work engagement of professional nurses had a statistically significant influence on the job performance of professional nurses at the .001 level with a multiple correlation coefficient (R) of .694 and could predict the job performance of professional nurses by 48.1 percent. It was found that work engagement could predict the job performance the most (β = .564, p < .001), followed by transformational leadership (β = .215, p = .001) with an adjusted prediction coefficient or predictive power of 47.5 percent (Adjusted R Square = .475)

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References

Office of the Permanent Secretary, Ministry of Public Health. Tertiary healthcare service system standards (regional/general hospitals) [Internet]. Bangkok: Ministry of Public Health; 2020 [cited 2025 May 4]. Available from: http://ops.moph.go.th (in Thai)

Koopmans L, Berhnards CM, Hildbrandt VH, Vet HCW, Berk AJ. Construct validity of the individual work performance questionnaire. Journal of Occupational and Environmental Medicine. 2014;56(3):331-7. doi: 10.1097/JOM.0000000000000113

Sawaengdee K. Crisis of nursing shortage in health service facilities under office of permanent secretary, ministry of public health: Policy recommendations. Journal of Health Science. 2017;26(2):456-68. (in Thai)

Sawaengdee K, Ruangrattanatrai W, Hanworawongchai P, Kajeena A. Analyses of workload and productivity of 12 public hospital in region 2 of Thailand. Journal of Health Science. 2015;24(4):741-50. (in Thai)

Thailand Nursing and Midwifery Council. Professional standards for nursing and midwifery. Bangkok: Thailand Nursing and Midwifery Council; 2021. (in Thai)

Greenslade JH, Jimmieson NL. Distinguishing between task and contextual performance for nurses: Development of a job performance scale. Journal of Advanced Nursing. 2007;58(6):602-11. doi:10.1111/j.1365-2648.2007.04256.x.

Bass BM, Avolio BJ. Improving organizational effectiveness through transformational leadership. London: Sage Publications; 1994.

World Health Organization. State of the world’s nursing 2020: Investing in education, jobs and leadership. Geneva: WHO; 2020.

Schaufeli WB, Bakker AB. Defining and measuring work engagement: Bringing clarity to the concept. In: Bakker AB, Leiter MP, editors. Work engagement: A handbook of essential theory and research. New York: Psychology Press; 2010. p. 10–24. doi:10.4324/9780203853047

Wongcharoen W, Singchungchai P, Wongkhomthong PS, Meehanpong P. The structural equation model of leadership of in-patient unit head nurses as perceived by professional nurses, nurses’ work engagement, and job performance of professional nurses in community hospitals. Journal of The Royal Thai Army Nurses. 2018;19:97-106. (in Thai)

Bargagliotti L. Work engagement in nursing: A concept analysis. Journal of Advanced Nursing. 2012;68:1414-28. doi:10.1111/j.1365-2648.2011.05859.x

Strategy and Planning Division, Office of the Permanent Secretary, Ministry of Public Health. Public health statistics report 2022 [Internet]. Bangkok: Ministry of Public Health; 2022 [cited 2025 May 4]. Available from: https://spd.moph.go.th/public-health-statistics/ (in Thai)

Thailand Nursing and Midwifery Council. Strategic plan of the Thailand Nursing and Midwifery Council 2014–2018 [Internet]. Bangkok: TNMC; 2014 [cited 2025 May 5]. Available from: https://www.tnmc.or.th/news/107 (in Thail)

Avolio BJ, Bass BM. Full Range Leadership Development: Manual for Multifactor Leadership Questionnaire. Palo Alto, California, USA: Mind Garden; 1997.

Schaufeli WB, Bakker AB, Salanova M. The measurement of work engagement with a short questionnaire. Educational and Psychological Measurement. 2006;66(4):701-16. doi.org/10.1177/0013164405282471

Waltz CF, Strickland OL, Lenz ER. Measurement in nursing and health research. 4th ed. New York: Springer Publishing Company; 2010.

Thato R. Nursing research: Concepts to application. 4th ed. Bangkok: Chulalongkorn University Printing House; 2018. (in Thai)

Ibrahim SAE, Sayed RIE, Attala MM, Elmezin NK. Relationship between Head nurses’ Leadership Styles and Staff Nurses’ Job Performance. IOSR Journal of Nursing and Science. 2016;5(1):66-74. doi:10.9790/1959‑05146674

Maneenop K. The relationship between transformational leadership of head nurses and job satisfaction among professional nurses in community hospitals, Sakon Nakhon Province [Master’s thesis]. Chonburi: Burapha University; 2015. (in Thai)

Benner P. From novice to expert: Excellence and power in clinical nursing practice. The American Journal of Nursing. 1984;84(12):1480. doi:10.1097/00000446-198412000-00025

Jamlongkun C. The relationship model among transformational leadership, work engagement, and job performance of head nurses in general hospitals under ministry of public health. [Doctoral dissertation of nursing management]. Nakhonpathom: Christian University; 2020. (in Thai)

Thailand Nursing Council. Nursing workforce situation report 2022. Bangkok: Bureau of Nursing Service System Administration, Ministry of Public Health; 2022. (in Thai)

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Published

2025-10-08

How to Cite

1.
Krowtrakool P, Ruetrakul J. The Influence of Transformational Leadership by Head Nurses and Work Engagement on the Job Performance of Professional Nurses in a Tertiary Hospital under the Ministry of Public Health in Health Region 2. J Nurs Ther Care [internet]. 2025 Oct. 8 [cited 2025 Dec. 8];43(4):e279668. available from: https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/279668