A Structural Equation Model on Transformational Leadership, Organizational Learning, and Innovation Climate on Innovation Performances among First-Line Nursing Managers in Tertiary Care Hospitals
Keywords:
Transformational Leadership, Organizational Learning, Innovation Climate, Innovation PerformanceAbstract
This quantitative research on first-line nurse managers from tertiary hospitals in Thailand aimed to: 1) examine the levels of transformational leadership, organizational learning, innovation climate, and innovation performance; 2) test the structural equation model of relationships among the four variables; and 3) investigate the direct and indirect influences among the variables. The sample consisted of 311 first-line nurse managers from tertiary hospitals, selected using stratified random sampling. The research instruments were divided into five parts, one for general information and 4 questionnaires measuring the studied variables, totaling 37 items on a 5-point rating scale. The instruments had a content validity index (CVI) ranging from 0.81 to 0.94, Cronbach’s alpha coefficients ranging from 0.95 to 0.98, and construct validity was consistent with empirical data. Data were analyzed using mean, standard deviation, and structural equation modeling. The results showed the following.
1. The mean scores for perceptions of all four variables were at a high level (M = 3.12, SD = 0.46).
2. The structural equation model of the four variables fit the empirical data (c2 /df = 0.24, GFI = 0.99, AGFI = 0.98, CFI = 1.00, SRMR = 0.02, RMSEA = 0.00).
3. Transformational leadership had a direct influence on innovation performance (b = .06). In addition, transformational leadership indirectly influenced innovation performance through organizational learning (b = .25) and through the innovation climate (b = .43).
This study contributes new knowledge by confirming the model's consistency with empirical evidence, suggesting its applicability to nurse managers in the public healthcare sector. Further testing and development of the research instrument in private hospital settings are recommended to encompass the broader context of nursing in Thailand.
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