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Original Article
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The effects of intervention based on supportive leadership behaviour on Iranian nursing leadership performance: a randomized controlled trial

Mandana Shirazi PhD

Assistant Professor, Senior Researcher

Educational Development Centre (EDC), Faculty of Medicine, Tehran University of Medical SciencesTehran, Iran

LIME Department, Karolinska InstitutetSweden

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Amir Hossein Emami MD

Associate Professor

Dean of Faculty of Medicine, Department of Medical Education, Faculty of Medicine, Tehran University of Medical SciencesTehran, Iran

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Seyed Jamal Mirmoosavi MD, MSc

Corresponding Author

Deputy of Health

Sabzevar UniversityIran

Correspondence
Seyed Jamal Mirmoosavi
Sabzevar University of Medical Science
Sabzevar
Iran
E‐mail:E-mail address:mandana.shirazi@ki.se
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Seyed Mohammad Alavinia MD, PhD

Assistant Professor of Epidemiology

North Khorasan University of Medical Sciences‐BojnurdIran

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Hadi Zamanian MD

Deputy of Research

Qom University of Medical SciencesIran

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Faezeh Fathollahbeigi MSc

Clinical Nurse

Nursing and Midwifery Care Research Centre, Tehran University of Medical SciencesTehran, Iran

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Italo Masiello PhD

Associate Professor

Director Klinicum, Soder Hospital, Karolinska InstitutetSweden

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First published: 29 September 2015

Abstract

Aims

To assess the effects of a workshop on supportive leadership behaviour (SLB) on the performance of head nurses, using a randomized controlled trial design.

Background

The effect of transformational leadership on SLB in nursing management is emphasised.

Methods

A total of 110 head nurses working at university hospitals were included randomly in two control and intervention groups. The head nurses in the intervention group participated in supportive leadership training, but the control group did not. Performance in supportive leadership was assessed with a validated instrument, which six subordinates used to assess their head nurse (n = 731).

Results

There was a significant difference in SLB scores from baseline to the 3 month follow‐up (P < 0.0001). Moreover, the post‐intervention scores were significantly higher in the intervention group, compared with the control group (P < 0.0001). The results showed that in the intervention group, the effect sizes were greater for males (50%) than for females (36%) and greater for married participants (42%) than for single participants (37%).

Conclusion

The workshop on supportive leadership behaviour, particularly the interactive multifaceted training, improved the leadership performance of the head nurses who participated in this study.

Implications for nursing managers

Health policy decision makers should apply SLB, which is a significant leadership style, to improve the outcomes in other groups of health‐care management, such as physicians. Future studies are needed to investigate the effects of such workshops in longer periods of follow up.