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Abstract The writings, which dealt with the use of some more information in a multi-dimensional management are the writings and studies foreign due to the recent use of this model in global governance, which is given to discuss the special importance of a study in the ministry of health(hospitals) based on multi-dimensional model. Also a correlation leadership style with health status so the aimed to evaluate leadership styles as a new concept to measure different leadership styles using the multi-dimension model. To determine the significant differences among leadership styles on their influence on employee obligation .Also To find relationship between leadership style and the stress by measuring the cortisol or changes in the circadian rhythm and vital singe. Cross sectional study is based on the descriptive method, did in three governmental hospitals selected randomly (Elelzytoun, Matarea Teaching & Mansheat –Elbakry ) which follow the Egyptian ministry of health. Cluster sample selected from each governmental hospital from 5 departments (surgery-medicine-oby/gyne-paediatrics-clinical pathology).All the stuff of the department including, consultants, specialists, residents, nurses and employees. Each employee subjected to self-administrated questionnaire includes multi-dimensional model .The questionnaire includes a total of 75 items contained in three sections: one on leadership style, another on job satisfaction and a third on demographics, respectively. Contains three basic components as follows: A - Leadership Styles: Driving patterns were measured using a scale consisting of 59 is assembled from multiple studies ( e.g. Riso&Hudson,2000; Wagner,1999; Yarkoni,2002 ) Terms relating to these statements initially to nine patterns of the multidimensional as follows: - The perfect style , Mentor style ,Star Style ,Creative style . Wise style ,Partner style ,The future style ,Pattern Attorney and Diplomatic style. B - Functional obligations Functional obligation was measured using a scale consisting of 16 words have been used in multiple studies to measure these obligations ( e.g. Devos et al;2001: Freese&Shalk.1999 :Rousseau.2000). Terms relating to these statements by six patterns of functional and liabilities as follows: Performance, Extra role behaviours, Flexibility , Ethics , Loyalty and Employability . Section two is based on the 16-item developed by Spector (1997)to evaluate employee job satisfaction. (Which must be scored reversely). Participants and settings: Self-administrated questionnaires about 600 had distributed on 600 participants but only 520 questionnaires had collected after counselling about the multi-dimension model. In every department the participants recruited in groups randomly according to the work schedules, every group dealing with the multidimension questionnaire which collected in the second day ,every participant examined generally ,chest , abdomen examination , with vital singe specially blood pressure then blood sample collected for complete blood composition and give instruction to avoid food and liquids for 30 minutes before the saliva sample taken. In the 3rd day the participants kept a swab in his/her mouth for about one minute and then put it in a test tube and sealed it. The samples were obtained 2 hours intervals for 3 readings starting at the morning (8-9am). The cortisol samples were analysed in the El-zytoun hospital laboratory by RIA, using the spectra (I125) coated tubes radioimmuno assay kit, (Orion diagnostic,FIN-02101Espoo,Finland). The technique used to analyse data was by use of SPSS (statistical package for social scientists) however personal coding and categorizing data was done manually. The study resulted in correlation matrix are as follows: 1 - In general, there are a variety of direct correlation relationships and inverse correlation between each of the variables of the study variables. 2 - Final ruling on the effect of each dimension of Leadership Styles in obligations depends on the results of the gradient functional analysis of successive steps. 3 - The mentor , creator , star and lawyer are directly proportional to affect significantly in functionality. 4 - A partner is adversely affect morale in functionality. 5- Ideal, future, wise and diplomatic are not affect functionality . 6 -Mentor, creator and style wise affect directly proportional morally in extra-role behaviours 7 - Future and partner are adversely affect morale in extra-role behaviours. 8-The star, patterns, ideal, diplomat, and lawyer, are not affect the behaviour of the additional role. 9 - Wise and the Future styles only affect directly proportional to the flexibility . 10 - The rest of the leadership styles do not affect flexibility. 11– A star, perfect and lawyer, significantly affect directly proportional to the work ethic. 12- Wise and partner styles adversely affect morale in the work ethic. 13 - Mentor, creator, the future, and diplomatic are not affect the work ethic. 14- a style mentor is only one pattern of leadership affects directly proportional morally in loyalty. 15 - A lawyer style affects directly proportional to the employability . 16 - The diplomatic is a leadership style adversely affects morale in the employability. 17 – A mentor, the star, creator, wise, partner and future , the ideal leadership styles not affect the employability . 18- There is no relationship between leadership styles and the health status. 19 –Mentor, creator and style-wise affect directly proportional to the percentage of haemoglobin . 2 0- ideal pattern is a pattern adversely affect leader in haemoglobin . 21 – The ideal patterns, a lawyer and partner leadership patterns affect directly proportional to the increase in the proportion of cortisone.22 -A mentor style is a pattern adversely affect in the percentage of cortisone. 23 - The star, creator, diplomatic, wise and the future leadership styles do not affect the proportion of cortisone. |