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Relationship between Trust, Distributed Leadership and Job Performance in Health Care Context

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Purpose: This study aims at investigating the effect of vertical trust on distributed leadership and performance as mediated by job satisfaction, and further to see the role of DL in carrying out the effect of satisfaction on employees´ performance.
Design: Grounded in literature on organizational citizenship behavior (OCB), we propose that employees´ participation in DL should be viewed as an extra role behavior since leadership functions are not directly related to their job description. Employers cannot force an employee to participate in DL as it should be seen as the part of their voluntary behavior. The study uses a large-scale survey data from a study in one of Denmark’s largest public hospitals (N= 1,439).
Findings: To test our hypotheses, we conducted structural equation modelling (SEM) analysis and results have confirmed all five hypotheses. The results of SEM analysis showed that job satisfaction mediates the relationship between vertical trust and distributed leadership, and further distributed leadership had a positive impact on job performance. Furthermore, the results also showed that job satisfaction had a positively significant impact on distributed leadership and employees´ performance. Moreover, distributed leadership has affected employees´ performance positively and it carries the impact of job satisfaction on performance.
Implications: The study showed that trust and job satisfaction are important triggers of DL. Furthermore, results are also interesting because literature so far has shown an insignificant relationship between satisfaction and performance. Here, we establish that the satisfaction-performance relationship is mediated by DL. The findings should motivate health care organizations to introduce structures and educate formal leaders so DL can be enabled.
Originality: These results contribute to the growing body of literature on dynamics of trust in organizational behavior context. This should be first study which relates trust and distributed leadership in an empirical manner. As grounded in OCB literature, results also showed the significance of job satisfaction as a mediator variable.
TitelPMA 2014 Conference Proceedings
Antal sider16
Udgivelsesår27 jun. 2014
ISBN (trykt)9788778826527
StatusUdgivet - 27 jun. 2014

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