Transformational and transactional leadership: Association with attitudes toward evidence-based practice

Transformational and transactional leadership: Association with attitudes toward evidence-based practice
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DOI:
10.1176/appi.ps.57.8.1162
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发表时间:
2006-08-01
影响因子:
3.8
通讯作者:
Aarons, Gregory A.
Aarons, Gregory A.
中科院分区:
医学3区
文献类型:
--
作者:
Aarons, Gregory A.

文献摘要

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目的:组织中的领导力对于塑造工人的看法、对组织变革的反应以及对创新(如循证实践)的接受非常重要。变革型领导激励和激励追随者,而交易型领导更多地基于强化和交换。研究表明,在青年和家庭服务组织中,心理健康提供者对采用循证实践的态度与组织背景和个体提供者差异有关。本研究的目的是通过研究领导和心理健康提供者对采用循证实践的态度之间的关联来扩展这些发现。研究方法:参与者是来自49个项目的303名公共部门心理健康服务临床医生和病例管理人员,他们为儿童,青少年及其家庭提供心理健康服务。收集的数据提供者的特点,对基于证据的做法的态度,和他们的上司的领导行为的看法。零阶相关和多水平回归分析进行控制的影响,服务提供商的特点。结果如下:变革型领导和交易型领导都与提供者对采用循证实践的积极态度呈正相关,变革型领导与提供者对提供者当前实践与循证实践之间差异的感知呈负相关。结论:心理健康服务组织可能会受益于提高转型和交易监督领导技能,为实施循证实践做准备。
Objective: Leadership in organizations is important in shaping workers' perceptions, responses to organizational change, and acceptance of innovations, such as evidence-based practices. Transformational leadership inspires and motivates followers, whereas transactional leadership is based more on reinforcement and exchanges. Studies have shown that in youth and family service organizations, mental health providers' attitudes toward adopting an evidence-based practice are associated with organizational context and individual provider differences. The purpose of this study was to expand these findings by examining the association between leadership and mental health providers' attitudes toward adopting evidence-based practice. Methods: Participants were 303 public-sector mental health service clinicians and case managers from 49 programs who were providing mental health services to children, adolescents, and their families. Data were gathered on providers' characteristics, attitudes toward evidence-based practices, and perceptions of their supervisors' leadership behaviors. Zero-order correlations and multilevel regression analyses were conducted that controlled for effects of service providers' characteristics. Results: Both transformational and transactional leadership were positively associated with providers' having more positive attitudes toward adoption of evidence-based practice, and transformational leadership was negatively associated with providers' perception of difference between the providers' current practice and evidence-based practice. Conclusions: Mental health service organizations may benefit from improving transformational and transactional supervisory leadership skills in preparation for implementing evidence-based practices.