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Journal of Nursing Management, 2010, 18, 993–1003

Authentic leadership of preceptors: predictor of new graduate


nurses' work engagement and job satisfaction

1 2 3
LISA M. GIALLONARDO RN, MScN , CAROL A. WONG RN, PhD and CARROLL L. IWASIW RN, EdD
1
Faculty, Sheridan College, Brampton, Ontario, Canada, 2Assistant Professor, University of Western Ontario and
3
Professor, University of Western Ontario, London, Ontario, Canada

Correspondence G I A L L O N A R D O L . M ., W O N G C . A . & I W A S I W C . L .
(2010) Journal of Nursing Management 18,
Lisa Giallonardo 993–1003
School of Community Authentic leadership of preceptors: predictor of new graduate nurses' work
and Liberal Studies engagement and job satisfaction
Sheridan College
Brampton, Ontario Aim To examine the relationships between new graduate nursesÕ perceptions of
Canada preceptor authentic leadership, work engagement and job satisfaction.
E-mail: lisa.giallonardo@sherdianc. Background During a time when the retention of new graduate nurses is of the
on.ca upmost importance, the reliance on preceptors to facilitate the transition of new
graduate nurses is paramount.
Methods A predictive non-experimental survey design was used to examine the
relationships between study variables. The final sample consisted of 170 randomly
selected Registered Nurses (RNs) with <3 years experience and who worked in an
acute care setting.
Results Hierarchical multiple regression demonstrated that 20% of the variance in
job satisfaction was explained by authentic leadership and work engagement.
Furthermore, work engagement was found to partially mediate the relationship
between authentic leadership of preceptors and engagement of new graduate nurses.
Conclusions New graduate nurses paired with preceptors who demonstrate high
levels of authentic leadership feel more engaged and are more satisfied. Engagement
is an important mechanism by which authentic leadership affects job satisfaction.
Implications for nursing management Managers must be aware of the role pre-
ceptorsÕ authentic leadership plays in promoting work engagement and job satis-
faction of new nurses.
Keywords: authentic leadership, job satisfaction, new graduate nurses, preceptors, work
engagement

Accepted for publication: 7 April 2010

shortages, advanced medical technology, high patient


Introduction
acuity and scarce resources (Scott et al. 2008). The
The retention of new graduate nurses in the inability to handle intense working environments has
workplace is essential for healthcare systems to resulted in new graduate nurse turnover rates of
deliver quality patient care. TodayÕs new graduates 35–65% within the first year of employment (Beecroft
enter a chaotic workplace characterized by nursing et al. 2008).
DOI: 10.1111/j.1365-2834.2010.01126.x
ª 2010 The Authors. Journal compilation ª 2010 Blackwell Publishing Ltd 993
L. M. Giallonardo et al.

The role work engagement and job satisfaction play autocratic, democratic, laissez-faire or bureaucratic
in staff retention has received considerable attention in leadership styles (Lockwood-Rayermann 2003) and is
both nursing and management literature. Researchers descriptive in nature (Delaney 2003, Fox et al. 2005).
have found job satisfaction to be a predictor of absen- Applying the concept of authentic leadership to pre-
teeism, burnout, turnover and intent to quit (Shields & ceptors may provide insight into the ways in which
Ward 2001, Lu et al. 2005). Furthermore, significant preceptor leadership influences the professional atti-
relationships have been found between work engage- tudes and behaviours of new graduate nurses.
ment, job satisfaction, job performance and retention Authentic leadership is a process that Ôdraws from
(Harter et al. 2002, Schaufeli & Bakker 2004, Lasch- both positive psychological capacities and a highly
inger & Leiter 2006, Simpson 2009). Subsequently, developed organizational context, which results in both
nurse educators and administrators have been chal- greater self-awareness and self-regulated positive
lenged to facilitate the transition of new graduates to behaviours on the part of leaders and associates, fos-
the workplace in a way that develops engagement and tering positive self-developmentÕ (Luthans & Avolio
fosters satisfaction, thus improving retention. 2003, p. 243). In their theory of authentic leadership,
The term ÔtransitionÕ refers to the period of time when Avolio et al. (2004) suggest that authentic leaders are
a new graduate nurse undergoes a process of learning able to enhance the engagement and satisfaction of
and adjustment in order to acquire the skills, knowledge followers by strengthening their identification with the
and values required to become a functioning member of leader and organization and promoting hope, trust,
the healthcare team (Delaney 2003). The transition optimism and positive emotions.
from student to practicing nurse is widely recognized as The appropriateness of conceptualizing preceptors as
a difficult Ôright of passageÕ (Tradewell 1996 p. 184) in authentic leaders is evident in the parallels between the
which new nurses undergo a process of socialization to authentic leader–follower relationship and the precep-
their working environment. In order to facilitate the tor–preceptee relationship. As discussed by Myrick and
transition of new graduate nurses to the workplace, a Young (2005), the cornerstone of effective preceptor-
preceptor model of orientation, termed the ÔNew ship is the Ôauthentic connectionÕ, which characterizes
Graduate InitiativeÕ (NGI), has been implemented in the preceptor–preceptee relationship. In order to
hospitals in Ontario, Canada. achieve authenticity, a preceptor embarks on an open
Preceptorship involves a one-to-one pairing of a and transparent relationship in which he/she is Ôa posi-
practitioner with a less experienced learner who is tive role model even during adverse, critical or frus-
striving to achieve a set of mutually defined learning trating situationsÕ and Ôdemonstrates leadership skills in
objectives (Bourbonnais & Kerr 2007). The NGI is terms of setting priorities, making sound decisions, and
characterized by a nurse preceptor providing individu- being a role modelÕ (Speers et al. 2004 p. 129). These
alized supervision, support and teaching to a new interactions allow for a richer understanding of the
graduate nurse, for a minimum of 12 weeks (Govern- nursing culture (Schumacher 2007), and a smoother
ment of Ontario 2006). Preceptorship has been found to transition for new graduates from student to practicing
help new graduate nurses identify with the positive nurse. Therefore, the purpose of this study was to
professional attitudes and behaviours needed for pro- examine the relationships between new graduate nursesÕ
fessional socialization (Speers et al. 2004, Hayes & perceptions of preceptor authentic leadership and their
Sexton Scott 2007) and bridge the gap between practice work engagement and job satisfaction.
and education (Myrick & Young 2005). Furthermore,
there is an overwhelming body of literature that reports
Theoretical framework
improved retention of new graduate nurses resulting
from preceptored work experience (Janiszewski Goodin The theoretical framework guiding this study integrates
2003, Almada et al. 2004, Halfer & Graf 2006, Tanna Avolio et al.Õs (2004) model of authentic leadership
2006, Newhouse et al. 2007). with Schaufeli and BakkerÕs (2004) concept of work
Despite the positive new graduate nurse outcomes engagement. As depicted in Figure 1, it is proposed that
that have been attributed to preceptorship, there is authentic leadership creates the authentic connection
limited data regarding the relationship between the that fosters employee engagement, which in turn, results
leadership behaviours of preceptors and the profes- in job satisfaction. Thus, work engagement is concep-
sional attitudes and behaviours of new graduate nurses. tualized as the mechanism through which authentic
Of the limited body of research that has focused on leadership of preceptors predicts new graduatesÕ job
preceptor leadership, leadership is often restricted to satisfaction.

994 ª 2010 The Authors. Journal compilation ª 2010 Blackwell Publishing Ltd, Journal of Nursing Management, 18, 993–1003
Authentic leadership of preceptors

Self-awareness tion is characterized by being fully concentrated and


happily engrossed in oneÕs work, whereby time passes
Relational
transparency quickly and one has difficulties with detaching oneself
Authentic Work Job
leadership engagement satisfaction from work. According to Schaufeli and Bakker (2004),
Internalized moral
perspective engagement results from job resources (feedback, sup-
port and supervisory coaching), and serves as the
Balanced
processing Vigor Absorption Dedication impetus for increased job satisfaction and decreased
turnover.
Figure 1
Theoretical framework.
Related research
Avolio et al. (2004) conceptualize authentic leaders
Leadership of preceptors
as those who act in accordance with what they believe
and who interact in an open and transparent manner Preceptors are widely accepted as clinical leaders (Billay
with others. Authentic leadership involves the ongoing & Myrick 2007). They are expected to be role models,
processes whereby leaders and followers gain self- nurturing, compassionate and experts in clinical
awareness and establish open, transparent, trusting and knowledge (Speers et al. 2004); however, there are no
genuine relationships with others (Luthans & Avolio explicit expectations of leadership abilities. Conse-
2003). The core components of authentic leadership are quently, very few researchers have explored the lead-
self-awareness, relational transparency, internalized ership of preceptors.
moral perspective and balanced processing (Walumbwa In a study of 23 undergraduate nursing students,
et al. 2008a). Zilembo and Monterosso (2008) found preceptees re-
Self-awareness is the process of Ôhaving awareness of, quire leadership from their preceptors to develop psy-
and trust in, oneÕs motives, feelings, desires, and self- chomotor skill competencies. Within this study, the
relevant cognitionsÕ (Kernis 2003, p. 13). It is an characteristics of purposefulness, clinical competence,
ongoing process whereby authentic leaders come to support and motivation were identified as the most
understand their unique talents, strengths, values and important leadership qualities in preceptors. In addi-
purpose (Avolio et al. 2004). Gardner et al. (2005) tion, Lockwood-Rayermann (2003) suggested preceptor
assert that authentic leaders will be relationally trans- leadership style and preceptee personality must be
parent in expressing their true emotions and feelings to appropriately matched for new graduate nurses to suc-
followers. Such behaviour promotes trust through dis- cessfully transition from student to professional nurse.
closures that involve openly sharing information while This research, although seminal in the field, classifies
trying to minimize displays of inappropriate emotions leadership in terms of autocratic, democratic, laissez-
and expressions (Kernis 2003). The inherent ethical/ faire and bureaucratic styles resulting in a narrow rep-
moral competent of authentic leaders, termed interna- resentation of preceptor leadership.
lized moral perspective (Avolio & Gardner 2005), is a
form of self-regulation that is guided by internal
Work engagement
moral standards and values rather than group, organi-
zation and societal pressures (Walumbwa et al. 2008a). The study of work engagement, as conceptualized by
Balanced processing refers to the process of objectively Schaufeli and Bakker (2004), is minimally noted
analysing all relevant data and soliciting othersÕ views within the nursing literature. Laschinger et al. (2009)
before coming to a decision (Luthans & Avolio 2003). found work engagement to be a significant mediator
Work engagement refers to a persistent and pervasive between empowerment and perceived effectiveness for
positive work-related state of mind (Schaufeli & Bakker both new graduate and experienced nurses. In a study
2004). It is characterized by feelings of vigour, dedica- of medical surgical nurses, Simpson (2009) found large
tion and absorption (Schaufeli et al. 2006). Vigour is significant positive correlations between employee
characterized by high levels of energy and mental engagement and turnover intentions and job satis-
resilience while working, the willingness to invest effort faction. In addition, hierarchical multiple regression
in oneÕs work and persistence even in the face of diffi- revealed 46% of the variability in work engagement
culties. Dedication refers to being strongly involved in was accounted for by registered nursesÕ satisfaction
oneÕs work and experiencing a sense of significance, with their professional status, interaction at work and
enthusiasm, inspiration, pride and challenge. Absorp- intention to quit.

ª 2010 The Authors. Journal compilation ª 2010 Blackwell Publishing Ltd, Journal of Nursing Management, 18, 993–1003 995
L. M. Giallonardo et al.

Although there is limited nursing research utilizing new graduate nursesÕ job satisfaction and intention to
Schaufeli and Bakker’s (2004) conceptualization of work leave their place of employment.
engagement, its focus of study continues to evolve within
psychology and business literature. Walumbwa et al.
Hypotheses
(2008b), found a positive relationship between authentic
leadership and work engagement. Schaufeli and Bakker Based on Avolio et al.Õs (2004) theory of authentic
(2004) found a particularly strong and consistent rela- leadership and a review of the literature, we hypothe-
tionship between availability of job resources and work sized that:
engagement. There was also a somewhat weaker, but
• New graduate nursesÕ perceptions of preceptor
still significant negative relationship between engage-
authentic leadership positively predict work engage-
ment and turnover intentions. Similarly, Harter et al.
ment and job satisfaction.
(2002) demonstrated that employee engagement is neg-
• New graduate nursesÕ work engagement mediates the
atively associated with turnover and positively associ-
relationship between their perceptions of preceptor
ated with job satisfaction.
authentic leadership and job satisfaction.

Job satisfaction
Methods
Job satisfaction is conceptually defined as Ôthe extent to
Design and sample
which employees like their jobsÕ (Stamps 1997, p. 13).
The concept of job satisfaction has been consistently A non-experimental, predictive survey design was used
present in nursing research for decades; however, to test the model. Ethical approval for this study was
emphasis on job satisfaction of new graduate nurses has received from the University of Western Ontario Ethics
recently increased in response to the current and Review Board. The sample of nurses used in this study
anticipated nursing shortage (Craft Morgan & Lynn was randomly selected from the College of Nurses of
2009). Ontario (CNO) registry list. Initially, nurses working in
The positive relationship between authentic leader- acute care settings, with <2 years nursing experience
ship and job satisfaction was reported by Walumbwa were sought. The inclusion criteria were later modified
et al. (2008a). Although there is no published nursing to include new graduate nurses with less than or equal
research reporting the effect of authentic leadership on to 3 years of nursing experience because the timing of
the job satisfaction of new graduate nurse, several sample collection coincided with the timing of annual
studies identified leadership as a strong contributing membership renewal, resulting in the majority of the
factor to the level of job satisfaction new graduate sample having more than 2 years working experience.
nurses experience. McNeese-Smith (1995) found sig- In order to determine the appropriate sample size for
nificant relationships between leadership behaviours of this study, a power analysis was conducted. Based on an
managers and job satisfaction of nurses in two corre- alpha of 0.05 and a power level of 0.80 (Faul et al.
lational studies. Utilizing the Leadership Practices 2007), the calculation revealed that 68 participants
Inventory (Kouzes & Posner 1995), Loke (2001) found were required to detect a moderate effect size (0.15).
29% of Singaporean staff nursesÕ job satisfaction was However, 500 participants were sought to participate in
explained by their managersÕ leadership behaviour. this study to account for lower response rates typically
Furthermore, in a study involving over 2000 nurses found with mailed surveys (Polit & Beck 2008),
from 19 Canadian teaching hospitals, hierarchical lin- movement of new graduate nurses from employers and
ear modelling determined that nurse managersÕ leader- the potential loss of participants from errors on the
ship had significant positive influence on nursesÕ registry list. The final sample consisted of 170 ques-
perceptions of job satisfaction (Doran 2003). tionnaires (response rate = 39%).
Job satisfaction as a predictor of new graduate turn- Complete demographic characteristics are presented
over has been reported in several studies. FangÕs (2001) in Table 1. Consistent with the demographic profile of
study of Singaporean nurses demonstrated that job new nurses in Ontario (CNO 2008), the majority of
satisfaction was significantly negatively related to nurses in the sample were female (91.8%), attended a
turnover intention and intention to quit with approxi- 4-year BScN programme (92.4%) and were employed
mately 41% of the variance in turnover cognition full-time (75.3%). New graduate nurses averaged
explained by job satisfaction. In addition, Lu et al. 28 years of age, 22 months experience in nursing and
(2007) found there was a negative relationship between 2.45 years since graduation. Medical–surgical was the

996 ª 2010 The Authors. Journal compilation ª 2010 Blackwell Publishing Ltd, Journal of Nursing Management, 18, 993–1003
Authentic leadership of preceptors

Table 1 Table 2
Demographic characteristics of the sample (n = 170) Reliability analysis, means and standard deviations for instrument
scales and subscales
Demographic Frequency (n) Per cent %
Number of Alpha
Gender Instrument items coefficient Mean SD
Female 156 91.8
Male 14 8.2 Authentic leadership 16 0.91 3.05 0.62
Employment status questionnaire
Full-time 128 75.3 Subscales
Part-time 36 21.2 Relational transparency 5 0.71 3.18 0.60
Casual 6 3.5 Balanced processing 3 0.69 2.90 0.77
Type of program Self awareness 4 0.88 2.79 0.86
4 year BScN 157 92.4 Internalized moral 4 0.83 3.26 0.64
Accelerated BScN 13 7.6 perspective
Specialty area Utrecht work engagement 17 0.86 3.98 0.61
Medicine-surgery 78 45.9 scale
Critical care 26 15.3 Ubscales
Emergency 25 14.7 Vigor 6 0.72 3.77 0.70
Maternal-child 15 8.8 Absorption 5 0.60 3.85 0.71
Paediatrics 14 8.2 Dedication 6 0.82 4.53 0.79
Mental health 5 2.9 Index of work satisfaction 44 0.90 192.22 27.12
Peri-operative 4 2.3 Subscales
Undefined 3 1.8 Pay 6 0.84 23.36 6.62
Autonomy 8 0.72 37.77 6.37
N Mean SD Task requirements 6 0.74 19.76 5.58
Organizational policies 7 0.78 23.01 7.29
Age 169 27.81 5.94 Professional status 7 0.61 38.38 5.00
Months of experience in 165 21.83 7.35 Nurse–nurse interactions 5 0.83 25.72 6.02
work setting Nurse–physician interactions 5 0.89 24.24 6.04
Years since graduation 169 2.45 0.50

divided into the four authentic leadership subscales:


most common area of practice (45.9%), followed by relational transparency, balanced processing, self
critical care (15.3%) and emergency (14.7%). awareness and internalized moral perspective. Confir-
matory factor analysis has supported the validity of the
fours dimensions of authentic leadership (Walumbwa
Data collection
et al. 2008a). Items are rated on a five-point Likert scale
Data were collected by mailed survey. Consistent with ranging from 0 = not at all to 4 = frequently, if not
the strategies advocated by Dillman (1978) to maximize always. Each subscale was averaged to produce a total
survey return rate, each participant was mailed a scale score between 0 and 4 with higher scores repre-
package that included the questionnaire, letter of sentative of higher levels of authenticity. Acceptable
information, a self-addressed stamped envelope and a internal consistency has been consistently reported, as
gift certificate for a local coffee shop. Two weeks after evident by CronbachÕs alphas ranging from 0.70 to 0.90
the initial mailing, a reminder letter was sent to all non- (Walumbwa et al. 2008a) (see Table 2 for the alphas
respondents. Then, 3 weeks after the second mailing, a obtained in this study).
final package consisting of a follow-up letter, replace- The Utrecht Work Engagement Scale (UWES)
ment questionnaire and a self-addressed stamped (Schaufeli & Bakker 2003) is a self-report questionnaire
envelope was sent to all non-respondents. The response and was used to measure the work engagement of new
rate in this study was lower than anticipated (39%), graduate nurses in this study. The instrument consists of
albeit still acceptable. 17 items based on the components of work engagement:
vigor, dedication and absorption. Confirmatory factor
analyses have supported the three-dimensional structure
Instrumentation
of the instrument (Schaufeli & Bakker 2006). Items are
Three standardized self-report instruments were used to rated on a seven-point Likert scale ranging from
measure study variables. The Authentic Leadership 0 = never to 6 = always, everyday. Each subscale was
Questionnaire (ALQ) (Avolio et al. 2007) was used to averaged to produce a total scale score between 0 and 6
measure new graduate nursesÕ perception of preceptor with higher scores representative of greater work
authentic leadership. The ALQ consists of 16 items, engagement. The internal consistency of the UWES has

ª 2010 The Authors. Journal compilation ª 2010 Blackwell Publishing Ltd, Journal of Nursing Management, 18, 993–1003 997
L. M. Giallonardo et al.

been consistently reported be 0.70 or greater (Schaufeli graduate nurses in this study reported dedication
et al. 2006) and in the present study, the alphas were (M = 4.53, SD = 0.79) the highest engagement factor,
acceptable expect for the absorption subscale which followed by absorption (M = 3.85, SD = 0.71) and
was 0.60. vigour (M = 3.77, SD = 0.70). These findings are sup-
Job satisfaction among study participants was ported by Laschinger et al. (2009) and Simpson (2009)
assessed using Part B of the Index of Work Satisfaction who reported similar findings in their study of new
scale (IWS) (Stamps 1997). This instrument consists of graduate nurses.
44 items divided into six subscales: pay, autonomy, task Similar to findings from related research (Ea et al.
requirements, organizational policies, professional sta- 2008, Simpson 2009), the level of job satisfaction, or
tus and interaction. Items are rated on a seven-point TSS for this sample, was in the third quartile (between
Likert scale ranging from ranging from 1 = strongly the 50th and 75th percentile) (M = 192.22, SD = 27.12)
agree to 7 = strongly disagree. The responses to each of the highest possible score of 308, indicating a mod-
item were summed to obtain the Total Scale Score erate level of job satisfaction (Stamps 1997). In the
(TSS), which represented the participantsÕ current level present study, new graduate nurses reported profes-
of job satisfaction. Possible scores range from 44 to sional status (M = 38.38, SD = 5.00) to be the most
308, with higher scores indicating higher job satisfac- satisfying aspect of their work, followed by autonomy
tion. Acceptable internal consistencies of 0.77–0.91 (M = 37.77, SD = 6.37), nurse–nurse interaction
have been consistently reported (Stamps 1997, Zangaro (M = 25.72, SD = 6.02) and nurse–physician interac-
& Soeken 2005). In the present study, CronbachÕs tion (M = 24.24, SD = 6.04). Conversely, new graduate
reliability coefficient for the IWS was 0.89; subscales nurse in this study found task requirements (M = 19.76,
ranged from 0.60 to 0.89, with the subscale of profes- SD = 5.58), organizational policies (M = 23.01, SD =
sional status resulting in an alpha of <0.70. 7.29) and pay (M = 23.36, SD = 6.62) to be the most
A researcher-developed demographic questionnaire dissatisfying.
was included to elicit descriptive information about No significant relationships were found between the
participantsÕ age, gender, year of graduation, type of demographic variables (age, gender, type of nursing
nursing programme attended, academic institution programme attended, employment status, speciality
attended, length of employment in the current work area, number of preceptors and participation in the
setting, employment status, speciality area and precep- NGI) and the major study variables (authentic leader-
torship experience. ship, work engagement and job satisfaction).

Data analysis
Tests of hypotheses
Statistical analyses were conducted using the Statistical
Package for Social Sciences (S P S S ), version 16.0 (SPSS In the first hypothesis, preceptor authentic leadership
Inc. 2007). Descriptive statistics were computed on all and work engagement were posited to positively predict
study variables. PearsonÕs correlations, hierarchical job satisfaction in new graduate nurses. Hierarchical
multiple regression and mediation analysis (Baron & multiple regression revealed 15% of the variance in job
Kenny 1986) were used to test the study hypotheses. satisfaction was explained by work engagement
Consistent with the assumptions outlined by Polit and (R2 = 0.15, F = 29.01, P < 0.01). When authentic
Beck (2008), data were normally distributed and a lin- leadership was entered into the regression, work
ear relationship existed between the independent vari- engagement and authentic leadership accounted for
able (authentic leadership) and dependent variables 20% of the variance in job satisfaction (R2 = 0.20,
(work engagement and job satisfaction). F = 20.24, P < 0.01). Furthermore, work engagement
The means and standard deviations for the major and preceptor authentic leadership were both significant
study variables are summarized in Table 2. New independent predictors of job satisfaction (ß = 0.34,
graduate nurses perceived their preceptors to have a t = 4.80, P < 0.01 and ß = 0.22, t = 3.02, P < 0.01).
moderate level of authentic leadership (M = 3.05, SD Further analysis of the correlations among major
= 0.62). As these groups have not been studied in study variables showed that new graduate nursesÕ per-
authentic leadership research, no direct comparisons ceptions of preceptor authenticity were positively
could be made with other like groups. related to new graduate nursesÕ work engagement
New graduate nurses in this study were found to be (r = 0.21, P < 0.01) (see Table 3). Authentic leadership
moderately engaged (M = 3.98, SD = 0.61). Of the was most strongly related to dedication (r = 0.29,
three subscales contributing to work engagement, new P < 0.01) followed by vigour (r = 0.19, P < 0.05).

998 ª 2010 The Authors. Journal compilation ª 2010 Blackwell Publishing Ltd, Journal of Nursing Management, 18, 993–1003
Authentic leadership of preceptors

Table 3 independent and dependent variables must be signifi-


Correlations between authentic leadership and work engagement
cantly related, (3) the mediator and dependent variable
Work must be significantly related and (4) the relationship
engagement Vigor Absorption Dedication between the independent variable and dependent var-
Authentic leadership 0.21** 0.19** 0.09 0.29** iable should be non-significant or weaker when the
Relational transparency 0.19** 0.13* 0.12 0.24** mediator is added.
Balanced processing 0.18** 0.15* 0.10 0.25** In the present study, authentic leadership was posi-
Self awareness 0.14** 0.16* 0.01 0.22**
Internalized moral 0.24** 0.21** 0.12 0.31** tively related to work engagement (b = 0.21, P < 0.01),
perspective thus, condition (1) was supported. Authentic leadership
was positively and significantly related to job satisfac-
*P < 0.05, one-tailed. **P < 0.01, one-tailed.
tion (b = 0.29, P < 0.01) and, thus, supported condition
(2) for mediation. Work engagement was positively
However, no significant relationships were found related to job satisfaction (b = 0.34, P < 0.01) and,
between authentic leadership and the absorption sub- thus, supported condition (3). Furthermore, results
scale of work engagement. Overall, small yet significant show that, after work engagement was taken into
positive relationships were found between work account, the effects of authentic leadership (b = 0.22,
engagement and the authentic leadership variables of P < 0.01) became weaker, albeit still significant, which
relational transparency, balanced processing, self- suggests partial mediation (Figure 2). To further assess
awareness and internalized moral perspective (r = 0.19, the significance of the mediation, a Sobel (1982) for
P < 0.01; r = 0.18, P < 0.01; r = 0.14, P < 0.01; indirect effects was applied (Sobel test statistic = 2.44,
r = 0.24, P < 0.01, respectively). P = 0.01) (MacKinnon et al. 2002). Results show that
Relationships between authentic leadership and job the mediating effect of work engagement for authentic
satisfaction and work engagement and job satisfaction leadership and job satisfaction was significant. Thus,
were also examined (see Table 4). The highest positive Hypothesis two was partially supported.
correlations were found between work engagement and
professional status of new graduate nurses (r = 0.47,
Discussion
P < 0.01) and authentic leadership and nurse–nurse
interaction (r = 0.41, P < 0.01). No significant rela- The purpose of the present study was to examine the
tionships were found between authentic leadership and relationships between new graduate nursesÕ perceptions
pay, authentic leadership and organizational policies, of preceptor authentic leadership and their work
work engagement and pay, and work engagement and engagement and job satisfaction. Empirical support was
organizational policies (P > 0.05). gained for Avolio et al.Õs (2004) contention that
In the second hypothesis, it was proposed that work authentic leadership impacts the work attitudes and
engagement mediates the relationship between behaviours of employees. Specifically, new graduate
authentic leadership and job satisfaction. According to nurses who reported higher preceptor authentic lead-
Baron and Kenny (1986), four conditions are necessary ership reported greater work engagement. Increased
to establish mediation: (1) the independent and medi- work engagement resulted in greater job satisfaction.
ating variables must be significantly related, (2) the The findings also support the argument that work

Table 4
Correlations between authentic leadership and work engagement with job satisfaction

Job Task Organizational Professional Nurse-nurse Nurse-physician


satisfaction Pay Autonomy requirements policies status interaction interaction

Authentic leadership 0.29** 0.06 0.25** 0.15* 0.10 0.27** 0.41** 0.07
Relational transparency 0.26** 0.08 0.23** 0.13 0.12 0.21** 0.31** 0.08
Balanced processing 0.17** 0.07 0.13 0.06 0.04 0.18* 0.31** 0.01
Self awareness 0.25** 0.01 0.21** 0.16* 0.11 0.24** 0.39** 0.12
Internalized moral perspective 0.31** 0.07 0.31** 0.17* 0.05 0.32** 0.40** 0.12
Work engagement 0.39** 0.09 0.41** 0.24** 0.13 0.47** 0.23** 0.21**
Vigor 0.42** 0.07 0.42** 0.29** 0.19* 0.24** 0.26** 0.27**
Dedication 0.49** 0.10 0.44** 0.33** 0.17* 0.62** 0.32** 0.26**
Absorption 0.16** 0.09 0.24** 0.08 0.03 0.18* 0.07 0.06

*P < 0.05, one-tailed. **P < 0.01, one-tailed.

ª 2010 The Authors. Journal compilation ª 2010 Blackwell Publishing Ltd, Journal of Nursing Management, 18, 993–1003 999
L. M. Giallonardo et al.

more effectively communicate in the preceptorship


(β = 0.21, P < 0.01) Work (β = 0.34, P < 0.01)
engagement relationship.
No significant relationships were found between
Authentic Job authentic leadership and the absorption dimension of
leadership satisfaction
(β = 0.22, P < 0.01) work engagement. Absorption items on the UWES re-
lated to the ability of new graduate nurses to detach
Figure 2 from their work. Traditionally, nurses tend to score low
Final model. on the absorption dimension of the UWES (Schaufeli &
Bakker 2003). This finding likely stems from the fact
engagement partially mediates the relationship between that absorption behaviours are not nurtured, but rather,
authentic leadership and job satisfaction. new graduate nurses are encouraged to separate their
As predicted in the first hypothesis, new graduate personal feelings and professional duties using active
nursesÕ perceptions of preceptor authentic leadership thinking and problem solving (Chestnutt & Everhart
and work engagement positively predicted job satis- 2007). It is important to note the low alpha coefficient
faction. In particular, when new graduate nurses in this obtained for the absorption subscale, reflecting lower
study perceived higher preceptor authentic leadership reliability.
and work engagement, they reported increased job Dedication was the work engagement dimension
satisfaction. However, there was no significant differ- most strongly related to job satisfaction, supporting
ence in the work engagement and job satisfaction of Schaufeli and BakkerÕs (2003) assertion that those who
new nurses who took part in the NGI and those who identify with their work are able to find meaning, are
did not. This suggests that the quality of the precep- inspired and are challenged. However, the high level of
torship relationship, as opposed to the length of time, dedication among new nurses in this study is particu-
may play a greater role in predicting work-related larly interesting given the high turnover rate of new
attitudes of new graduate nurses. graduate nurses. This suggests that although new
New graduate nursesÕ perceptions of preceptor graduates feel dedicated to their role, there is a dis-
authentic leadership were positively related to their crepancy between their desired experience and the
perceptions of work engagement. Of the authentic actuality of practice, resulting in turnover. Preceptors
leadership dimensions, internalized moral perspective who demonstrate authentic leadership, will assist new
had the highest correlation with work engagement. It is graduate nurses to identify their strengths and limita-
expected that preceptors who acted consistently with tions and formulate appropriate short- and long-term
their moral principles, honesty and integrity, were able goals, potentially mitigating this effect.
to identify with new graduate nurses and keep them Interestingly, absorption was weakly but positively
engaged over time. Additionally, the relative impor- correlated with job satisfaction in this study. A possible
tance of internalized moral perspective may speak to the explanation for this may be related to the uncertainty
behavioural integrity of effective preceptors (Billay & new graduate nursesÕ feel as novices in the profession
Myrick 2007) and the heightened level of personal (Benner 1984) and the limited experience which may
morality that resides within all nurses (Trailer 2004). render them ill prepared to handle the rapid paced,
When compared with other dimensions of authentic highly acute hospital setting. The open supportive
leadership, new graduate nursesÕ perceptions of pre- interactions which characterize effective preceptorship
ceptor self-awareness had the weakest correlation with relationships (Myrick & Young 2005) and contribute to
work engagement. Furthermore, the relatively low rat- work engagement (Simpson 2009) may provide the
ing of preceptor self-awareness is problematic. As dis- context for an authentic connection and high levels of
cussed by Avolio and Gardner (2005), perceptions of job satisfaction among new graduate nurses.
self-awareness results from open positive exchanges In the present study, new graduate nurses were most
between leaders and followers. This suggests that satisfied with their professional status, autonomy,
although new graduate nurses rated their preceptors to nurse–nurse interaction and nurse–physician interac-
be moderately authentic, their relationship may not be tion. Professional status (Simpson 2009) and autonomy
marked by the authentic connection which characterizes (Lu et al. 2005, Craft Morgan & Lynn 2008) have
effective preceptorship experiences (Myrick & Young consistently been ranked by new nurses as important
2005). Consequently, preceptor preparatory pro- components of job satisfaction. New graduate nurses
grammes which focus on self-reflection and appraisal satisfaction with nurse and physician interactions is
may help preceptors develop their self-awareness and supported by Adams and Bond (2000) who found the

1000 ª 2010 The Authors. Journal compilation ª 2010 Blackwell Publishing Ltd, Journal of Nursing Management, 18, 993–1003
Authentic leadership of preceptors

most important contributors to nursesÕ satisfaction were


Limitations
the degree of cohesion existing among ward nurses and
the degree of collaboration with medical staff. Shifts in The limitations of this study are related to the method-
education preparation to include interprofessional ology used to gather data and select the sample. While
education programmes will likely increase new gradu- self-report questionnaires are cost effective and less time-
ate nursesÕ satisfaction with nurse and physician rela- consuming than other methods, there is the potential for
tionships in the workplace. Students in such response bias (Polit & Beck 2008). In addition, the CNO
programmes are encouraged to communicate openly data are only as current as the previous yearÕs registra-
with all members of the healthcare team while valuing tion; leading to the possibility that some new gradate
each memberÕs unique contribution to developing the nurses may have been missed. There is also the possibility
most effective plan of care for patients. One can deduce that there are new graduates who were not listed because
that an authentic preceptorship experience, which they indicated on their registration form that they did not
reinforces transparent interactions, will continue to lead want to participate in any research. Given the relative
to the dissolution of traditional hierarchical structures homogeneity of the sample, the findings can be cautiously
within healthcare. generalized to new graduate nurses working in an acute
Although new graduate nurses in this study were care setting in the province of Ontario. It is necessary to
most dissatisfied with task requirements, organizational survey a national sample of new graduate nurses to gen-
policies and pay, these findings must be considered with eralize the findings further.
caution as insignificant (P ‡ 0.05) relationships were
found between authentic leadership and pay and
Conclusion
authentic leadership and organizational policies. This
finding probably stems from the fact that the leadership Results of the present study provide support for Avolio
of preceptors has little to do with the organizational et al.Õs (2004) model of authentic leadership in the new
constraints of pay and organizational policies. graduate nurse population. In addition, this study helps
The second hypothesis in this study was partially advance the theoretical link between authentic leader-
supported. Higher levels of authentic leadership resulted ship, work engagement and job satisfaction. The find-
in higher levels of work engagement. In turn, this led to ings suggest that when new graduate nurses are paired
higher levels of job satisfaction for new graduate nurses. with preceptors who demonstrate high levels of
However, the effect of authentic leadership on job authenticity, they feel more engaged and are more sat-
satisfaction was partially mediated through work isfied. Given the importance of preceptorship in facili-
engagement indicating authentic leadership has both a tating a smooth transition of new graduate nurses to the
direct and indirect effect on job satisfaction. workplace, it is necessary to invest in the development
The results of the final model lend support to previous of preceptor authenticity. Avolio et al.Õs theory can be
knowledge about the positive effects of authentic lead- used by health care administrators to create preceptor
ership on work engagement and job satisfaction. The preparatory programmes which focus of the develop-
indirect effect of authentic leadership on job satisfaction ment of preceptorsÕ authentic leadership. Supporting the
through work engagement supports Avolio et al.Õs development of an authentic preceptor–preceptee rela-
(2004) theoretical model. It furthers our understanding tionship is essential to increasing work engagement, job
of different ways through which new graduate nurse job satisfaction and retention of new graduate nurses.
satisfaction is influenced. Given the direct and indirect
influences of authentic leadership on job satisfaction,
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