Professional Documents
Culture Documents
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
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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
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
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
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 4
Correlations between authentic leadership and work engagement with job satisfaction
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
ª 2010 The Authors. Journal compilation ª 2010 Blackwell Publishing Ltd, Journal of Nursing Management, 18, 993–1003 999
L. M. Giallonardo et al.
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