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Abstract
Purpose – The objective of this study is to investigate the role of emotional intelligence and empowering
leadership in enhancing psychological empowerment and work engagement in private hospitals.
Design/methodology/approach – A total of 500 questionnaires were distributed to staff nurses at five
private hospitals in Riyadh, Saudi Arabia, 100 questionnaires to each hospital, with an achieved response rate
of 34.8%.
Findings – The results show statistically significant positive relationships between emotional intelligence,
empowering leadership, psychological empowerment and work engagement. The relationship between
emotional intelligence and work engagement and psychological empowerment and work engagement were not
significant.
Research limitations/implications – The study found that employees who have a high level of emotional
intelligence and the positive stimulus of empowering leadership demonstrate enhanced psychological
empowerment and work engagement.
Practical implications – A better understanding of the role of EI and EL in enhancing psychological
empowerment and work engagement could help hospitals reduce turnover among nurses and improve their
relationships with patients, as well as maintaining competitive advantage.
Originality/value – The study provides evidence to support the effect of EI on empowering leadership,
psychological empowerment and work engagement in private hospitals.
Keywords Emotional intelligence, Empowering leadership, Psychological empowerment, Work engagement,
Nurse, Hospital
Paper type Research paper
For more than three decades, leadership theory has mostly been applied across industries
characterized by top-down bureaucratic systems (Amin et al., 2014; Uhl-Bien et al., 2007,
Uhl-Bien et al., 2011). Researchers have suggested that organizations should move away from
hierarchical approaches to empower employees (Fong and Snape, 2015; Zhou et al., 2018).
Leadership roles are becoming more challenging, with leaders expected to display emotional
intelligence (EI) in handling themselves and their employees (Hur et al., 2011; Li et al., 2016).
Successful leaders manage their own emotions effectively and recognize the managing
employees involves emotional processes, so EI is a prerequisite for successful leadership
(Goleman, 1998; Goleman, 2004; Miao et al., 2018). Emotionally intelligent leaders are more
committed to their work and perform better in the workplace (Castillo and Valle, 2017;
Føllesdal and Hagtvet, 2013; Gardner and Stough, 2002) compared with leaders having a
lower level of EI (Hui-Wen et al., 2010; Watkin, 2000). In the hospital sector, Wang et al. (2018) Leadership & Organization
Development Journal
emphasized the significant contribution of EI in the relationship between a nurse manager’s © Emerald Publishing Limited
0143-7739
leadership and a nurse’s intention to stay. Nurses with a high level of EI exhibit higher work DOI 10.1108/LODJ-07-2020-0313
LODJ performance (Chen et al., 2015) and occupational well-being (Yan et al., 2018). Heffernan et al.
(2010) showed nurses’ emotions play a dominant role in their relationships with patients and
families.
Previous research has demonstrated that leaders’ emotional intelligence and competencies
are significantly associated with developing empowering work environments for nurses
(Greco et al., 2006; Lucas et al., 2008), leadership success (Barling et al., 2000; Brown and
Moshavi, 2005), work engagement (Yan et al., 2018) and nurses’ turnover intentions
(Daderman and Basinska, 2016). In this context, nurse leaders are playing a significant role in
facilitating nurses’ performance, hospital aims and patient outcomes. Empowering
leadership (EL) occurs when nurses recognize that they are empowered (Lucas et al., 2008),
and EL will provide employees with greater autonomy and a supportive working
environment (Cummings et al., 2010; Kim and Beehr, 2018; Kim et al., 2018; Li et al., 2016).
There is strong evidence of a trickle-down effect of EL leading to positive outcomes for
employees (Byun et al., 2020).
From this standpoint, we posit that EI and EL will play an important part in increasing
psychological empowerment and work engagement. Previous studies have confirmed that
work engagement is critical in the hospital context because of nurse shortages and rising
health care costs (Aboshaiqah et al., 2016; Cao et al., 2019; Faulkner and Laschinger, 2008;
Li et al., 2020). Since EI and EL play a substantial role for nurses in modern hospitals, research
on this topic in developing countries has been encouraged (Chen et al., 2015, Yan et al., 2018).
Thus far, however, relatively little attention has been paid to the roles of EI and EL in
enhancing psychological empowerment and work engagement in the hospital sector,
especially in Saudi Arabia, a lacuna which this study attempts to address. A better
understanding of the role of EI and EL in enhancing psychological empowerment and work
engagement could help hospitals reduce turnover among nurses and improve their
relationships with patients, as well as maintaining competitive advantage.
Psychological empowerment
Psychological empowerment is another aspect of EL theory (Amor et al., 2020; Thomas and
Velthouse, 1990), which Spreitzer (1995) described as an individual’s experience of the
motivation process, enhancing their self-efficacy at work. In this definition, empowerment is a
psychological state involving four dimensions: meaning, competence, self-determination and
impact (Spreitzer, 1995). Meaning refers to an employee feeling personally important and fit
for their job. Competence describes self-efficacy in being able to perform tasks successfully.
Self-determination postulates the freedom to select a task. Meanwhile, impact is specified by a
diverse range of outcomes (Kwak and Jackson, 2015; Zhang and Bartol, 2010). High levels of
competence will increase a sense of confidence in performing job tasks (De Klerk and Stander,
2014; Dewettinck and Van Ameijde, 2011). A high degree of self-determination will have a
significant influence both at the individual and organizational levels (De Klerk and Stander,
2014). In addition, MacPhee et al. (2014) argued that a psychological perspective defines
empowerment as a self-motivating factor that reflects individual beliefs on personal
relationships and in particular a set of perceptions that emphasizes a motivational aspect of
self-competence or self-efficacy, including the perception of personal control (Khuntia et al.,
2017; Meng et al., 2016; Spreitzer, 1995).
LODJ Work engagement
Schaufeli et al. (2002) describe work engagement as a positive work-related state of mind,
conceptualizing this through three constructs: vigour; dedication and absorption. Vigour
refers to a high level of energy and cognitive resilience while working, the willingness to
invest discretionary effort and persistence in the face of difficult situations. Dedication
describes experiencing a sense of significance, enthusiasm, inspiration, pride and challenge
while working. Absorption refers to being fully concentrated and intensely fascinated with
one’s work, being deeply engrossed and not easily distracted by diversions (Eldor and
Vigoda-Gadot, 2017; Schaufeli et al., 2006). From this definition, D aderman and Basinska
(2016) argued that vigour and dedication establish the basis of engagement as a concept,
whilst absorption is related to the concept of flow and plays a different role to other
engagement dimensions. Some scholars have suggested that work-disengaged employees
will demonstrate the physical appearance of withdrawal and defensiveness, resulting in
behaviors that diminish time, effort, earnings and morale (Du Plessis and Boshoff, 2018).
Schaufeli et al. (2002) argue that engaged employees will put more effort into and have more
energetic and effective connection with their work, producing positive outcomes at both
individual and organizational levels. Engaged employees allegedly perform their work
proactively (Alessandri et al., 2018; Salanova and Schaufeli, 2008), are more dynamic while
working, responsive to new information and work harder (Bakker, 2014). In this respect,
employee personal resources (such as self-evaluated traits associated with resiliency) play an
important role in work engagement, particularly where employees have the power to make
something different in their work environment (Yoo and Arnold, 2014).
Methods
Data collection process
The study involved 500 questionnaires distributed to staff nurses between January and April
2018 at five private hospitals in Riyadh, Saudi Arabia. Once the hospitals concerned granted
ethical approval, managers at each hospital were asked to distribute 100 questionnaires to
staff nurses who had worked full time at the hospital for at least one year. The survey yielded
174 completed questionnaires (34.8% response rate) through employing purposive sampling
to distribute questionnaires.
Measurement scales
Four dimensions of EI developed by Wong and Law (2002), also known as WLEIS, were used
to measure EI among staff nurses. These four dimensions are: OEA (others’ emotion
appraisal); SEA (self-emotion appraisal): UOE (use of emotion) and ROE (regulation of
LODJ emotion) (Yan et al., 2018). Each item was rated using seven-point scale ranging from “1
(strongly disagree) to 5 (strongly agree)”. A multidimensional construct of EL developed by
Konczak et al. (2000) was used to measure EL among staff nurses. This construct comprises
six dimensions: authority; accountability; self-directed decision-making; information sharing;
skill development and coaching for innovative performance. Each item was rated using a five-
point scale ranging from “1 (strongly disagree) to 5 (strongly agree)”. The psychological
empowerment construct was measured using four dimensions: meaning; competence; self-
determination and impact, comprising 12 items adapted from Spreitzer (1995). Each item was
rated using a five-point scale ranging from “1 (strongly disagree) to 5 (strongly agree)”. Most
scholars have adopted this scale to measure psychological empowerment among staff nurses
working in hospitals (Eo et al., 2014; Meng et al., 2016). For work engagement, we used the
construct developed by Schaufeli et al. (2002, 2006), involving three dimensions: vigour;
dedication and absorption, which is consistent with other studies conducted among staff
nurses (Eo et al., 2014; Yan et al., 2018). Work engagement was measured by a six-point scale
rating ranging from “6 (always) to 0 (never)”.
Absorption 0.872
(ABS)
Accountability 0.668 0.929
(ACC)
Authority 0.436 0.500 0.965
(AUT)
Coaching (COA) 0.665 0.706 0.587 0.906
Competency 0.539 0.454 0.418 0.586 0.945
(COM)
Dedication 0.874 0.677 0.475 0.621 0.425 0.905
(DED)
Impact (IMP) 0.487 0.531 0.423 0.431 0.520 0.521 0.863
Information 0.701 0.863 0.503 0.738 0.498 0.643 0.481 0.964
sharing (INS)
Meaning (MEA) 0.607 0.594 0.548 0.697 0.713 0.490 0.599 0.585 0.909
OEA 0.691 0.791 0.592 0.779 0.597 0.692 0.571 0.766 0.616 0.905
ROE 0.683 0.708 0.571 0.789 0.593 0.647 0.516 0.670 0.633 0.869 0.857
SEA 0.508 0.623 0.434 0.621 0.489 0.470 0.466 0.534 0.543 0.764 0.847 0.859
Self- 0.530 0.485 0.538 0.718 0.733 0.471 0.506 0.475 0.765 0.605 0.651 0.514 0.935
determination
(SED)
Self-directed 0.686 0.864 0.538 0.776 0.469 0.620 0.471 0.891 0.664 0.763 0.702 0.576 0.503 0.865
(SDM)
Skill 0.503 0.673 0.314 0.607 0.286 0.377 0.342 0.732 0.423 0.546 0.432 0.387 0.276 0.717 0.876
development
(SKD)
UOE 0.552 0.571 0.461 0.638 0.541 0.496 0.468 0.544 0.511 0.811 0.861 0.853 0.541 0.576 0.394 0.907
Vigor (VIG) 0.772 0.811 0.503 0.692 0.514 0.798 0.555 0.798 0.614 0.787 0.683 0.576 0.474 0.771 0.486 0.541 0.855
leadership
intelligence,
empowering
Emotional
Discriminant validity
Table 2.
LODJ T- P-
Hypotheses Beta statistics values Decision
H1: Emotional intelligence - > empowering leadership 0.772 17.149 0.000 Supported
H2: Emotional intelligence - > psychological empowerment 0.398 3.872 0.000 Supported
H3: Emotional intelligence - > work engagement 0.183 1.733 0.084 Not supported
H4: Empowering leadership - > psychological 0.383 3.668 0.000 Supported
empowerment
H5: Empowering leadership - > work engagement 0.548 5.067 0.000 Supported
Table 3. H6: Psychological empowerment - > work engagement 0.140 1.464 0.144 Not supported
Structural model Note(s): Significant at p < 0.05
Figure 1.
Structural model
(0.034). EL has a medium effect on psychological empowerment (0.129) and a large effect on
work engagement (0.307), while psychological empowerment has a small effect on work
engagement (0.026). The Q2 values indicate that endogenous constructs (EL 5 0.328 > 0;
PE 5 0.307 > 0; WE 5 0.400 > 0) have acceptable predictive relevance, which is indicative of a
highly predictive model.
Construct Sources
(continued )
LODJ
Construct Sources
Skill development
My manager encourages me to use systematic problem-solving
methods (e.g., the seven-step problem-solving model)
My manager provides me with frequent opportunities to
develop new skills
My manager ensures that continuous learning and skill
development are priorities in our department
Coaching for innovative performance
My manager is willing to risk mistakes on my part if, over the
long term, I will learn and develop as a result of the experience
I am encouraged to try out new ideas even if there is a chance
they may not succeed
My manager focuses on corrective action rather than placing
blame when I make a mistake
Psychological Empowerment Spreitzer (1995), Eo et al. (2014), Meng et al.
(2016)
Meaning
The work I do is very important to me
My job activities are personally meaningful to me
The work I do is meaningful to me
Competence
I am confident about my ability to do my job
I am self-assured about my capabilities to perform my work
activities
I have mastered the skills necessary for my job
Self-determination
I have significant autonomy in determining how I do my job
I can decide on my own how to go about doing my work
I have considerable opportunity for independence and freedom
in how I do my job
Impact
My impact on what happens in my department is large
I have a great deal of control over what happens in my
department
I have significant influence over what happens in my
department
Work Engagement Schaufeli et al. (2006), Schaufele et al. (2002),
Eo et al. (2014), Yan et al. (2018)
Vigor
At my work, I feel bursting with energy
At my job, I feel strong and vigorous
When I get up in the morning, I feel like going to work
I am immersed in my work
I can continue working for very long periods at a time
At my job, I am very resilient, mentally
At my work, I always persevere, even when things do not go
well
Dedication
I find the work that I do full of meaning and purpose
I am enthusiastic about my job
My job inspires me
I am proud of the work that I do
(continued )
Construct Sources
Emotional
intelligence,
To me, my job is challenging empowering
Absorption
Time flies when I am working leadership
When I am working, I forget everything else around me
I feel happy when I am working intensely
I am immersed in my work
I get carried away when I am working
It is difficult to detach myself from my job
Corresponding author
Jonathan Winterton can be contacted at: j.c.winterton@leeds.ac.uk
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