skip to main content

Spiritual Leadership Enhances Caring Behaviour: The Mediating Role of Calling

Sang Ayu Ketut Candrawati  -  Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan (STIKES) Wira Medika Bali, Indonesia
Ni Kadek Ayu Sriani  -  Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan (STIKES) Wira Medika Bali, Indonesia
*Putu Gede Subhaktiyasa orcid scopus publons  -  Medical Laboratory Technology Study Program, Sekolah Tinggi Ilmu Kesehatan (STIKES) Wira Medika Bali, Indonesia
Ni Komang Sukra Andini  -  Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan (STIKES) Wira Medika Bali, Indonesia
Ni Luh Nova Dilisca Dwi Putri  -  Medical Laboratory Technology Study Program, Sekolah Tinggi Ilmu Kesehatan (STIKES) Wira Medika Bali, Indonesia
Megah Andriany  -  Nursing Department, Faculty of Medicine, Universitas Diponegoro, Indonesia
Open Access Copyright (c) 2024 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Background: Caring behaviour is essential for patient health; however, it is often not practised optimally. Therefore, spiritually-based leadership is required to encourage this behaviour. Unfortunately, research investigating the ability of spiritual leadership to enhance caring behaviour through spiritual well-being is limited.

Purpose: This study aimed to examine the impact of spiritual leadership and spiritual well-being in the form of calling and membership on caring behaviour.

Methods: This study employed an explanatory quantitative design with a cross-sectional approach. One hundred fourteen inpatient nurses who provided comprehensive patient care were selected as a total sampling technique. Data were collected using the Spiritual Leadership Questionnaire and the Caring Behaviours Inventory. The analysis adopted partial least squares structural equation modelling (PLS-SEM) using a second-order reflective-formative model.

Results: The findings demonstrate that spiritual leadership has a significant direct effect on caring behaviour (t=3.976, p=0.000), calling (t=4.672, p=0.000), and membership (t=2.845, p=0.005). However, the direct impact of membership on caring behaviour was insignificant (t=1.298, p=0.194). Calling proved to mediate the effects of spiritual leadership on caring behaviour (t=3.145, p=0.002), while membership could not function as a mediator (t=1.197, p=0.231).

Conclusion: This study emphasizes the importance of spiritual leadership in nursing care, particularly in enhancing nurses' caring behaviours. Healthcare organizations should implement training programs on spiritual leadership to encourage calling nurses to perform their duties with dedication. Developing nurse membership should be considered, but the main focus must be on strategies that strengthen nurses' calling, as this is an essential factor in providing quality and empathetic care.

 

Fulltext
Keywords: spiritual leadership; calling; membership; caring behaviour; spiritual wellbeing

Article Metrics:

  1. Abdurrouf, M., Nursalam, N., Yustini, M. D., Sari, D. W. P., Safitri, M., & Safaah, M. (2022). Increasing Islamic Caring Behavior By Increasing Motivation And Leadership Roles. Media Keperawatan Indonesia, 5(2), 124–130. https://doi.org/10.26714/mki.5.2.2022.124-130
  2. Adams, L. Y. (2016). The Conundrum of Caring in Nursing. International Journal of Caring Sciences, 9(1), 1–8. https://www.internationaljournalofcaringsciences.org/docs/1_1-Adams_special_9_1.pdf
  3. Alblooshi, M., Shamsuzzaman, M., & Haridy, S. (2021). The relationship between leadership styles and organisational innovation. European Journal of Innovation Management, 24(2), 338–370. https://doi.org/10.1108/EJIM-11-2019-0339
  4. An, M., Shin, E. S., Choi, M. Y., Lee, Y., Hwang, Y. Y., & Kim, M. (2020). Positive Psychological Capital Mediates the Association between Burnout and Nursing Performance Outcomes among Hospital Nurses. In International Journal of Environmental Research and Public Health, 17(16), 5988. https://doi.org/10.3390/ijerph17165988
  5. Antón-Solanas, I., Rodríguez-Roca, B., Vanceulebroeck, V., Kömürcü, N., Kalkan, I., Tambo-Lizalde, E., Huércanos-Esparza, I., Casa Nova, A., Hamam-Alcober, N., & Coelho, M. (2022). Qualified Nurses’ Perceptions of Cultural Competence and Experiences of Caring for Culturally Diverse Patients: A Qualitative Study in Four European Countries. Nursing Reports, 12(2), 348–364. https://doi.org/10.3390/nursrep12020034
  6. Baixinho, C. L., Ferreira, Ó. R., Medeiros, M., & Oliveira, E. S. (2022). Sense of Belonging and Evidence Learning: A Focus Group Study. Sustainability, 14(10), 5793, https://doi.org/10.3390/su14105793
  7. Creswell, J. W., & Creswell, D. J. (2018). Research Design: Qualitative, Quantitative and Mixed Methods Approaches (5th ed.). Sage Publications, Inc
  8. Crosby, B. C., & Bryson, J. M. (2018). Why leadership of public leadership research matters: and what to do about it. Public Management Review, 20(9), 1265–1286. https://doi.org/10.1080/14719037.2017.1348731
  9. De Chesnay, M., & Anderson, B. (2019). Caring for the vulnerable. Jones & Bartlett Learning
  10. Fry, L. W., Latham, J. R., Clinebell, S. K., & Krahnke, K. (2016). Spiritual leadership as a model for performance excellence: a study of Baldrige award recipients. Journal of Management, Spirituality and Religion, 14(1), 22–47. https://doi.org/10.1080/14766086.2016.1202130
  11. Fry, L. W., Vitucci, S., & Cedillo, M. (2005). Spiritual leadership and army transformation: Theory, measurement, and establishing a baseline. Leadership Quarterly, 16(5), 835–862. https://doi.org/10.1016/j.leaqua.2005.07.012
  12. Hair, J. F, Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2–24. https://doi.org/10.1108/EBR-11-2018-0203
  13. Hair, J. F., Hult, G. T. M., Ringle, C. M., Sarstedt, M., Danks, N. P., & Ray, S. (2021). Partial least squares structural equation modeling with R. Springer
  14. Han, S. (2020). Mediation effects of calling and role breadth self-efficacy on the relationship between supportive supervision and job crafting of nurses in general hospitals. Journal of Korean Academy of Nursing Administration, 26(3), 251–261. https://doi.org/10.11111/JKANA.2020.26.3.251
  15. Handayani, E. T., & Kuntarti, K. (2022). Nurses’ caring behavior based on personality in Indonesia: A pilot study for better-humanized healthcare services. Journal of Public Health Research, 11(2). https://doi.org/10.4081/jphr.2021.2741
  16. Hidayat, A. A. A., Agustin, R., & Anggraini, D. (2019). Spiritual leadership model for head nurse at a private hospital in East Java, Indonesia. Pakistan Journal of Medical and Health Sciences, 13(4), 1090–1092. https://pjmhsonline.com/2019/oct_dec/pdf/1090.pdf
  17. Huber, D. (2017). Leadership and nursing care management. Elsevier Health Sciences
  18. Hughes, D. J., Lee, A., Tian, A. W., Newman, A., & Legood, A. (2018). Leadership, creativity, and innovation: A critical review and practical recommendations. Leadership Quarterly, 29(5), 549–569. https://doi.org/10.1016/j.leaqua.2018.03.001
  19. Hunsaker, W. D. (2016). Spiritual leadership and organizational citizenship behavior: relationship with Confucian values. Journal of Management, Spirituality and Religion, 13(3), 206–225. https://doi.org/10.1080/14766086.2016.1159974
  20. Jung, G. A., & Kim, M. J. (2020). Work performance and calling as factors influencing job satisfaction among nurse midwives working in the delivery room. Korean Journal of Women Health Nursing, 26(1), 10–18. https://doi.org/10.4069/kjwhn.2020.02.27
  21. Kallio, H., Kangasniemi, M., & Hult, M. (2022). Registered nurses’ perceptions of having a calling to nursing: A mixed-method study. Journal of Advanced Nursing, 78(5), 1473–1482. https://doi.org/10.1111/jan.15157
  22. Kibret, H., Tadesse, B., Debella, A., Degefa, M., & Regassa, L. D. (2022). Level and predictors of nurse caring behaviors among nurses serving in inpatient departments in public hospitals in Harari region, eastern Ethiopia. BMC Nursing, 21(1), 76. https://doi.org/10.1186/s12912-022-00856-8
  23. Kim, G., Yu, H., & Ryu, E. (2022). Social group membership, burnout, and subjective well-being in new nurses in the life transition period: A cross-sectional study. Nursing Open. https://doi.org/10.1002/nop2.1581
  24. Kim, H., & Han, S. (2019). Mediating Effects of Self-efficacy between Calling and Nursing Professionalism for Nurses in General Hospitals. Journal of Korean Academy of Nursing Administration, 25(3), 220–228. https://doi.org/10.11111/jkana.2019.25.3.220
  25. Kock, N., & Hadaya, P. (2018). Minimum sample size estimation in PLS-SEM: The inverse square root and gamma-exponential methods. Information Systems Journal, 28(1), 227–261. https://doi.org/https://doi.org/10.1111/isj.12131
  26. Lee, A., Legood, A., Hughes, D., Tian, A. W., Newman, A., & Knight, C. (2020). Leadership, creativity and innovation: a meta-analytic review. European Journal of Work and Organizational Psychology, 29(1), 1–35. https://doi.org/10.1080/1359432X.2019.1661837
  27. Lyberg, L. E., & Stukel, D. M. (2017). The Roots and Evolution of the Total Survey Error Concept. In Total Survey Error in Practice (pp. 1–22). https://doi.org/https://doi.org/10.1002/9781119041702.ch1
  28. Miller, C. L. (2019). A Career in Nursing: Calling or Choice? Journal of Christian Nursing : A Quarterly Publication of Nurses Christian Fellowship, 36(4), 236–237. https://doi.org/10.1097/CNJ.0000000000000647
  29. Narayan, K. G., Sinha, D. K., & Singh, D. K. (2023). Sampling Techniques BT - Veterinary Public Health & Epidemiology: Veterinary Public Health- Epidemiology-Zoonosis-One Health. In K. G. Narayan, D. K. Sinha, & D. K. Singh (Eds.), Veterinary Public Health & Epidemiology (pp. 111–123). Springer Nature Singapore. https://doi.org/10.1007/978-981-19-7800-5_12
  30. Oh, J., & Wang, J. (2020). Spiritual leadership: Current status and Agenda for future research and practice. Journal of Management, Spirituality and Religion, 17(3), 223–248. https://doi.org/10.1080/14766086.2020.1728568
  31. Oluma, A., & Abadiga, M. (2020). Caring behavior and associated factors among nurses working in Jimma University specialized hospital, Oromia, Southwest Ethiopia, 2019. BMC Nursing, 19(1), 1–7. https://doi.org/10.1186/s12912-020-0407-2
  32. Peña, M., Ramos, M. M., & Topa, G. (2022). Occupational stress in nursing. Multiple group membership from a preventive perspective. Current Psychology, 41(1), 386–394. https://doi.org/10.1007/s12144-019-00580-8
  33. Pfettscher, S. A. (2021). Florence Nightingale: modern nursing. Nursing Theorists and Their Work E-Book, 52
  34. Pio, R. J., & Tampi, J. R. E. (2018). The influence of spiritual leadership on quality of work life, job satisfaction and organizational citizenship behavior. International Journal of Law and Management, 60(2), 757–767. https://doi.org/10.1108/IJLMA-03-2017-0028
  35. Ribeiro, M., Caldeira, S., Nunes, E., & Vieira, M. (2021). A commentary on spiritual leadership and workplace spirituality in nursing management. In Journal of Nursing Management (Vol. 29, Issue 3, pp. 602–605). https://doi.org/10.1111/jonm.13196
  36. Ricciardi, R., & Shofer, M. (2019). Nurses and Patients: Natural Partners to Advance Patient Safety. Journal of Nursing Care Quality, 34(1), 1–3, https://doi.org/10.1097/NCQ.0000000000000377
  37. Rudolph, C. W., Rauvola, R. S., & Zacher, H. (2018). Leadership and generations at work: A critical review. Leadership Quarterly, 29(1), 44–57. https://doi.org/10.1016/j.leaqua.2017.09.004
  38. Sapta, I. K. S., Rustiarini, N. W., Kusuma, I. G. A. E. T., & Astakoni, I. M. P. (2021). Spiritual leadership and organizational commitment: The mediation role of workplace spirituality. Cogent Business and Management, 8(1), 1966865, https://doi.org/10.1080/23311975.2021.1966865
  39. Sitzman, K., PhD, R. N., CNE, A., Watson, J., PhD, R. N., & AHN-BC, F. (2019). Assessing and measuring caring in nursing and health sciences. Springer Publishing Company New York, NY, USA:
  40. Subhaktiyasa, P. G. (2023). Spiritual Leadership Influences Organizational Citizenship Behavior in Higher Education. International Journal of Economics, Management, Business, and Social Science, 3(1), 42–51. https://doi.org/https://doi.org/10.59889/ijembis.v3i1.112
  41. Subhaktiyasa, P. G. (2024). Lecturers’ perceptions of spiritual leadership: A quantitative descriptive study in higher education. Indonesian Journal of Educational Development, 5(1), 162–170. https://doi.org/doi.org/10.59672/ijed.v5i1.3682
  42. Subhaktiyasa, P. G., Agung, A. A. G., Jampel, I. N., & Dantes, K. R. (2023). Spiritual Leadership in Educational Organization: A Systematic Literature Review. Journal of Law and Sustainable Development, 11(5), 1–22. https://doi.org/https://doi.org/10.55908/sdgs.v11i5.722
  43. Subhaktiyasa, P. G., Agung, A., Agung, G., Jampel, I. N., & Dantes, K. R. (2024). Spiritual Leadership and Lecturer Performance: Mediating Role of Work Motivation. International Journal of Evaluation and Research in Education, 13(6), 3653~3662. https://doi.org/10.11591/ijere.v13i6.29175
  44. Subhaktiyasa, P. G., Andriana, K. R. F., Sintari, S. N. N., Wati, W. S., Sumaryani, N. P., & Lede, Y. U. (2022). The Effect of Transformational Leadership, Servant Leadership, and Spiritual Leadership on Organizational Citizenship Behavior. Jurnal Organisasi Dan Manajemen, 19(1), 224–238. https://doi.org/10.22143/hss21.9.2.85
  45. Subhaktiyasa, P. G., & Sintari, S. N. N. (2024). Elevating Performance : Spiritual Leadership and Mitigation of Counterproductive Work Behavior in Higher Education. Indonesian Journal of Educational Research and Review, 7(2). https://doi.org/10.23887/ijerr.v7i2.76966
  46. Turkel, M. C., Watson, J., & Giovannoni, J. (2018). Caring Science or Science of Caring. Nursing Science Quarterly, 31(1), 66–71. https://doi.org/10.1177/0894318417741116
  47. Wang, R., & Krosnick, J. A. (2020). Middle alternatives and measurement validity: a recommendation for survey researchers. International Journal of Social Research Methodology, 23(2), 169–184. https://doi.org/10.1080/13645579.2019.1645384
  48. Watson, J. (2021). Caring Science as Sacred Science
  49. Wolf, Z. R., Giardino, E. R., Osborne, P. A., & Ambrose, M. S. (1994). Dimensions of Nurse Caring. Image: The Journal of Nursing Scholarship, 26(2), 107–112. https://doi.org/10.1111/j.1547-5069.1994.tb00927.x
  50. Wu, W. L., & Lee, Y. C. (2020). How spiritual leadership boosts nurses’ work engagement: The mediating roles of calling and psychological capital. International Journal of Environmental Research and Public Health, 17(17), 1–13. https://doi.org/10.3390/ijerph17176364
  51. Yang, M., & Fry, L. W. (2018). The role of spiritual leadership in reducing healthcare worker burnout. Journal of Management, Spirituality and Religion, 15(4), 305–324. https://doi.org/10.1080/14766086.2018.1482562
  52. Ziedelis, A. (2018). Perceived Calling and Work Engagement Among Nurses. Western Journal of Nursing Research, 41(6), 816–833. https://doi.org/10.1177/0193945918767631
  53. Zoromba, M., & Emad, H. (2021). Nursing Human Resource Practices and Hospitals ’ Performance Excellence : Nursing Human Resource Practices and Hospitals ’ Performance Excellence : The Mediating Role of Nurses ’ Performance. November. https://doi.org/10.23750/abm.v92iS2.11247
  54. Zou, W., Zeng, Y., Peng, Q., Xin, Y., Chen, J., & Houghton, J. D. (2020). The influence of spiritual leadership on the subjective well-being of Chinese registered nurses. Journal of Nursing Management, 28(6), 1432–1442. https://doi.org/10.1111/jonm.13106

Last update:

No citation recorded.

Last update: 2024-08-31 19:03:02

No citation recorded.