The effect of leadership on public service motivation: a multiple embedded case study in Morocco
Objectives We aimed at exploring the underlying mechanisms and contextual conditions by which leadership may influence ‘public service motivation’ of health providers in Moroccan hospitals.Design We used the realist evaluation (RE) approach in the following steps: eliciting the initial programme the...
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BMJ Publishing Group
2020-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/1/e033010.full |
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| author | Bruno Marchal Wim Van Damme Zakaria Belrhiti Abdelmounim Belalia |
| author_facet | Bruno Marchal Wim Van Damme Zakaria Belrhiti Abdelmounim Belalia |
| author_sort | Bruno Marchal |
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| description | Objectives We aimed at exploring the underlying mechanisms and contextual conditions by which leadership may influence ‘public service motivation’ of health providers in Moroccan hospitals.Design We used the realist evaluation (RE) approach in the following steps: eliciting the initial programme theory, designing the study, carrying out the data collection, doing the data analysis and synthesis. In practice, we adopted a multiple embedded case study design.Settings We used purposive sampling to select hospitals representing extreme cases displaying contrasting leadership practices and organisational performance scores using data from the Ministry of Health quality assurance programmes from 2011 to 2016.Participants We carried out, on average, 17 individual in-depth interviews in 4 hospitals as well as 7 focus group discussions and 8 group discussions with different cadres (administrators, nurses and doctors). We collected relevant documents (eg, performance audit, human resource availability) and carried out observations.Results Comparing the Intervention-Context-Actor-Mechanism-Outcome configurations across the hospitals allowed us to confirm and refine our following programme theory: “Complex leaders, applying an appropriate mix of transactional, transformational and distributed leadership styles that fit organisational and individuals characteristics [I] can increase public service motivation, organisational commitment and extra role behaviours [O] by increasing perceived supervisor support and perceived organizational support and satisfying staff basic psychological needs [M], if the organisational culture is conducive and in the absence of perceived organisational politics [C]”.Conclusions In hospitals, the archetype of complex professional bureaucracies, leaders need to be able to balance between different leadership styles according to the staff’s profile, the nature of tasks and the organisational culture if they want to enhance public service motivation, intrinsic motivation and organisational commitment. |
| format | Article |
| id | doaj-art-52cc47f5716949c1b44f343f3d06cf6e |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-52cc47f5716949c1b44f343f3d06cf6e2024-12-06T21:35:09ZengBMJ Publishing GroupBMJ Open2044-60552020-01-0110110.1136/bmjopen-2019-033010The effect of leadership on public service motivation: a multiple embedded case study in MoroccoBruno Marchal0Wim Van Damme1Zakaria Belrhiti2Abdelmounim Belalia31School of Public Health, University of the Western Cape, Cape Town, Western Cape, South Africa2 Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium1 Ecole Nationale de Santé Publique, Rabat, Morocco1 Ecole Nationale de Sante Publique, Rabat, MoroccoObjectives We aimed at exploring the underlying mechanisms and contextual conditions by which leadership may influence ‘public service motivation’ of health providers in Moroccan hospitals.Design We used the realist evaluation (RE) approach in the following steps: eliciting the initial programme theory, designing the study, carrying out the data collection, doing the data analysis and synthesis. In practice, we adopted a multiple embedded case study design.Settings We used purposive sampling to select hospitals representing extreme cases displaying contrasting leadership practices and organisational performance scores using data from the Ministry of Health quality assurance programmes from 2011 to 2016.Participants We carried out, on average, 17 individual in-depth interviews in 4 hospitals as well as 7 focus group discussions and 8 group discussions with different cadres (administrators, nurses and doctors). We collected relevant documents (eg, performance audit, human resource availability) and carried out observations.Results Comparing the Intervention-Context-Actor-Mechanism-Outcome configurations across the hospitals allowed us to confirm and refine our following programme theory: “Complex leaders, applying an appropriate mix of transactional, transformational and distributed leadership styles that fit organisational and individuals characteristics [I] can increase public service motivation, organisational commitment and extra role behaviours [O] by increasing perceived supervisor support and perceived organizational support and satisfying staff basic psychological needs [M], if the organisational culture is conducive and in the absence of perceived organisational politics [C]”.Conclusions In hospitals, the archetype of complex professional bureaucracies, leaders need to be able to balance between different leadership styles according to the staff’s profile, the nature of tasks and the organisational culture if they want to enhance public service motivation, intrinsic motivation and organisational commitment.https://bmjopen.bmj.com/content/10/1/e033010.full |
| spellingShingle | Bruno Marchal Wim Van Damme Zakaria Belrhiti Abdelmounim Belalia The effect of leadership on public service motivation: a multiple embedded case study in Morocco BMJ Open |
| title | The effect of leadership on public service motivation: a multiple embedded case study in Morocco |
| title_full | The effect of leadership on public service motivation: a multiple embedded case study in Morocco |
| title_fullStr | The effect of leadership on public service motivation: a multiple embedded case study in Morocco |
| title_full_unstemmed | The effect of leadership on public service motivation: a multiple embedded case study in Morocco |
| title_short | The effect of leadership on public service motivation: a multiple embedded case study in Morocco |
| title_sort | effect of leadership on public service motivation a multiple embedded case study in morocco |
| url | https://bmjopen.bmj.com/content/10/1/e033010.full |
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