Assessing the Effectiveness of Leadership Styles among Nurses in Tertiary Hospitals of Peshawar

Main Article Content

Faisal Rahman
Irrum Afsar Ali


Background: The healthcare sector increasingly recognizes the importance of leadership styles in shaping the work environment, employee satisfaction, and patient care outcomes. Leadership within nursing teams, particularly in tertiary hospitals, plays a crucial role in addressing the challenges of healthcare delivery and staff retention. The diversity in leadership styles—authoritarian, democratic, and laissez-faire—offers various approaches to managing nursing teams and influencing healthcare outcomes.

Objective: This study aimed to assess the prevalence of different leadership styles among nurses working in tertiary hospitals in Peshawar and to explore their impact on nursing practice and healthcare delivery.

Methods: A cross-sectional study design was employed, involving 240 nurses from Khyber Teaching Hospital and Lady Reading Hospital in Peshawar. Participants were selected using a convenience sampling technique. A structured questionnaire, comprising socio-demographic items and leadership style assessments, was utilized for data collection. Statistical analysis was conducted using SPSS version 25, focusing on frequencies, percentages, means, and standard deviations to evaluate the distribution of leadership styles.

Results: The majority of participants reported a high range of authoritarian (44.2%), democratic (44.2%), and laissez-faire (46.3%) leadership styles. The prevalence of very high range was significant for authoritarian (43.3%) and democratic (40%) styles, indicating a strong inclination towards these leadership approaches among nursing staff. The study also highlighted a positive association between democratic leadership styles and job satisfaction among nurses.

Conclusion: The findings underscore the diversity of leadership styles among nurses in tertiary hospitals in Peshawar, with a notable preference for authoritarian and democratic approaches. This diversity suggests the need for flexible leadership training programs tailored to the dynamic requirements of healthcare settings. Enhancing leadership skills among nurses is crucial for improving healthcare delivery and achieving better patient care outcomes.

Article Details

How to Cite
Rahman, F., & Ali, I. A. (2024). Assessing the Effectiveness of Leadership Styles among Nurses in Tertiary Hospitals of Peshawar. Journal of Health and Rehabilitation Research, 4(1), 973–978.
Author Biographies

Faisal Rahman, Gandhara University Peshawar Pakistan.

Senior Lecturer, Farkhanda Institute of Nursing and Public Health.

Irrum Afsar Ali, Rufaidah Nursing College Peshawar Prime Foundation Pakistan.

Senior Lecturer.


Tyczkowski B, Vandenhouten C, Reilly J, Bansal G, Kubsch SM, Jakkola R. Emotional intelligence (EI) and nursing leadership styles among nurse managers. Nurs Adm Q. 2015;39(2):172–80.

Miles JM, Scott ES. A new leadership development model for nursing education. J Prof Nurs. 2019;35(1):5–11.

Catton H. International Nurses Day: Nurses can change the world, given the investment and support they deserve. Int Nurs Rev. 2022 Sep;69(3):261–4.

Heinen M, van Oostveen C, Peters J, Vermeulen H, Huis A. An integrative review of leadership competencies and attributes in advanced nursing practice. J Adv Nurs. 2019;75(11):2378–92.

McCay R, Lyles AA, Larkey L. Nurse leadership style, nurse satisfaction, and patient satisfaction: a systematic review. J Nurs Care Qual. 2018;33(4):361–7.

Castillo ALR, Padilla MER, Hernández DG. Self-evaluation and evaluation of nursing leaders’ leadership styles. Rev Lat Am Enfermagem. 2021;29(2):122–32.

Cummings GG, Tate K, Lee S, Wong CA, Paananen T, Micaroni SPM, et al. Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. Int J Nurs Stud. 2018;85:19–60.

Suliman M, Almansi S, Mrayyan M, ALBashtawy M, Aljezawi M. Effect of nurse managers’ leadership styles on predicted nurse turnover. Nurs Manage. 2022;29(3).

Nieuwboer MS, van der Sande R, van der Marck MA, Olde Rikkert MGM, Perry M. Clinical leadership and integrated primary care: a systematic literature review. Eur J Gen Pract. 2019;25(1):7–18.

Lynch BM, McCormack B, McCance T. Development of a model of situational leadership in residential care for older people. J Nurs Manag. 2011 Nov;19(8):1058–69.

Wang Y, Yang Y, Wang Y, Su D, Li S, Zhang T, et al. The mediating role of inclusive leadership: Work engagement and innovative behaviour among Chinese head nurses. J Nurs Manag. 2019;27(4):688–96.

Alghamdi MG, Topp R, AlYami MS. The effect of gender on transformational leadership and job satisfaction among Saudi nurses. J Adv Nurs. 2018;74(1):119–27.

Green BN, Johnson CD, Adams A. Writing narrative literature reviews for peer-reviewed journals: secrets of the trade. J Chiropr Med. 2009;5(3):101–17.

Al Amiri N, Daradkeh F, Al Kaabi A. Leadership styles and competence among generation Z Emirati nursing students. Int J Learn Teach Educ Res. 2019;18(9):23–45.

Holmgren J, Paillard‐Borg S, Saaristo P, von Strauss E. Nurses’ experiences of health concerns, teamwork, leadership and knowledge transfer during an Ebola outbreak in West Africa. Nurs Open. 2019;6(3):824–33.

Demirhan BS. The effect of leadership behaviours of nurse managers on nurses’ work motivation. Int J caring Sci. 2020;13(1):381–91.

Oliveira C de, Santos LC dos, Andrade J de, Domingos T da S, Spiri WC. Leadership in the perspective of Family Health Strategy nurses. Rev Gauch Enferm. 2020;41.

Green CA. Workplace incivility: nurse leaders as change agents. Nurs Manage. 2019;50(1):51–3.

Poudel S, Sharma K. Factors affecting job satisfaction among nurses working in teaching hospital, Chitwan, Nepal. J Chitwan Med Coll. 2019;9(3):62–8.

Moiden N. Evolution of leadership in nursing. Nurs Manag (through 2013). 2020;9(7):20–9.

Adeyemi‐Bello T. The impact of leadership style on organizational growth. Int Acad J Adv Pract Nurs. 2021;50(4):150–4.

Anwer SA, Mohammad AJ, Abdulrahman BS, Qader KS, Jamil DA, Gardi B, et al. Leading Project teams: The role of leadership styles in dynamic work environment. Int Arch Biomed Clin Res. 2022;1(1):123–32.

Davis CR. Administrator leadership styles and their impact on school nursing. NASN Sch Nurse. 2018;33(1):36–9.

Al Rahbi D, Khalid K, Khan M. The effects of leadership styles on team motivation. J Nurses Prof Dev. 2017;(3):122–32.

Iqbal N, Anwar S, Haider N. Effect of leadership style on employee performance. Arab J Bus Manag Rev. 2015;5(5):1–6.

Shafie B, Baghersalimi S, Barghi V. The relationship between leadership style and employee performance: Case study of real estate registration organization of Tehran Province. Singaporean J Business, Econ Manag Stud. 2013;51(1119):1–9.

Guterresa L, Armanu A, Rofiaty R. The role of work motivation as a mediator on the influence of education-training and leadership style on employee performance. Manag Sci Lett. 2020;10(7):1497–504.

Ohemeng FLK, Amoako-Asiedu E, Obuobisa Darko T. The relationship between leadership style and employee performance: An exploratory study of the Ghanaian public service. Int J Public Leadersh. 2018;14(4):274–96.

McKeown M, Carey L. Democratic leadership: a charming solution for nursing’s legitimacy crisis. J Clin Nurs. 2015;24(3–4):315–7.

Putri P, Afandi AT, Fajaryanti DW. Relationship of Leadership Style to Completeness of Filling in The Early Nursing Assessment in Hospital. Nurs Heal Sci J. 2021;1(1):64–6.

Caillier JG. Testing the influence of autocratic leadership, democratic leadership, and public service motivation on citizen ratings of an agency head’s performance. Public Perform Manag Rev. 2020;43(4):918–41.