title: The influences of nursing transformational leadership style on the quality of nurses' working lives in Taiwan: a cross-sectional quantitative study.
abstract: BACKGROUND
  Taiwan's NHI system is one of the most successful health care models for countries around the globe. However, little research has demonstrated the mental health issues associated with nursing transformational leadership style under the NHI system, especially in the quality of nurses' working lives in Taiwan. It is important to know the relationship between transformational leadership style and the mental health of nurses, organisational commitment and job satisfaction. The research aimed to understand the influences of nursing transformational leadership style on the quality of nurses' working lives in Taiwan. The research hypothesis was that transformational leadership styles would have positive influence on the quality of nurses' working lives.
  
  
  METHODS
  This was a cross-sectional quantitative study. Nurses from each type of hospital ownership (private, public and religious) were recruited. Participation was voluntary and signed informed consent was obtained. The inclusion criteria were nurses with at least one year's work experience in the hospitals. Self-administrated questionnaires were used. A total of 807 participants were contacted and 651 questionnaires were fully completed (response rate 80.7 %). A theory driven model was used to test the research hypotheses using structural equation modelling performed with AMOS 16.0.
  
  
  RESULTS
  Transformational leadership contributes significantly to supervisor support. Workplace support, particularly from the supervisor, is an important mediator variable that explains the relationship between transformational leadership and job satisfaction. Organisational commitment was the strongest factor relevant to the general health well-being in Taiwanese nurses than job satisfaction. The hypothesized positive relationships between transformational leadership and all variables were supported by the data.
  
  
  CONCLUSIONS
  Our findings have important consequences for organisational health. Our model demonstrates a complete picture of the work relationships on the quality of nurses' working lives. The results provided information about the subordinates' perceptions of transformational nursing leadership styles and mental health outcomes in different hospital settings, as well as identified organisational factors that could improve the quality of nurses' working lives.
authors.affiliation: Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Jubilee Crescent, Wollaton Road, NG8 1BB Nottingham, UK ; Transplant Medicine & Surgery Research Centre, Changhua Christian Hospital, No.135, Nansiao St., Changhua city, Changhua county 50006 Taiwan.
authors.forename: Ping-Yi
authors.initials: PY
authors.lastname: Lin
authors.affiliation: Academic Urology Unit, University of Aberdeen, oresterhill, Aberdeen, AB25 2ZD Scotland UK.
authors.forename: Sara
authors.initials: S
authors.lastname: MacLennan
authors.affiliation: Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Jubilee Crescent, Wollaton Road, NG8 1BB Nottingham, UK.
authors.forename: Nigel
authors.initials: N
authors.lastname: Hunt
authors.affiliation: Centre for Sustainable Working Life, Birkbeck, University of London, Malet Street, Bloomsbury, London, England WC1E 7HX United Kingdom.
authors.forename: Tom
authors.initials: T
authors.lastname: Cox
keywords: Job satisfaction; Organisational commitment; Quality of working life; Transformational leadership