Hostname: page-component-848d4c4894-x5gtn Total loading time: 0 Render date: 2024-05-07T12:17:21.670Z Has data issue: false hasContentIssue false

Exploring the impact of decentralized leadership on knowledge sharing and work hindrance networks in healthcare teams

Published online by Cambridge University Press:  12 January 2021

Cara-Lynn Scheuer*
Affiliation:
Department of Management and Decision Sciences, Coastal Carolina University, P.O. Box 261954, Conway, SC, 29528, USA
Annika Voltan
Affiliation:
Sobey School of Business, Saint Mary's University, 10 Colindale Street, Halifax, NS, B3P 1E5, Canada
Kothai Kumanan
Affiliation:
Sobey School of Business, Saint Mary's University, 356-4 Shore Drive, Bedford, NS, B4A2C6, Canada
Subhajit Chakraborty
Affiliation:
Department of Management and Decision Sciences, Coastal Carolina University, P.O. Box 261954, Conway, SC, 29528, USA
*
*Corresponding author: E-mail: cscheuer@coastal.edu

Abstract

This paper adopts an explanatory sequential mixed method design to explore the impact of decentralized (vs. centralized) leadership on cross-functional teams' resource exchanges at a long-term care facility in Canada. In the quantitative phase, social network analyses were used to examine the direct and moderated effects (via leader–follower relationship quality; LMX) of the presence of formal decentralized leaders on: (1) knowledge sharing, and (2) work hindrance networks within cross-functional healthcare teams. In the qualitative phase, team members were interviewed regarding the impact of their decentralized leaders. Collectively, the findings suggest that the presence of a decentralized leader may enhance knowledge sharing and safeguard against work hindrance behaviors in cross-functional healthcare teams. However, these effects are contingent on the situation (e.g., LMX quality and status-based hierarchies). Implications for research and healthcare practice are discussed.

Type
Research Article
Copyright
Copyright © Cambridge University Press and Australian and New Zealand Academy of Management 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aiken, L. S., West, S. G., & Reno, R. R. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.Google Scholar
Aselage, J., & Eisenberger, R. (2003). Perceived organizational support and psychological contracts: A theoretical integration. Journal of Organizational Behavior, 24(5), 491509.CrossRefGoogle Scholar
Atwal, A., & Caldwell, K. (2005). Do all health and social care professionals interact equally: A study of interactions in multidisciplicanr teams in the United Kingdom. Scandanavian Journal of Caring Sciences, 19(3), 268273.CrossRefGoogle ScholarPubMed
Balkundi, P., & Harrison, D. A. (2006). Ties, leaders, and time in teams: Strong inference about network structure's effects on team viability and performance. Academy of Management Journal, 49(1), 4968.CrossRefGoogle Scholar
Balkundi, P., & Kilduff, M. (2006). The ties that lead: A social network approach to leadership. The Leadership Quarterly, 17(4), 419439.CrossRefGoogle Scholar
Belasen, A., & Belasen, A. R. (2016). Value in the middle: Cultivating middle managers in healthcare organizations. Journal of Management Development, 35(9), 11491162.CrossRefGoogle Scholar
Birken, S., Clary, A., Alishahi Tabriz, A., Turner, K., Meza, R., Zizzi, A., & Charns, M. P. (2018). A systematic review of middle managers’ role in implementing evidence-based practices in healthcare. In Academy of management proceedings (Vol. 2018, No. 1, p. 11633). Briarcliff Manor, NY: Academy of Management.Google Scholar
Birken, S. A., Lee, S. Y. D., & Weiner, B. J. (2012). Uncovering middle managers' role in healthcare innovation implementation. Implementation Science, 7(1), 28.CrossRefGoogle ScholarPubMed
Blau, P. M. (1964). Exchange and power in social life. Piscataway, New Jersey: Transaction Publishers.Google Scholar
Boies, K., Fiset, J., & Gill, H. (2015). Communication and trust are key: Unlocking the relationship between leadership and team performance and creativity. The Leadership Quarterly, 26(6), 10801094.CrossRefGoogle Scholar
Borgatti, S. P. (2002). Netdraw network visualization. Harvard, MA: Analytic Technologies.Google Scholar
Borgatti, S. P., Everett, M. G., & Freeman, L. C. (2002). Ucinet for Windows: Software for Social Network Analysis. Harvard, MA: Analytic Technologies. https://sites.google.com/site/ucinetsoftware/Google Scholar
Borgatti, S. P., Everett, M. G., & Johnson, J. C. (2013). Analyzing social networks. Newcastle upon Tyne, United Kingdom: Sage Publications Ltd..Google Scholar
Caldwell, K., & Atwal, A. (2003). The problems of interprofessional healthcare practice in the hospital setting. British Journal of Nursing, 12(20), 12121218.CrossRefGoogle Scholar
Carter, D. R., DeChurch, L. A., Braun, M. T., & Contractor, N. S. (2015). Social network approaches to leadership: An integrative conceptual review. Journal of Applied Psychology, 100(3), 597.CrossRefGoogle ScholarPubMed
Chen, C. H. V., Wang, S. J., Chang, W. C., & Hu, C.-S. (2008).The effect of leader-member exchange, trust, supervisor support on organizational citizenship behavior in nurses. Journal of Nursing Research, 16(4), 321328.CrossRefGoogle ScholarPubMed
Cott, C. (1997). ‘We decide, you carry it out’: A social network analysis of multidisciplinary long-term care teams. Social Science & Medicine, 45(9), 14111421.CrossRefGoogle Scholar
Cresswell, J. W. (2003). Research design. Qualitative, quantitative, and mixed methods approaches. Los Angeles, CA: Sage.Google Scholar
Dansereau, F., Graen, G., & Haga, W. J. (1975). A vertical dyad linkage approach to leadership within formal organizations: A longitudinal investigation of the role making process. Organizational Behavior and Human Performance, 13(1), 4678.CrossRefGoogle Scholar
D'aunno, T., Hearld, L., & Alexander, J. A. (2019). Sustaining multistakeholder alliances. Healthcare Management Review, 44(2), 183194.CrossRefGoogle ScholarPubMed
De Janasz, D., Dowd, K.O., & Schneider, B.Z. (2018). Interpersonal skills in organisation (6 ed.). New York, NY: McGraw-Hill Education.Google Scholar
Dulebohn, J. H., Bommer, W. H., Liden, R. C., Brouer, R. L., & Ferris, G. R. (2012). A meta-analysis of antecedents and consequences of leader-member exchange integrating the past with an eye toward the future. Journal of Management, 38(6), 17151759.CrossRefGoogle Scholar
Embertson, M. K. (2006). The importance of middle managers in healthcare organizations. Journal of Healthcare Management, 51(4), 223.CrossRefGoogle ScholarPubMed
Engle, R. L., Lopez, E. R., Gormley, K. E., Chan, J. A., Charns, M. P., & Lukas, C. (2016). What roles do middle managers play in implementation of innovative practices? Healthcare Management Review, 42(1), 14.CrossRefGoogle Scholar
Farmer, S. M., Van Dyne, L., & Kamdar, D. (2015). The contextualized self: How team–member exchange leads to coworker identification and helping OCB. Journal of Applied Psychology, 100(2), 583.CrossRefGoogle ScholarPubMed
Ferlie, E., Fitzgerald, L., Wood, M., & Hawkins, C. (2005). The nonspread of innovations: The mediating role of professionals. Academy of Management Journal, 48(1), 117134.CrossRefGoogle Scholar
Ford, D., Myrden, S. E., & Jones, T. D. (2015). Understanding ‘disengagement from knowledge sharing’: Engagement theory versus adaptive cost theory. Journal of Knowledge Management, 19(3), 476496.CrossRefGoogle Scholar
Fox, J. (1997). Applied regression analysis, linear models, and related methods. Newcastle upon Tyne, United Kingdom: Sage Publications Ltd.Google Scholar
Fox, R. L., & Abrahamson, K. (2009, October). A critical examination of the US nursing shortage: Contributing factors, public policy implications. In Nursing Forum (Vol. 44, No. 4, pp. 235244). Malden, USA: Blackwell Publishing Inc. DOI: 10.1111/j.1744-6198.2009.00149.xGoogle Scholar
Freeman, L. (2004). The development of social network analysis: A study in the sociology of science. Vancouver, BC: Empirical Press.Google Scholar
Freeman, L. C. (1979). Centrality in social networks conceptual clarification. Social Networks, 1(3), 215239.CrossRefGoogle Scholar
Gerstner, C. R., & Day, D. V. (1997). Meta-Analytic review of leader–member exchange theory: Correlates and construct issues. Journal of Applied Psychology, 82(6), 827.CrossRefGoogle Scholar
Gigerenzer, G. (1991). From tools to theories: A heuristic of discovery in cognitive psychology. Psychological Review, 98(2), 254.CrossRefGoogle Scholar
Graen, G., Dansereau, F., Minami, T., & Cashman, J. (1973). Leadership behaviors as cues to performance evaluation. Academy of Management Journal, 16(4), 611623.CrossRefGoogle Scholar
Graen, G. B. (2003). Dealing with diversity. Charlotte, NC: Information Age Publishing.Google Scholar
Graen, G. B., & Uhl-Bien, M. (1995). Relationship-based approach to leadership: Development of leader-member exchange (LMX) theory of leadership over 25 years: Applying a multi-level multi-domain perspective. The Leadership Quarterly, 6(2), 219247.CrossRefGoogle Scholar
Gully, S. M., Incalcaterra, K. A., Joshi, A., & Beaubien, J. M. (2002). A meta-analysis of team-efficacy, potency, and performance: Interdependence and level of analysis as moderators of observed relationships. Journal of Applied Psychology, 87(5), 819.CrossRefGoogle ScholarPubMed
Han, G. H., & Jekel, M. (2011). The mediating role of job satisfaction between leader-member exchange and turnover intentions. Journal of Nursing Management, 19, 4149.CrossRefGoogle ScholarPubMed
Hanse, J. J., Harlin, U., Jarebrant, C., Ulin, K., & Winkel, J. (2016). The impact of servant leadership dimensions on leader–member exchange among health care professionals. Journal of Nursing Management, 24(2), 228234.CrossRefGoogle ScholarPubMed
Harrison, D. A., Price, K. H., & Bell, M. P. (1998). Beyond relational demography: Time and the effects of surface-and deep-level diversity on work group cohesion. Academy of Management Journal, 41(1), 96107.CrossRefGoogle Scholar
Hempel, P. S., Zhang, Z. X., & Han, Y. (2012). Team empowerment and the organizational context: Decentralization and the contrasting effects of formalization. Journal of Management, 38(2), 475501.CrossRefGoogle Scholar
Herdman, A. O., Yang, J., & Arthur, J. B. (2017). How does leader-member exchange disparity affect teamwork behavior and effectiveness in work groups? The moderating role of leader-leader exchange. Journal of Management, 43(5), 14981523.CrossRefGoogle Scholar
Homans, G. C. (1958). Social behavior as exchange. American Journal of Sociology, 63(6), 597606.CrossRefGoogle Scholar
Ilies, R., Nahrgang, J. D., & Morgeson, F. P. (2007). Leader-member exchange and citizenship behaviors: A meta-analysis. Journal of Applied Psychology, 92(1), 269.CrossRefGoogle ScholarPubMed
Institute of Medicine. (2001). Crossing the quality chasm. Washington, DC: The National Academic Press.Google Scholar
Ipe, M. (2003). Knowledge sharing in organizations: A conceptual framework. Human Resource Development Review, 2(4), 337359.CrossRefGoogle Scholar
Joint Commission. (2008). 2008 National Patient Safety Goals. Retrieved from www.jointcommission.org/patientsafety/NationalPatientSafetyGoals/Google Scholar
Jones, G., & George, J. (2014). Essentials of contemporary management (6th ed.). New York, NY: McGraw-Hill Education.Google Scholar
Katzenbach, J. R., & Smith, D. K. (1994). Teams at the top. The McKinsey Quarterly (1), 71.Google Scholar
Kearney, E., & Gebert, D. (2009). Managing diversity and enhancing team outcomes: The promise of transformational leadership. Journal of Applied Psychology, 94(1), 77.CrossRefGoogle ScholarPubMed
Kerr, S., & Jermier, J. M. (1978). Substitutes for leadership: Their meaning and measurement. Organizational Behavior and Human Performance, 22(3), 375403.CrossRefGoogle Scholar
Lapierre, L. M. (2007). Supervisor trustworthiness and subordinates' willingness to provide extra-role efforts. Journal of Applied Social Psychology, 37(2), 272297.CrossRefGoogle Scholar
Laschinger, H. K. S., Purdy, N., & Almost, J. (2007) The impact of leader-member exchange quality, empowerment, and core self-evaluation on nurse manager's job satisfaction. Journal of Nursing Administration, 37(5), 221229.CrossRefGoogle ScholarPubMed
Lazega, E., & Pattison, P. E. (1999). Multiplexity, generalized exchange and cooperation in organizations: A case study. Social Networks, 21(1), 6790.CrossRefGoogle Scholar
Leonard, D., & Sensiper, S. (1998). The role of tacit knowledge in group innovation. California Management Review, 40(3), 112132.CrossRefGoogle Scholar
Lévi-Strauss, C. (1969). The elementary structures of kinship. Boston, MA: Beacon Press.Google Scholar
Marks, M. L., & De Meuse, K. P. (2003). The realities of resizing. In Marks, M. L. & Meuse, K. P. D. (Eds.), Resizing the organization: Managing layoffs, divestitures, and closings (pp. 138). San Francisco, CA: Jossey-Bass.Google Scholar
Mathieu, J., Maynard, M. T., Rapp, T., & Gilson, L. (2008). Team effectiveness 1997–2007: A review of recent advancements and a glimpse into the future. Journal of Management, 34(3), 410476.CrossRefGoogle Scholar
McClelland, G. H., & Judd, C. M. (1993). Statistical difficulties of detecting interactions and moderator effects. Psychological Bulletin, 114(2), 376.CrossRefGoogle ScholarPubMed
McDonough, E. F. (2000). Investigation of factors contributing to the success of cross-functional teams. Journal of Product Innovation Management, 17(3), 221235.CrossRefGoogle Scholar
McGilton, K. S., Bowers, B. J., Heath, H., Shannon, K., Dellefield, M. E., Prentice, D., & Boscart, V. M. (2016). Recommendations from the international consortium on professional nursing practice in long-term care homes. Journal of the American Medical Directors Association, 17(2), 99103.CrossRefGoogle Scholar
Mehra, A., Smith, B. R., Dixon, A. L., & Robertson, B. (2006). Distributed leadership in teams: The network of leadership perceptions and team performance. The Leadership Quarterly, 17(3), 232245.CrossRefGoogle Scholar
Meltzer, D., Chung, J., Khalili, P., Marlow, E., Arora, V., Schumock, G., & Burt, R. (2010). Exploring the use of social network methods in designing healthcare quality improvement teams. Social Science & Medicine, 71(6), 11191130.CrossRefGoogle ScholarPubMed
Mendez, M. J., & Busenbark, J. R. (2015). Shared leadership and gender: All members are equal … but some more than others. Leadership & Organization Development Journal, 36(1), 1734.CrossRefGoogle Scholar
Mercer, D., Haddon, A., & Loughlin, C. (2018). Leading on the edge: The nature of paramedic leadership at the front line of care. Health Care Management Review, 43(1), 1220.CrossRefGoogle ScholarPubMed
Mesmer-Magnus, J. R., & DeChurch, L. A. (2009). Information sharing and team performance: A meta-analysis. Journal of Applied Psychology, 94(2), 535546.CrossRefGoogle ScholarPubMed
Mitchell, R., Boyle, B., Parker, V., Giles, M., Chiang, V., & Joyce, P. (2015). Managing inclusiveness and diversity in teams: How leader inclusiveness affects performance through status and team identity. Human Resource Management, 54(2), 217239.CrossRefGoogle Scholar
Mitchell, R., Parker, V., Giles, M., & Boyle, B. (2014). The ABC of health care team dynamics: Understanding complex affective, behavioral, and cognitive dynamics in interprofessional teams. Health Care Management Review, 39(1), 19.CrossRefGoogle ScholarPubMed
Molm, L. D., Collett, J. L., & Schaefer, D. R. (2007). Building solidarity through generalized exchange: A theory of reciprocity. American Journal of Sociology, 113(1), 205242.CrossRefGoogle Scholar
Muthén, L. K., & Muthén, B. O. (2014). MPlus (Version 7.4). Los Angeles, CA.Google Scholar
Myette, A. (2019). Now or Never: An urgent call to action for Nova Scotians. Nova Scotia Co-Operative Council. Nova Scotia, Canada. Retrieved December, 9, 2020 from http://www.novascotia.coop/it-is-now-or-never-an-urgent-call-to-action-for-all-nova-scotians/Google Scholar
Omar, Z., Zainal, A., Omar, F., & Khairudin, R. (2009). The influence of leadership behaviour on organisational citizenship behaviour in self-managed work teams in Malaysia: Original research. SA Journal of Human Resource Management, 7(1), 111.CrossRefGoogle Scholar
One Nova Scotia. (2014). Now or Never: An urgent call to action for Nova Scotians.Google Scholar
Pagel, M. D., Erdly, W. W., & Becker, J. (1987). Social networks: We get by with (and in spite of) a little help from our friends. Journal of Personality and Social Psychology, 53, 794.CrossRefGoogle ScholarPubMed
Piercy, N., Phillips, W., & Lewis, M. (2013). Change management in the public sector: The use of cross-functional teams. Production Planning & Control, 24(10–11), 976987.CrossRefGoogle Scholar
Podsakoff, P. M., Niehoff, B. P., MacKenzie, S. B., & Williams, M. L. (1993). Do substitutes for leadership really substitute for leadership? An empirical examination of Kerr and Jermier's situational leadership model. Organizational Behavior and Human Decision Processes, 54(1), 144.CrossRefGoogle Scholar
Rangus, K., & Slavec, A. (2017). The interplay of decentralization, employee involvement and absorptive capacity on firms' innovation and business performance. Technological Forecasting and Social Change, 120, 195203.CrossRefGoogle Scholar
Robbins, B., & Davidhizar, R. (2007). Transformational leadership in health care today. The Health Care Manager, 26(3), 234239.CrossRefGoogle ScholarPubMed
Robert, L. P. Jr, Dennis, A. R., & Ahuja, M. K. (2008). Social capital and knowledge integration in digitally enabled teams. Information Systems Research, 19(3), 314334.CrossRefGoogle Scholar
Sahlins, M. (1972). Stone age economics. New York: Aldine de Gruyter.Google Scholar
Sales, A. E., Estabrooks, C. A., & Valente, T. W. (2010). Study protocol The impact of social networks on knowledge transfer in long-term care facilities: Protocol for a study. Implementation Science, 5(49), 110.CrossRefGoogle ScholarPubMed
Scheuer, C. (2017). Maximizing the potential of age-diverse work groups and their leaders in contemporary workplaces. Unpublished dissertation, Saint Mary's University, Canada.Google Scholar
Scheuer, C. L., & Loughlin, C. (2020). Could the aging workforce reduce the agency penalty for female leaders? Re-examining the think manager–think male stereotype. Journal of Management & Organization, 26(1), 2951.CrossRefGoogle Scholar
Schriesheim, C., & Gardiner, C. (1992). An exploration of the discriminant validity of the leader-member exchange scale (LMX 7) commonly used in organizational research. Paper presented at the Southern Management Association, Valdosta, GA.Google Scholar
Scott, J. (1988). Social network analysis. Sociology, 22(1), 109127.CrossRefGoogle Scholar
Scott, J. (2000). Social network analysis: A handbook (2nd ed.). London, UK: Sage.Google Scholar
Scott, J., & Carrington, P. J. (Eds.). (2011). The SAGE handbook of social network analysis. London, UK: SAGE publications.Google Scholar
Serrat, O. (2017). Social network analysis knowledge solutions (pp. 3943). Singapore: Springer.CrossRefGoogle Scholar
Settoon, R. P., Bennett, N., & Liden, R. C. (1996). Social exchange in organizations: Perceived organizational support, leader–member exchange, and employee reciprocity. Journal of Applied Psychology, 81(3), 219.CrossRefGoogle Scholar
Silver, S., Randolph, W. A., & Seibert, S. (2006). Implementing and sustaining empowerment: Lessons learned from comparison of a for-profit and a nonprofit organization. Journal of Management Inquiry, 15, 4758.CrossRefGoogle Scholar
Sparrowe, R. T., Liden, R. C., Wayne, S. J., & Kraimer, M. L. (2001). Social networks and the performance of individuals and groups. Academy of Management Journal, 44(2), 316325.CrossRefGoogle Scholar
Statistics Canada. (2010). Estimates of population, by age group and sex for July 1, Canada, provinces and territories, annual Ottawa, ON: Government of Canada.Google Scholar
Tannenbaum, S. I., Mathieu, J. E., Salas, E., & Cohen, D. (2012). Teams are changing: Are research and practice evolving fast enough? Industrial and Organizational Psychology, 5(1), 224.CrossRefGoogle Scholar
Trastek, V. F., Hamilton, N. W., & Niles, E. E. (2014, March). Leadership models in health care – a case for servant leadership. In Mayo clinic proceedings (Vol. 89, No. 3, pp. 374381). Elsevier Inc. https://doi.org/10.1016/j.mayocp.2013.10.012.Google Scholar
Trybou, J., De Pourcq, K., Paeshuyse, M., & Gemmel, P. (2014). The importance of social exchange to nurses and nurse assistants: Impact on retention factors. Journal of Nursing Management, 22, 563571.CrossRefGoogle ScholarPubMed
van Beek, A. P., Wagner, C., Spreeuwenberg, P. P., Frijters, D. H., Ribbe, M. W., & Groenewegen, P. P. (2011). Communication, advice exchange and job satisfaction of nursing staff: A social network analyses of 35 long-term care units. BMC Health Services Research, 11(1), 140.CrossRefGoogle ScholarPubMed
Wagner, E. H. (2000). The role of patient care teams in chronic disease management. British Medical Journal, 320(7234), 569572.CrossRefGoogle ScholarPubMed
Walumbwa, F. O., Cropanzano, R., & Goldman, B. M. (2011). How leader–member exchange influences effective work behaviors: Social exchange and internal–external efficacy perspectives. Personnel Psychology, 64(3), 739770.CrossRefGoogle Scholar
Wasserman, S., & Faust, K. (1994). Social network analysis: Methods and applications. New York, NY: Cambridge University Press. http://dx.doi.org/10.1017/CBO9780511815478.CrossRefGoogle Scholar
Weiss, D., Tilin, F., & Morgan, M. J. (2016). The interprofessional health care team. Burlington, MA: Jones & Bartlett Learning.Google Scholar
Wellman, B. (1983). Network analysis: Some basic principles. Sociological Theory, 1, 155200.CrossRefGoogle Scholar
Wong, E. M., Ormiston, M. E., & Tetlock, P. E. (2011). The effects of top management team integrative complexity and decentralized decision making on corporate social performance. Academy of Management Journal, 54(6), 12071228.CrossRefGoogle Scholar
Yeatts, D. E., & Seward, R. R. (2000). Reducing turnover and improving health care in nursing homes: The potential effects of self-managed work teams. The Gerontologist, 40(3), 358363.CrossRefGoogle ScholarPubMed
Yun, S., Pearce, C., & Sims, H. (2000). Leadership, team OCB, collective efficacy and team performance. Paper presented at the Academy of Management, Toronto.Google Scholar
Zemljič, B., & Hlebec, V. (2005). Reliability of measures of centrality and prominence. Social Networks, 27(1), 7388.CrossRefGoogle Scholar
Zhao, H. (2015). Leader-member exchange differentiation and team creativity: A moderated mediation study. Leadership & Organization Development Journal, 36(7), 798815.CrossRefGoogle Scholar