Nurses and midwives are a critical part of the healthcare team and make up the largest section of\nhealth professionals. Leadership styles are believed to be an important determinant of job satisfaction and retention\nmaking effective leadership within nursing and midwifery crucial to health systems success. In Rwanda, there are\ngaps in knowledge of managerial leadership styles of nurses and midwives and the influence of these styles on job\nsatisfaction and retention for nurses and midwives who report to them, as well as their influence on the provision\nof health services. This study describes the managerial leadership styles adopted by nurses/midwives and examines\nthe relationship between managerial leadership styles and job satisfaction, intention to stay, and service provision.\nMethods: The Path-Goal Leadership questionnaire was adopted and used to collect data on leadership styles while\nother questionnaires with high validity and reliability were used to collect data on job satisfaction, intention to stay\nand service provision. The study involved 162 full-time nurses and midwives practicing in 5 selected hospitals with\na minimum of 6 months of experience working with their current direct managers. Regression analysis was used to\ndraw conclusions on relationships between variables.\nResults: Nurses and midwives managers were more inclined to the directive leadership style followed by a\nsupportive leadership style, and the participative leadership style. The nurse and midwifeâ??s managerial leadership\nstyles together significantly explained 38, 10 and 23% of the variance in job satisfaction, intention to stay and\nservice provision, respectively.\nConclusion: The findings of this study indicate that managerial leadership styles play a substantial role in\nenhancing job satisfaction, intention to stay and service provision.\nThere is a need to develop a comprehensive formal\nprofessional continuous development course on leadership styles and ensure that all nurses and midwives\nmanagers benefit from this course prior to or immediately after being appointed as a manager. Having such a\ncourse may even prepare future leaders for their role early in their career. Effective leadership in nursing and\nmidwifery should be enhanced at all levels to improve the job satisfaction of nurses and midwives, address the\nissue of retention in their respective health facilities and strengthen service provision.
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