The role of leader behaviors in hospital-based emergency departments' unit performance and employee work satisfaction

Soc Sci Med. 2011 Jan;72(2):238-46. doi: 10.1016/j.socscimed.2010.10.030. Epub 2010 Nov 20.


The role of the leader of a medical unit has evolved over time to expand from simply a medical role to a more managerial one. This study aimed to explore how the behavior of a hospital-based emergency department's (ED's) leader might be related to ED unit performance and ED employees' work satisfaction. One hundred and twelve hospital-based EDs in Taiwan were studied: 10 in medical centers, 32 in regional hospitals, and 70 in district hospitals. Three instruments were designed to assess leader behaviors, unit performance and employee satisfaction in these hospital-based EDs. A mail survey revealed that task-oriented leader behavior was positively related to ED unit performance. Both task- and employee-oriented leader behaviors were found to be positively related to ED nurses' work satisfaction. However, leader behaviors were not shown to be related to ED physicians' work satisfaction at a statistically significant level. Some ED organizational characteristics, however, namely departmentalization and hospital accreditation level, were found to be related to ED physicians' work satisfaction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel
  • Efficiency, Organizational
  • Emergency Service, Hospital / organization & administration*
  • Empirical Research
  • Humans
  • Interprofessional Relations
  • Job Satisfaction*
  • Leadership*
  • Medical Staff, Hospital / psychology*
  • Nursing Staff, Hospital / psychology*
  • Surveys and Questionnaires
  • Taiwan