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NUR7008 MASTER OF SCIENCE (MSC) HEALTHCARE LEADERSHIP THE IMPACT OF SERVANT LEADERSHIP ON EMPLOYEE MOTIVATION IN THE NURSING PROFESSION: A COMPREHENSIVE REVIEW FORMATIVE ASSIGNMENT: PRELIMINARY SYSTEMATIC REVIEW TABLE OF CONTENTS Introduction 3 Aims and Objectives 3 Research Question 3 Inclusion Criteria 3 Exclusion Criteria 4 Keywords 4 Literature Review 4 Conclusion 5 Reference List 6

Introduction Employee motivation is very important, especially in demanding occupations like nursing. In order to foster staff motivation and engagement, the nursing profession needs effective leadership. The nursing profession may be profoundly impacted by servant leadership, a type of leadership that puts workers' needs first and concentrates on their welfare. The aim of this preliminary systematic study is to investigate the effect of servant leadership on nurse staff motivation. Aims and Objectives The goal of this systematic study is to have a better understanding of the impact of servant leadership on employee motivation in the nursing profession. Objectives ● To investigate how servant leadership behaviors affect employee motivation in the nursing profession. ● To look at the function of work satisfaction as a moderator in the interaction between servant leadership and employee motivation in the nursing profession. ● To investigate the impacts of servant leadership on employee engagement and, as a result, motivation in the nursing profession. ● To identify the exact servant leadership practices or behaviors that have the greatest influence on employee motivation in the nursing profession. ● To evaluate possible moderating variables in the link between servant leadership and employee motivation in the nursing profession, such as organizational culture or nurse-patient ratios. Research Question ● RQ 1: How does servant leadership influence employee motivation in the nursing profession? ● RQ 2: To what extent does job satisfaction mediate the relationship between servant leadership and employee motivation in the nursing profession? ● RQ 3: What is the impact of servant leadership on employee engagement, and how does it subsequently affect employee motivation in the nursing profession? ● RQ 4: Which specific servant leadership practices or behaviors have the most significant impact on employee motivation in the nursing profession? ● RQ 5: Are there any moderating factors, such as organizational culture or nurse- patient ratios, that influence the relationship between servant leadership and employee motivation in the nursing profession? Inclusion Criteria Between 2011 and 2021, articles published in peer-reviewed journals will be included by this systematic review. Studies that look at the impact of servant leadership on staff motivation in the nursing field will be the focus. Participants in the studies mentioned should be nurses or other healthcare professionals. Work using quantitative, qualitative, or mixed-methods research methodologies will be considered in the review. It is crucial that the study provide precise operationalizations and definitions of employee motivation and servant leadership.

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Studies will be conducted in a range of healthcare facilities, including hospitals, clinics, and long-term care facilities. Only original research findings derived from the collection or analysis of primary data will be accepted. Exclusion Criteria Studies that were published before 2011 will not be included in the review to guarantee its relevance. The review will concentrate on current studies over the last ten years. Studies that don't specifically look at how servant leadership affects nurse employees' motivation will be disqualified. Additionally, research without nurses or other healthcare professionals among the participants won't be taken into consideration. Studies that mainly concentrate on other businesses or professions outside of healthcare will be excluded from the evaluation, which will only focus on the nursing profession. Studies that are not accessible in English will also be disqualified. Studies that don't provide enough information or analysis on servant leadership and employee motivation will also be disregarded. Finally, to guarantee the quality and rigor of the research, the review will only consider studies that have been published in peer-reviewed publications. Keywords ● Servant leadership ● Employee motivation ● Nursing profession ● Healthcare leadership ● Job satisfaction ● Employee engagement ● Organizational culture ● Nurse-patient ratios ● Healthcare settings ● Peer-reviewed journals Literature Review In the literature, there has been a lot of discussion on how servant leadership affects employee motivation in the nursing profession. Greenleaf (1970) popularized the idea of servant leadership by highlighting how crucial it is for leaders to put the needs of their followers first. Numerous studies have looked at the connection between employee motivation and servant leadership in different circumstances. As an example, Brohi et al. (2021) looked at how servant leadership affects the ability to foresee turnover intention, psychological safety, and confidence in leadership. They discovered that compassionate leadership, a trait of servant leadership, had a favourable impact on these results. Qiu and Dooley (2019) established as well as validated a multidimensional measure of servant leadership in the Chinese hospitality sector. The studies they conducted shed light on certain aspects of servant leadership, such as empowerment as well as humility, that have an influence on employee engagement. In a similar vein, Ghufran Ali Khan et al. (2022) investigated the impact of genuine leadership, which is comparable to servant leadership, on performance in the healthcare industry. In the context of trust and member-leader interchange, their results revealed that genuine leadership positively improved individual

performance. James et al. (2021) reviewed the literature on values-based leadership in the field of nursing. They emphasized the role of values-based leadership, such as servant leadership, in fostering worker motivation and ethical nursing decision-making. In addition, der Kinderen et al. (2020) investigated how civility in the workplace and servant leadership has a role in promoting eudaimonic well-being in mental healthcare organizations. In accordance with their research, servant leadership improved employee well-being as well as established a healthy work environment. Conclusion In a nutshell the preliminary systematic study attempts to investigate the influence of servant leadership on worker motivation in the nursing industry. The literature study emphasizes the value of servant leadership in impacting the results and well-being of employees. Studies have shown that servant leadership traits of compassion and authenticity have a favourable impact on trust, psychological safety, turnover intention, and individual performance. Servant leadership, which is founded on values, encourages moral decision-making and employee motivation. Additionally, servant leadership supports improved well-being and a supportive working environment. However, further investigation is required to pinpoint the precise servant leadership attitudes and practices that have the greatest influence on nursing staff motivation. It is essential to comprehend the moderating influences, including organizational culture and nurse-patient ratios. For healthcare executives looking to improve staff engagement and well-being in the nursing profession, this thorough assessment will provide insightful analysis and suggestions.

Reference List Greenleaf, R. K., 1970. The servant as leader. Robert K. Greenleaf Center. Brohi, N.A., Mehmood, S.A., Erri, M.A., Mushtaque, T., Shah, I.A. and Khuhro, M.A., 2021. Compassionate leadership is key to success: Role of servant leadership style in predicting employees trust in leadership, psychological safety, and turnover intention. Ilkogretim Online, 20(5), pp.5662-5672. Qiu, S. and Dooley, L., 2019. Servant leadership: Development and validation of a multidimensional measure in the Chinese hospitality industry. Leadership & Organization Development Journal, 40(2), pp.193-212. Ghufran Ali Khan, H., Anwar Khan, M., Iftikhar Ali, M., Salem, S., Rashid, S. and Zahur, H., 2022. Does authentic leadership influences performance of individuals in presence of trust and leader member exchange: An evidence from health care sector. Cogent Business & Management, 9(1), p.2119539. James, A.H., Bennett, C.L., Blanchard, D. and Stanley, D., 2021. Nursing and values‐based leadership: A literature review. Journal of Nursing Management, 29(5), pp.916-930. der Kinderen, S., Valk, A., Khapova, S.N. and Tims, M., 2020. Facilitating eudaimonic well- being in mental health care organizations: The role of servant leadership and workplace civility climate. International journal of environmental research and public health, 17(4), p.1173. Mostafa, A.M.S. and El-Motalib, E.A.A., 2019. Servant leadership, leader–member exchange and proactive behavior in the public health sector. Public Personnel Management, 48(3), pp.309-324.

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