Nurses ' Self-Leadership and Its Relation to Their Job Performance in Health Care Authority Hospitals in Port Said Governorate

Hawil, Magda Abdelmoaty

doi:10.21608/pssjn.2025.398273.1368

Nurses ' Self-Leadership and Its Relation to Their Job Performance in Health Care Authority Hospitals in Port Said Governorate

Document Type : Original Article

Author

Magda Abdelmoaty Hawil

Nursing Administration, faculty of Nursing, port said University

10.21608/pssjn.2025.398273.1368

Abstract

Background: In complex health institutions, Self-leadership abilities are crucial for accomplishing organizational performance objectives, such as productivity, patient safety, and efficiency. Aim: The present study aimed to; investigate nurses ' self-leadership and its relation to their job performance in health care authority hospitals in port said governorate Subjects and Methods: A descriptive cross-sectional research design was used to conduct the study. The present study was conducted at three hospitals; namely: Al-Zohor Hospital, As-Salam Hospital, and El- Hayah Hospital, which affiliated to Health Care Authority in Port Said Governorate. The study subjects consisted of 267 nurses. Two tools were used for data collection consisted of; Revised Self leadership Questionnaire (RSLQ) and Six-dimension Nursing Performance Scale (Six-D Scale). Results: 98.1% of nurses had high level of self-leadership, and overall, nurses demonstrate strong performance across all dimensions. Conclusion: strong correlation was found between self-leadership and job performance(P<0.05). Recommendations: Compare self-leadership levels among nurses in different healthcare systems or cultural contexts. And Study whether higher self-leadership in nurses correlates with improved teamwork, patient care, or reduced medical errors.

Keywords

Main Subjects

Nursing Administration

References

Al‐Ajarmeh, D. O., Rayan, A. H., Eshah, N. F., & Al‐Hamdan, Z. M. (2022). Nurse–nurse collaboration and performance among nurses in intensive care units. Nursing in Critical Care, 27(6), 747-755.

Avcı, N., & Kaya, G. (2021). The relationship of learned resourcefulness with self-leadership skills: A study with nurse and midwife students. Nurse Education Today, 107, 105125.

Bozyiğit, E. (2019). The importance of leadership education in university: Self-leadership example. International Education Studies,12‏(4)

Browning, M. (2018). Self-leadership: Why it matters. International Journal of Business and Social Science, 9(2), 14-18.‏

El-Gazar, H. E., & Zoromba, M. A. (2021). Nursing human resource practices and hospitals’ performance excellence: the mediating role of nurses’ performance. Acta Bio Medica: Atenei Parmensis, 92(Suppl 2), e2021022.

Goldsby, M. G., Goldsby, E. A., Neck, C. B., Neck, C. P., & Mathews, R. (2021). Self-leadership: A four-decade review of the literature and trainings. Administrative sciences, 11(1), 25.

Guo, Y. F., Lam, L., Plummer, V., Cross, W., & Zhang, J. P. (2020). A We Chat‐based “Three Good Things” positive psychotherapy for the improvement of job performance and self‐efficacy in nurses with burnout symptoms: A randomized controlled trial. Journal of Nursing Management, 28(3), 480-487.‏

Hajipour, N., Pouladi, S., Mahmoudi, M., & Akaberian, S. (2025). The relationship between professional self-concept and responsibility with nursing students’ clinical performance of Bushehr University of Medical Sciences. Journal of Education and Health Promotion, 14(1), 122.

Hamouda, G. M., &Abd El-Aliem, S. M. F. (2018). Evaluating Nursing Staff SL Traits. IOSR Journal of Nursing and Health Science,7(6),5661.

Huber, D. (2017). Leadership and nursing care management-e-book. Elsevier Health Sciences.‏

Inam, A., Ho, J. A., Sheikh, A. A., Shafqat, M., & Najam, U. (2023). How self-leadership enhances normative commitment and work performance by engaging people at work? Current Psychology, 42(5), 3596-3609.

Islam, S., Khatun, F., & Nesa, M. (2019). Job performance of clinical nurses at tertiary level hospital in Bangladesh. IOSR Journal of Nursing and Health Science, 8(5), 63-72.

Kayral, İ. H., & Dülger, D. (2019). The impact of self-leadership skills of healthcare employees on institutional performance and job performance. Journal of Basic and Clinical Health Sciences, 3(3), 145-150.‏

Krijgsheld, M., Tummers, L. G., & Scheepers, F. E. (2022). Job performance in healthcare: a systematic review. BMC Health Services Research, 22(1), 149.

Lipickytė, E., Sabaliauskas, S., & Klyčmuradov, M. (2023). The relationship between nurse leadership and emotional intelligence: a literature review. Slauga. Mokslas ir praktika, 4(6 (318)), 1-7.

Liu, J., Chitpakdee, B., & Akkadechanunt, T. (2020). Self-leadership of nurses in tertiary hospitals, yunnan province, the people’s republic of China. Nursing Journal CMU, 47(4), 483-495.

Liu, X., He, F., Tian, T., Guo, F., Zhang, J., & Zhong, Y. (2025). Ethical leadership and nurses’ job performance: the mediating role of self-compassion. Frontiers in Public Health, 12, 1535065.

Ma, H. (2023). Nurse Managers' Perceived Self-Leadership Levels: A Cross-sectional Study. JONA: The Journal of Nursing Administration, 10-1097.

Manz, C. C., & Sims Jr, H. P. (1980). Self-management as a substitute for leadership: A social learning theory perspective. Academy of Management review, 5(3), 361-367.‏

Neck, C. P., Manz, C. C., & Houghton, J. D. (2019). Self-leadership: The definitive guide to personal excellence. (2nd ed) Los Angeles and London Sage Publications.‏

Oweidat, I., Abu Shosha, G., Al-Harazneh, R., Al-Mugheed, K., Alzoubi, M., Saeed Alabdullah, A. A., & Farghaly Abdelaliem, S. M. (2025). Nurses’ perceptions of job security and performance: A comparative study between governmental and private hospitals. PloS one, 20(3), e0318412.

Prastito, F. P., Suminar, E., & Fitrianur, W. L. (2024). Exploring the Impact of Self-Leadership on Work Motivation and Nursing Performance. INNOVATION RESEARCH JOURNAL, 5(2), 131-142.

Pursio, K., Kvist, T., Kankkunen, P., & Fennimore, L. A. (2025). Self‐leadership and why it matters to nurses: A scoping review. International Nursing Review, 72(1), e70014.

Rosdi, I. S., Alias, M., & Ismail, N. (2020). What Drives Employee Performance? Revisiting the Human Performance System Model. Journal Pengurusan, 59.‏ 129-138.

Saed, M., & Alhusban, R. (2023, October). The Relationship Between Self-leadership and Job Performance Among Staff Nurses in Jordan. In Second International Nursing Conference" Nursing Profession in the Current Era"(INC 2023) (pp. 27-34). Atlantis Press.

Sullivan, E. J., & Decker, P. J. (1998). Effective leadership and management in nursing. AJN The American Journal of Nursing, 98(6), 16L.‏

Taha Mohamed, N., & Shoeib Ali, F. (2024). Effect of Work Environment on Staff Nurses' Perception of Self-Leadership and Attitudes Toward Safety Culture. Egyptian Journal of Health Care, 15(3), 524-539.

Van Scotter, J., Motowidlo, S. J., & Cross, T. C. (2000). Effects of task performance and contextual performance on systemic rewards. Journal of applied psychology, 85(4), 526-537

Waiyaki, E. W. (2017). Effect of motivation on employee performance: A case of Pam Golding Properties Limited, Nairobi (Doctoral dissertation, United States International University-Africa).‏

Zakir, S., Khan, S., & Siraj, D. (2023). Relationship between Self-Leadership and Academic Performance of Students: Empirical Evidence from Public Sector Universities in AJ&K. Pakistan Journal of Humanities and Social Sciences, 11(4), 4598-4604.