Date of Conferral

2020

Degree

Ph.D.

School

Health Services

Advisor

Diana Naser

Abstract

Research studies have shown that organizational leadership and support affect organizational outcomes in many sectors, including healthcare. However, less is known about how organizational leadership influences the quality of patient care by physicians. This study was guided by the perceived organizational support theory and leader-member exchange theory that provide general understanding of how supportive leadership influences staff wellbeing and productivity. Ninety-five resident physicians residing in Lebanon participated in this cross-sectional study and completed an online survey, which consisted of demographics and five tools, namely, the Leader-Member Exchange 7, Perceived Organization Support 8, Maslach Burnout Inventory 7, Utrecht Work Engagement 9, and Quality of Care 10. This study aimed at examining the association between program director-resident relationship quality and residents’ reported quality of care, and the mediating effects of burnout and engagement, as well as the moderating effect of perceived departmental support. The strength and direction of each of these associations was assessed using ordinary least squares regression-based path analysis in Hayes PROCESS macro for SPSS. Results revealed that program director-resident relationship quality had significant indirect effect on residents’ suboptimal patient care practices and attitudes towards patients, through at least one of the wellbeing dimensions (p < .05). Perceived organizational support did not play a dominant role over program director-resident relationship quality. Our results may be used to promote positive social change, by improving residency program leadership practices, and thus supporting residents’ wellbeing and achieving important clinical health outcomes for patients.

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