ReviewBMJ open2020
The effect of leadership on public service motivation: a multiple embedded case study in Morocco.
Review in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Social Representations of Healthcare Organisational Models and Professional Practice Among Public-Sector Physicians and Nurses in Portugal: A Prototypical Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Understanding the mediating role of pharmaceutical policymaking attitudes between personal attributes and public service motivation.Exploratory research in clinical and social pharmacy · 2026Article
- Building on Self-Determination Theory to Unravel the Motivational Drivers of Nurses and Rehabilitation Therapists in a Moroccan University Hospital: A Qualitative Study.Nursing reports (Pavia, Italy) · 2026Article
- How Organisational and Socio-Cultural Contexts Shape Healthcare Workers' Intrinsic, Prosocial, and Public Service Motivation in Africa: A Scoping Review.International journal of health policy and management · 2025Article
- Article
- Individual, organizational and system circumstances, and the functioning of a multi-country implementation-focused network for maternal, newborn and child health: Bangladesh, Ethiopia, Malawi, and Uganda.PLOS global public health · 2023Article
- The effects of positive leadership on quality of work and life of family doctors: The moderated role of culture.Frontiers in psychology · 2023Article
- Public Service Motivation and Determining Factors to Attract and Retain Health Professionals in the Public Sector: A Systematic Review.Behavioral sciences (Basel, Switzerland) · 2022Review
- How medical dominance and interprofessional conflicts undermine patient-centred care in hospitals: historical analysis and multiple embedded case study in Morocco.BMJ global health · 2021Article
- How does social support affect public service motivation of healthcare workers in China: the mediating effect of job stress.BMC public health · 2021Article
- Unravelling the role of leadership in motivation of health workers in a Moroccan public hospital: a realist evaluation.BMJ open · 2020Article
- Programme theory and linked intervention strategy for large-scale change to improve hospital care in a low and middle-income country - A Study Pre-Protocol.Wellcome open research · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed at exploring the underlying mechanisms and contextual conditions by which leadership may influence 'public service motivation' of health providers in Moroccan hospitals.
designWe used the realist evaluation (RE) approach in the following steps: eliciting the initial programme theory, designing the study, carrying out the data collection, doing the data analysis and synthesis. In practice, we adopted a multiple embedded case study design. SETTINGS: We used purposive sampling to select hospitals representing extreme cases displaying contrasting leadership practices and organisational performance scores using data from the Ministry of Health quality assurance programmes from 2011 to 2016.
participantsWe carried out, on average, 17 individual in-depth interviews in 4 hospitals as well as 7 focus group discussions and 8 group discussions with different cadres (administrators, nurses and doctors). We collected relevant documents (eg, performance audit, human resource availability) and carried out observations.
resultsComparing the Intervention-Context-Actor-Mechanism-Outcome configurations across the hospitals allowed us to confirm and refine our following programme theory: "Complex leaders, applying an appropriate mix of transactional, transformational and distributed leadership styles that fit organisational and individuals characteristics [I] can increase public service motivation, organisational commitment and extra role behaviours [O] by increasing perceived supervisor support and perceived organizational support and satisfying staff basic psychological needs [M], if the organisational culture is conducive and in the absence of perceived organisational politics [C]".
conclusionsIn hospitals, the archetype of complex professional bureaucracies, leaders need to be able to balance between different leadership styles according to the staff's profile, the nature of tasks and the organisational culture if they want to enhance public service motivation, intrinsic motivation and organisational commitment.
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