ArticleJournal of healthcare leadership2024
The Mayo Leadership Impact Index Adapted for Matrix Leadership Structures: Initial Validity Evidence.
Article in Journal of healthcare leadership, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Beyond Burnout: Workplace Social-Cultural Factors Linked to Intention to Leave Among Physicians.Journal of general internal medicine · 2026Article
- A Self-Determination Perspective in Healthcare: Leader-Member Exchange and Job Satisfaction in an Italian Sample.Healthcare (Basel, Switzerland) · 2026Article
- Factors Influencing Perceived Mental Health Service Needs, Self-reported Utilization, and Barriers to Care Among Health System Faculty and Staff.Journal of occupational and environmental medicine · 2026Article
- Short-Form Measures of Well-Being Centered Leadership for Matrixed Healthcare Systems.Journal of healthcare leadership · 2026Article
- Association of well-being-centered leadership with burnout and professional fulfillment among physicians: mediating effects of autonomy support and self-valuation.Leadership in health services (Bradford, England) · 2025Article
- Enhancing a Faculty Development Program: Identifying and Addressing Leadership Skill Gaps Using an Established Leadership Framework.Journal of healthcare leadership · 2025Article
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Authors and funding
6 authors.
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Abstract
Importance: Physician burnout has reached crisis levels. Supportive leadership is one of the strongest drivers of physician well-being, and monitoring supervisor support is key to developing well-being focused leadership skills. Existing measures of leader support were designed within "direct report" supervision structures limiting their applicability to matrixed leadership reporting structures where direct reports are not the predominant norm. Antecedently, no measure of leadership support is validated specifically for implementation in matrixed leadership structures. Objective: Adapt and validate the Mayo Leadership Impact Index (MLII) for settings with matrixed leadership structures. Design: A psychometric validation study utilizing classical test theory and item response theory. Setting: A tripartite hospital system in the southwestern US. Participants: Physician-respondents to a 2023 cross-sectional survey. Main Outcomes and Measures: After pilot testing, the adapted MLII was examined using a unidimensional graded response model and confirmatory factor analyses. Convergent validity was investigated via correlations with professional fulfillment, perceived autonomy support, self-valuation, and peer connectedness/respect. Divergent validity was tested via correlations with burnout. Results: Of the three candidate revisions of the MLII, the 9-item adaptation was selected for its superior validity/reliability indices. Standardized Cronbach's and Ordinal alpha coefficients were 0.958 and 0.973, respectively. CFA loadings exceeded 0.70 (p < 0.001), and coefficients of variation (R Conclusions and Relevance: The findings provide evidence of the adapted MLII's validity, reliability, and appropriateness for implementation within matrixed leadership settings. Prior to this study, no leadership support measure had been validated for use among the growing number of healthcare systems with matrixed leadership reporting structures.
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