Sadra Medical Journal

Investigating the Relationship between Managers’ Leadership Style and Employees’ Individual Creativity and Organizational Culture in Selected Hospitals in Yazd

Document Type : Original Article

Authors

Fatemeh Molhasani 1
Seyyed Masood Mousavi 1
Sedighe Sadat Tabatabaei Far 2
Fatemeh Bustani 1

1 Health Policy and Management Research Center, Department of Health management and economics, School of Public Health Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 Student Research Committee, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

https://doi.org/10.30476/smsj.2025.102667.1537
Abstract
Introduction: Given that an organization’s most valuable asset is its creative workforce as a competitive advantage, this study aimed to examine the relationship between employees’ individual creativity and both organizational culture and managers’ leadership styles in selected hospitals of Yazd during 2023.
Methods: This study employed a descriptive cross-sectional design with a correlational approach. The study population included administrative staff, nurses, and general practitioners who worked at selected hospitals in Yazd (Iran). Using stratified random sampling, 278 participants were recruited. Data were collected through three validated questionnaires assessing leadership styles, individual creativity, and organizational culture. Data analysis was performed using regression analysis in SPSS software (version 25).
Results: The mean organizational culture score was 51.70±15.33, while individual creativity averaged 45.56±5.50. Notably, 60.8% of participants demonstrated moderate creativity levels. Transformational leadership was identified as the predominant style. Positive correlations were observed between leadership style and both individual creativity and organizational culture. A statistically significant positive correlation was identified between leadership style, individual creativity, and organizational culture. Furthermore, organizational culture scores positively predicted individual creativity (P<0.001), suggesting a potential mediating relationship.
Conclusion: The study established significant relationships between leadership styles, employees’ individual creativity, and organizational culture. Consequently, by implementing effective leadership styles, organizational managers could foster employee growth and innovation, enhance their performance, and ultimately improve organizational productivity and healthcare service quality.

Keywords

Leadership
organizational culture
Creativity
 Personnel
Hospital
  1. Shams AH, Masoumiam P. The Influence of Transformational Leadership on the Creativity of the Employees (Case study: The Institute for Management and Planning Studies (IMPS) Tehran employees). Iranian Rubber Magazine. 2016;20(82):49-62. [Persian].
  2. Mosadeghrad AM, Saadati M. The Relationship between Organizational Culture and Employees’ Creativity in Qazvin City Hospitals. Management Strategies in Health System. 2018;3(1):56-68.
  3. Pirayesh R, Rastegarnia H, Alilou F. Investigating the Impact of Leadership Styles and Feedback Behavior on Employee Creativity Growth with the Mediating Role of Communication Mechanism (in Public Clinics of Zanjan City). Journal of Hospital. 2023;22(2):71-83.
  4. Akradlou M, Hosseini Shakib M, Khamseh A. Investigating the Effect of Leadership Styles on The Innovation Climate and Creativity of Employees with The Moderating Role of Creative Self-Efficacy and The Mediating Role of Trust and Individual Identity. Journal of Sustainable Human Resource Management. 2021;3(4):38-7.
  5. Saeed H, Som HM, Mahmood R. Leadership styles, organizational culture, and innovation in healthcare: A conceptual framework. International Journal of Academic Research in Business and Social Sciences. 2022;12(8):1390-408.
  6. Juliana NO, Hui HJ, Clement M, Solomon EN, Elvis OK. The impact of creativity and innovation on entrepreneurship development: evidence from Nigeria. Open Journal of Business and Management. 2021;9(4):1743-70.
  7. Xie Y, Xue W, Li L, Wang A, Chen Y, Zheng Q, et al. Leadership style and innovation atmosphere in enterprises: An empirical study. Technological Forecasting and Social Change. 2018;135:257-65.
  8. Khoshakhlagh A, Shafizadeh H. The study of the Relationship between Transformational Leadership and Creativity with Self-Regulated Learning among the Employees of Islamic Azad University, Science and Research Branch of Tehran. 2020.
  9. Seltzer K, Bentley T. The creative age: Knowledge and skills for the new economy: Demos;
  10. Ahmadi SAA, Masiha AM. The Relationship between Leadership Style and Employee Creativity with Mediating Role of Organizational Culture in the Social Security Insurance Organization of Tehran.
  11. Dinh JE, Lord RG, Gardner WL, Meuser JD, Liden RC, Hu J. Leadership theory and research in the new millennium: Current theoretical trends and changing perspectives. The leadership quarterly. 2014;25(1):36-62.
  12. Dargahi H, Rajabnezhad Z, Reshadatjo H. The relationship between transformational leadership managers and organizational commitment of staff In Tehran University of Medical Sciences. Journal of Health Based Research. 2016;2(2):133-46.
  13. Taleghani G, Salmani D, Taatian A. Survey of leadership styles in different cultures. Interdisciplinary Journal of Management Studies (Formerly known as Iranian Journal of Management Studies). 2010;3(3):91-111.
  14. Dessein W, Santos T. Managerial style and attention. American Economic Journal: Microeconomics. 2021;13(3):372-403.
  15. Bogler R, Caspi A, Roccas S. Transformational and passive leadership: An initial investigation of university instructors as leaders in a virtual learning environment. Educational Management Administration & 2013;41(3):372-92.
  16. Mesu J, Sanders K, Riemsdijk Mv. Transformational leadership and organisational commitment in manufacturing and service small to medium-sized enterprises: The moderating effects of directive and participative leadership. Personnel Review. 2015;44(6):970-90.
  17. Pearce CL. The future of leadership development: The importance of identity, multi-level approaches, self-leadership, physical fitness, shared leadership, networking, creativity, emotions, spirituality and on-boarding processes. Human Resource Management Review. 2007;17(4):355-9.
  18. Burke S, Collins KM. Gender differences in leadership styles and management skills. Women in management review. 2001;16(5):244-57.
  19. Antonakis J, Avolio BJ, Sivasubramaniam N. Context and leadership: An examination of the nine-factor full-range leadership theory using the Multifactor Leadership Questionnaire. The leadership quarterly. 2003;14(3):261-95.
  20. Bass BM. From transactional to transformational leadership: Learning to share the vision. Organizational dynamics. 1990;18(3):19-31.
  21. Mumford MD, Scott G, Hunter ST. Theory–Charismatic, ideological, and pragmatic leaders: How do they lead, why do they lead, and who do they lead. Pathways to outstanding leadership: A comparative analysis of charismatic, ideological, and pragmatic leadership. 2006:25-50.
  22. Djigic G, Stojiljkovic S. Classroom management styles, classroom climate and school achievement. Procedia-Social and Behavioral Sciences. 2011;29:819-28.
  23. Shafi M, Lei Z, Song X, Sarker MNI. The effects of transformational leadership on employee creativity: Moderating role of intrinsic motivation. Asia Pacific Management Review. 2020;25(3):166-76.
  24. Pirmoon P, Hamidi N, Mohammadi N, Doroudi H. Analysis of the importance-performance of creativity drivers in the health sector employees. Journal of Health Administration. 2021;23(4):30-9.
  25. Saadati M. The Relationship between managers’ leadership style and employees’ creativity in Qazvin hospitals. Journal of Hospital. 2016;15(1):101-10.
  26. Redmond MR, Mumford MD, Teach R. Putting creativity to work: Effects of leader behavior on subordinate creativity. Organizational behavior and human decision processes. 1993;55(1):120-51.
  27. Mumford MD, Zaccaro SJ, Harding FD, Jacobs TO, Fleishman EA. Leadership skills for a changing world: Solving complex social problems. The leadership quarterly. 2000;11(1):11-35.
  28. BARATI MA, GHADERI A, GOUHARI MR, SADEGHI A. A study on organizational culture at Hashemi Nezhad hospital, based on Denison model (Tehran 2009). 2010;13(40):63-72.
  29. Mosadeghrad AM, Parsaeian M, Hedayati P. Organizational culture of hospitals affiliated to Tehran University of Medical Sciences. Payesh (Health Monitor). 2023;22(4):375-85.
  30. Thokozani S, Maseko B. Strong vs. weak organizational culture: Assessing the impact on employee motivation. Arabian Journal of Business and Management Review. 2017;7(1):2-5.
  31. Weng RH, Huang CY, Chen LM, Chang LY. Exploring the impact of transformational leadership on nurse innovation behaviour: a cross-sectional study. J Nurs Manag. 2015;23(4):427-39.
  32. Skogstad A, Einarsen S, Torsheim T, Aasland MS, Hetland H. The destructiveness of laissez-faire leadership behavior. J Occup Health Psychol. 2007;12(1):80-92.
  33. Gumusluoglu L, Ilsev A. Transformational leadership, creativity, and organizational innovation. Journal of business research. 2009;62(4):461-73.
  34. Hayati Y, Movahed E, Arab M. Assessing the status of managers’ leadership style and its relationship with mental health staff of hospitals affiliated to Tehran University of Medical Sciences in 2014. Journal of Hospital. 2017;16(1):55-62.
  35. Ghaedamini Harouni A, Ebrahimzadeh Dastjerdi R, Sadeghi M, Maharani Barzani M. Identifying the Structural Model of the Relationship between Organizational Culture (Hofstede Model) and Leadership Styles (Hersey and Blanchard Model) with Knowledge Management in Faculty Members of Isfahan Islamic Azad University (Khorasgan). Knowledge Retrieval and Semantic Systems. 2023;10(34):59-97.
  36. Al Khajeh EH. Impact of leadership styles on organizational performance. Journal of human resources management research. 2018;2018(2018):1-10.
  37. Hakimi I. Explaining the role of organizational culture in the relationship between transformational leadership and development of human capital in oil product distribution company of Kerman region. Journal of Iranian Public Administration Studies. 2019;2(4):73-99.
Sadra Medical Journal
Volume 13, Issue 3
Summer 2025
Pages 630-644

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