Leader-member exchange and innovative work behaviors in healthcare organization: a systematic literature review


  • Surang Wimonthada Ph.D. Candidate in Nursing Management, Christian University of Thailand
  • Phechnoy Singchangchai College of Nursing Science, Christian University of Thailand
  • Kannikar Chatdokmaiprai College of Nursing Science, Christian University of Thailand


leader-member exchange, innovative work behavior, healthcare organization, systematic literature review


        The purpose of this study was to synthesize influence of leader-member exchange on innovative work behaviors from empirical evidence found in 14 research papers published in national and international databases. Inclusion criteria were 1) research reports on leader-member exchange and innovative work behaviors, 2) research reports published in peer-reviewed journals, and 3) quantitative reports published during 2010-2019. Research instruments consisted of general data records of characteristics of research reports, standard quality assessment form for research papers based on the PRISMA 2009 statement, and Kmet et al’s quality assessment form for research reports.  The inter-rater reliability evaluated by calculating the scores given by two inter-raters was 87% (the value was set at 80%), and evaluation of inter-rater reliability using Kappa statistics was found to have consistency (k = 0.083, p = .41).

        The study found that most of the research reports were quantitative (n=14). Most of the study sites were in the private sectors (n=10), followed by the government sectors (n=2), and in hospitals (n=2). The theory mostly used in the studies was leader-member exchange (n=12). Moreover, leader-member exchange was found to be associated with and had direct influence on most innovative work behaviors (n=9).

        This study points out that there were very limited numbers of studies about leader-member exchange and innovative work behaviors in the nursing context. This study could be used to expand the body of knowledge in order to develop and manage innovations in the context of nursing organizations.


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