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Abstract This study aims at identifying leadership styles prevailing in Middle Delta university hospitals, as well as identifying nurses’ level of job involvement. Also this study aims at exploring the nature of the relationship between leadership styles (transactional, transformational, and servant leadership) and nurses’ job involvement at the university hospitals under the research , as the research problem is that here is a low level of nurses’ job involvement, who are working in Middle Delta university hospitals, accompanied with the lack of sufficient awareness on the part of managers to the appropriate leadership styles that should be adapted to improve the level of nurses’ job involvement. The required primary data for this study was obtained through a questionnaire distributed over a sample of 500 nurses working in Middle Delta university hospitals (Menoufia university hospitals, Tanta university hospitals, and Mansoura university hospitals), and the response rate was about 83%. In order to test research hypotheses, the researcher employed appropriate statistical techniques such as descriptive statistics, and multiple discrimnant analysis technique to detect the extent of discrimination between university hospitals (Menoufia, Tanta, and Mansoura) according to both leadership styles prevailing in them and nurses’ level of job involvement. In addition, multiple correlation and regression analysis were used to identify the nature of the relationship between leadership styles (transactional, transformational, and servant leadership) and nurses’ level of job involvement at Middle Delta university hospitals. Further, the one-way analysis of variance was used to determine whether there are any differences in respondents’ attitudes concerning the level of job involvement in terms of their demographic characteristics (gender, age, marital status, educational level, and years of experience). The findings of this study revealed that there is a statistically significant discrimination between university hospitals under the research (Menoufia, Tanta, and Mansoura) according to the leadership styles prevailing in them, where Mansoura university hospitals were distinctive in both transformational and servant leadership styles, while Menoufia university hospitals were distinctive in transactional leadership style. IV Also, findings of this study indicated that there is a statistically significant discrimination between university hospitals under the research (Menoufia, Tanta & Mansoura) according to nurses’ level of job involvement, where the members of the nursing staff at the Menoufia university hospitals were more involved than their colleagues, and this can be traced to the transactional leadership style prevalent in these hospitals. In addition, results showed that there is a statistically significant positive relationship between leadership styles (transactional, transformational and servant leadership) and nurses’ job involvement at hospitals under the research, but transactional leadership was the most influential style in the nursing staff’s practice of job involvement, followed by transformational leadership, and then servant leadership. In particular, it was found that the most influential dimensions in the level of job involvement were contingent reward, active management by exception, idealized influence, inspirational motivation, service, and humility. Finally, results showed that there are significant differences among the respondents’ attitudes concerning the level of job involvement in terms of their age, educational level, and years of experience, where nurses who are older and have post graduate degree were more involved than others. Also nurses with work experience less than 5 years seem to have a better perception of job involvement than their colleagues. In light of the previous results, the present study presented a number of recommendations, the most important of which are that top management in health care sector must be concerned about continuously investing in leadership development programs in order to improve their leadership skills, in addition to urging administrative leaders to adopt the most appropriate and influential leadership styles in employees’ desirable attitudes such as transactional leadership style. The study also recommended that university hospitals should strive to create an appropriate work environment based on cooperation and taking into consideration the interests of the workers, in a way that does not conflict with the general welfare of hospitals, in such a way as to improve the level of the employees’ job involvement because it has a return on the quality of medical service provided to patients, |