Behavioural criteria of managerial and leadership effectiveness within Egyptian and British public sector hospitals: an empirical case study and multi-case/cross-nation comparative analysis

This paper reports the results of a study of managerial and leadership effectiveness carried out within an Egyptian public sector hospital in which concrete examples of ‘effective’ and ‘least effective/ineffective’ manager and managerial leader behaviour, as observed by superiors, peers and subordinates, were collected using the critical incident technique. These critical incidents were then content analyzed to identify a smaller number of discrete behavioural statements and criteria of effectiveness. The paper also reports the results of a subsequent comparative analysis of these Egyptian findings against equivalent behavioural criteria that emerged from studies in two different British NHS Trust hospitals. This latter multi-case/cross-nation study revealed high degrees of overlap, commonality, and relative generalization across all three organizations. The results lend strong empirical support to those who believe in ‘generic’ and ‘universalistic’ explanations of the nature of managerial and leadership effectiveness.