Nursing Leadership Models in Promoting and Improving Patient’s Safety Culture in Healthcare Facilities; A Systematic Review

Abstract

Background: Nurse leader has an important role in encouraging patient’s safety culture among nurses in the healthcare system. This literature review aims to identify the nursing leadership model and to promote and improve patient safety culture to improve patient outcomes in health care facilities including hospitals, primary health care, and nursing home settings.
 Methods: Searching appropriate journals through some journal databases were applied including DOAJ, GARUDA, Google Scholar, MDPI, Proquest, Pubmed, Sage Journals, ScienceDirect, and Wiley Online Library, which were published from 2015 to 2020.
 Results: Fourteen articles meet the criteria and are included in this review. The majority of these articles were retrieved from western countries, the US, Canada, and Finland. This review identifies three nursing leadership models that seem useful to promote and improve patient safety culture in health care facilities which are transformational, authentic, and ethical leadership models.
 Conclusion: The patient safety influences health care outcomes. The evidence shows the leadership has positive relation to patient satisfaction and patient safety outcomes improvement. The transformational, authentic, and ethical leadership models seem to be more useful in promoting, maintaining, and improving patient safety culture in health care facilities.

Enhancing Patient Safety Through Leadership: A Comprehensive Literature Review on the Role of Head Nurses in Hospital Settings

“…In the context of the twenty-eight methodologically rigorous qualitative and quantitative studies, the significance of the transformative leadership style in ensuring patient safety is emphasised. Two authors presented favourable outcomes concerning the authentic leadership style (Yodang & Nuridah, 2020;Labrague et al, 2021), while findings regarding the task-oriented leadership style were equivocal (O'Donovan et al, 2021). Within the confines of this study, four principal themes were discerned to elucidate the influence of leadership style on patient outcomes.…”

“…Seven literature reviews were included (n = 7). Of the twenty-two research studies, eight were qualitative in nature (Murray et al, 2018;Fowler et al, 2021;Yodang & Nuridah, 2020;O'Donovan et al, 2021;Ferreira et al, 2022;Liukka et al, 2018;Wang & Dewing, 2020;Renolen et al, 2020), while the rest were quantitative.…”

“…To further our understanding of the vital role of leadership in enhancing patient safety, the following details research gaps and future directions that warrant attention: (1) to investigate the specific mechanisms through which transformational leadership, authentic leadership, and other leadership styles impact safety culture, nurse behaviour, and patient outcomes (Grubaugh & Flynn, 2018;Fowler et al, 2021); (2) to explore the effectiveness of different leadership interventions and strategies for enhancing patient safety and promoting a culture of safety in various healthcare contexts (Seljemo et al, 2020;Wang and Dewing, 2020); (3) to understand how leadership styles, including transformational leadership, impact the engagement and satisfaction of healthcare staff, and how these factors influence patient care quality and safety (Chen et al, 2021;Yodang & Nuridah, 2020);…”

A qualitative descriptive study of effective leadership and leadership development strategies used by nurse leaders in European island countries

“…According to Brown (2018), is it important for leaders to have conversations about cultural norms and differences because different cultural messages and expectations can corrode trust and psychological safety. Several papers address nurse leadership influence on the organizational culture (Yodang & Nuridah, 2020), but few have considered or compared if there is an ethnic cultural influence on the nurse leader development and leadership strategies.…”