The Effect of Nurses ‘Leadership Behavior on the Quality of Nursing Care and Patient Outcomes

Akbıyık, Ayşe; Korhan, Esra Akın; Kıray, Servet; Kırşan, Merve

doi:10.1891/1078-4535.26.1.e8

Cited by 25 publications

(37 citation statements)

References 31 publications

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“…In other words, nurses who work under an authentic nurse manager are more likely to report fewer adverse events and increased care quality. This result is an affirmation of earlier studies whereby effective leadership, including authentic leadership, has been strongly attributed to higher satisfaction ratings in patients and desirable patient care outcomes (Akbiyik et al., 2020; Lavoie‐Tremblay et al., 2016). This pattern of influence is somewhat expected as effective leaders, including those who practice authentic leadership, are able to create a positive and empowering work climate for professional nursing practice, leading to reduced patient care errors and adverse events (Alilyyani et al., 2018; Malik et al., 2016).…”

Section: Discussionsupporting

confidence: 84%

Authentic leadership, nurse‐assessed adverse patient events and quality of care: The mediating role of nurses' safety actions

et al. 2021

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Background Authentic leadership has been consistently cited as a strong precursor of sustained job performance and work effectiveness in nurses; however, studies linking authentic leadership with nurses' safety actions, nurse‐assessed adverse patient events and nursing care quality are scarce. Aim To examine whether nurses' safety actions mediate the relationship between authentic leadership, nurse‐assessed adverse events and nursing care quality. Methods A multi‐centre, cross‐sectional study involving 1,608 nurses employed in acute care facilities in Oman. Multi‐stage regression analysis was conducted in testing for the mediation model. Findings Nurse managers in Oman were perceived to be highly authentic by their staff nurses. Authentic leadership significantly predicted nurses' safety actions (β = 0.168, p < .001), decrease in nurse‐assessed adverse events (β = −0.017, p = .024) and increase in care quality (β = 0.121, p < .001). Further, the association between authentic leadership and nurse‐assessed adverse events (β = −0.063, p = .057) and care quality (β = 0.038, p = .002) was mediated by nurses' safety actions. Conclusion Results suggest the importance of developing nurse managers' authentic leadership to foster nurses' safety actions and reduce adverse patient outcomes and promote nursing care quality. Implications for nursing management Organizational efforts to address patient safety issues should be directed towards developing authentic leadership in nurse managers through leadership programmes, periodic evaluation of leadership competencies (e.g., 360‐degree or a bottom‐up performance evaluation), and a creation of a safe culture in which nurses can openly report safety concerns for corrective action.

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Section: Discussionsupporting

confidence: 84%

Authentic leadership, nurse‐assessed adverse patient events and quality of care: The mediating role of nurses' safety actions

et al. 2021

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“…Regarding the positive functions of leadership and management competencies of nurse leaders, a growing body of researches have shown their contribution on patient outcomes and nursing workforce outcomes, including better patient satisfaction (Akbiyik et al, 2020; Andrews et al, 2012), work engagement (Manning, 2016), performance (Lega et al, 2013), quality of care (Alloubani et al, 2019) and fewer adverse events related to patient safety (Wong et al, 2013), turnover rate (Almutairi & Bahari, 2021; Suliman et al, 2020) and job stress (Cummings et al, 2018). The results of the above studies all suggest the importance and necessity of mastering leadership and management competencies for nurse leaders.…”

Section: Introductionmentioning

confidence: 99%

Developing a leadership and management competency framework for nurse champion: A qualitative study from Shanghai, China

Zhang

Zhou

et al. 2022

J Nursing Management

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Aim: To develop a leadership and management competency framework applicable to Chinese nurse champions guided by the competency matrix for clinical nurse leader (CNL). Background: As the clinical leaders and future nurse manager candidates in the Chinese clinical setting, nurse champions are in great need of leadership and management competency training, but it is unclear what content should be included in the training curriculum, a guiding framework applicable to Chinese nurse champions was needed to be constructed. Methods: This study used a qualitative descriptive design to explore nurse champions' competency requirements from clinical nurse managers' perspective. Semistructure interviews guided by the CNL competency matrix were conducted with 27 clinical nurse managers from six large-scale tertiary grade A hospitals in Shanghai, China. Interview transcripts were analysed using deductive and inductive content analysis.Results: The data analysis yielded three main categories: nursing leadership, clinical outcome management and care environment management, containing 14 subordinate themes, which represent the leadership and management competencies needed for nurse champions.Conclusions: A leadership and management competency framework for Chinese nurse champion was built in this study, which covering the competencies needed by Chinese nurse champions to lead care teams, improve quality of care for patient outcomes and enhance systems and equipment for the better care environment. This framework will be the direct basis for guiding the development of the nurse leadership curriculum for driving nurse champion to achieve role success.Implications for nursing management: This framework provides a theoretical foundation for clarifying the role of nurse champion in clinical management. Training curriculum guided by this framework will help nurses in their clinical management role and share the burden of clinical nursing managers, as well as promote the

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“…One of the main goals of contemporary health care institutions is to ensure a high quality of the services provided. Quality is perceived as the key determinant of attractiveness of services and products as well as of providers' competitiveness [1,2]. The quality of care is assessed both by service providers, i.e.…”

Section: Introductionmentioning

confidence: 99%

Parental satisfaction with nursing professionalism in paediatric surgical departments – a preliminary report

Kruszecka-Krówka¹,

Cepuch²,

Twarduś³

et al. 2021

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Introduction: Nurses' professionalism is an important component of the assessment of childcare quality during hospitalisation. Aim of the research: Assessment of parental satisfaction with the professionalism of nursing care in paediatric surgical departments. Material and methods:The cohort study was conducted in a group of 127 parents of children hospitalised in surgical departments. The Polish adaptation of the Emphatic questionnaire and the original questionnaire were applied in the study. Results:The median of overall parental satisfaction with child nursing professionalism was 4. 3 (3.8; 4.7). A low level of satisfaction with nursing care in the specific criteria was observed only for The nurse introduced herself by name: 2.0 (1.0; 3.0). Statistical significance was demonstrated between the overall level of parental satisfaction with care regarding Professional Attitude and the reason of the child's hospitalisation (p = 0.017) as well as the number of children in a family (p = 0.001). The child's developmental stage, the mode of admission to hospital, and the parents' sex differentiated parental satisfaction regarding selected components of the professionalism of nursing care (p < 0.05). The strongest relationships were demonstrated between the level of overall satisfaction for Professional attitude and the satisfaction level for the specific criterion The nurse greeted the parents/guardians kindly at admission/visits (rho = 0.803). Conclusions: A high level of parental satisfaction with nurses' professionalism was observed. The optimization of care is especially needed in the area of nurses introducing themselves. The determinants of the level of overall satisfaction were as follows: the reason for hospitalisation, the number of children in a family, and the attitude of the nursing team. StreszczenieWprowadzenie: Profesjonalizm pielęgniarek jest istotnym elementem oceny jakości opieki nad dzieckiem w czasie hospitalizacji. Cel pracy: Ocena satysfakcji rodziców z profesjonalizmu opieki pielęgniarskiej na oddziałach chirurgii dziecięcej. Materiał i metody: Badanie kohortowe przeprowadzono w grupie 127 rodziców dzieci hospitalizowanych na oddziałach chirurgii dziecięcej. W badaniu wykorzystano kwestionariusz Empathic autorstwa Latour i wsp. w polskiej adaptacji, a także kwestionariusz autorski. Wyniki: Mediana poziomu ogólnej satysfakcji rodziców z profesjonalizmu opieki pielęgniarskiej wyniosła 4,3 (3,8; 4,7). Niski poziom satysfakcji rodziców w zakresie kryteriów szczegółowych wykazano jedynie dla kryterium Pielęgniarka przedstawiła się z imienia i nazwiska: 2,0 (1,0; 3,0). Stwierdzono istotność statystyczną pomiędzy poziomem ogólnej satysfakcji rodziców z opieki pielęgniarskiej w kryterium Profesjonalizm/Profesjonalne podejście a przyczyną hospitalizacji dziecka (p = 0,017) oraz liczbą posiadanych dzieci (p = 0,001). Okres rozwojowy dziecka, tryb przyjęcia dziecka do szpitala, a także płeć rodziców istotnie statystycznie różnicowały satysfakcję w wybranych elementach profesjonalizmu opieki pielęgniarskiej ...

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The Effect of Nurses ‘Leadership Behavior on the Quality of Nursing Care and Patient Outcomes

Cited by 25 publications

References 31 publications

Authentic leadership, nurse‐assessed adverse patient events and quality of care: The mediating role of nurses' safety actions

Authentic leadership, nurse‐assessed adverse patient events and quality of care: The mediating role of nurses' safety actions

Developing a leadership and management competency framework for nurse champion: A qualitative study from Shanghai, China

Parental satisfaction with nursing professionalism in paediatric surgical departments – a preliminary report

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