Underlying influence of perception of management leadership on patient safety climate in healthcare organizations – A mediation analysis approach

Abstract

Our findings point to the importance of management leadership and the mechanism of its influence on safety climate. To improve safety climate, the implication is that commitment by management on leading safety improvement needs to be demonstrated when it implements daily supportive actions for other safety dimensions. For future improvement, development of a management system that can facilitate two-way trust between management and staff over the long term is recommended.

What is the role of transformational leadership, work environment and patient safety culture for person‐centred care? A cross‐sectional study in Norwegian nursing homes and home care services

“…This might partly be because employees' stress levels and workload reduce their possibilities of spending time with and connect with the patients (Bishop & Macdonald, 2014). Previous studies show that managers influence the patient safety culture through their impact on work environmental factors (Boamah et al, 2018;Weng, Kim, & Wu, 2017), and based on our findings we can assume the same accounts for per- is possible to implement and practice. A number of studies show that the staff-patient relationship, having enough time to get to know the patients and good communication among employees, staff and next of kin are all key for patient-centred care (Angel & Frederiksen, 2015;Oxelmark, Ulin, Chaboyer, Bucknall, & Ringdal, 2018;Ree et al, 2020;Vennik, van de Bovenkamp, Putters, & Grit, 2016 (Johannessen, Ree, Aase, Bal, & Wiig, 2020;.…”

Factors related to the patient safety climate in an emergency hospital

“…There are several factors that influence the patient safety climate (16)(17)(18) . The following can be mentioned: the perception of the professionals regarding the management, that is, the degree of approval of the teams in relation to the managerial actions; team work that addresses the quality of collaboration among the staff; workplace satisfaction, which is the degree to which people feel positive in their work experience and working conditions, defined by the quality of the work environment and logistical support (19) . In addition, the workload, professional exhaustion and the intention to leave the workplace affect the quality of care provided to patients by the nursing professionals (20) .…”

Patient safety climate from the nursing perspective

“…An unfavorable or low patient safety climate may be related to higher rates of complications and incidents involving the increased occurrence of Adverse Events (AE), medication errors, readmissions, and more extended hospital stays, among others. On the other hand, a positive patient safety climate is associated with higher safety performance (4) .…”