Effect of transformational leadership on job satisfaction and patient safety outcomes

被引:243
|
作者
Boamah, Sheila A. [1 ]
Laschinger, Heather K. Spence [2 ]
Wong, Carol [2 ]
Clarke, Sean [3 ]
机构
[1] Univ Windsor, Fac Nursing, Windsor, ON N9B 3P4, Canada
[2] Univ Western Ontario, Arthur Labatt Family Sch Nursing, FIMS & Nursing Bldg FNB, London, ON, Canada
[3] Boston Coll, Connell Sch Nursing, Chestnut Hill, MA 02167 USA
关键词
Patient safety; Transformational leadership; Empowerment; Job satisfaction; Work environment; MAGNET HOSPITAL CHARACTERISTICS; QUALITY-OF-CARE; WORKPLACE EMPOWERMENT; STRUCTURAL EMPOWERMENT; WORK ENVIRONMENTS; ADVERSE EVENTS; NURSES REPORTS; FIT INDEXES; IMPACT; INTENTION;
D O I
10.1016/j.outlook.2017.10.004
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Improving patient safety within health care organizations requires effective leadership at all levels. Purpose: The objective of this study was to investigate the effects of nurse managers' transformational leadership behaviors on job satisfaction and patient safety outcomes. Methods: A random sample of acute care nurses in Ontario (N = 378) completed the crosssectional survey. Hypothesized model was tested using structural equation modeling. Finding: The model fit the data acceptably.Transformational leadership had a strong positive influence on workplace empowerment, which in turn increased nurses' job satisfaction and decreased the frequency of adverse patient outcomes. Subsequently, job satisfaction was related to lower adverse events. Conclusion: The findings provide support for managers' use of transformational leadership behaviors as a useful strategy in creating workplace conditions that promote better safety outcomes for patients and nurses.
引用
收藏
页码:180 / 189
页数:10
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