Sheila A Boamah1, Heather K Spence Laschinger2, Carol Wong3, Sean Clarke4. 1. Faculty of Nursing, University of Windsor, Windsor, Ontario, Canada. Electronic address: sboamah@uwindsor.ca. 2. Arthur Labatt Family School of Nursing, The University of Western Ontario, London, Ontario, Canada. 3. Arthur Labatt Family School of Nursing, The University of Western Ontario, FIMS & Nursing Building (FNB), London, Ontario, Canada. 4. Connell School of Nursing, Boston College, Chestnut Hill, MA.
Abstract
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.
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.
Authors: Felicitas Stuber; Tanja Seifried-Dübon; Monika A Rieger; Harald Gündel; Sascha Ruhle; Stephan Zipfel; Florian Junne Journal: Int Arch Occup Environ Health Date: 2020-10-04 Impact factor: 3.015