Exploring mediating effects between nursing leadership and patient safety from a person‐centred perspective: A literature review
Autor: | Meini Wang, Jan Dewing |
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Rok vydání: | 2020 |
Předmět: |
030504 nursing
Leadership and Management Mechanism (biology) business.industry 030503 health policy & services media_common.quotation_subject education Perspective (graphical) Public sector Leadership 03 medical and health sciences Patient safety Nursing Health care Humans Quality (business) Patient Safety Workplace 0305 other medical science Nursing management Psychology business Empowerment health care economics and organizations media_common |
Zdroj: | Journal of Nursing Management. 29:878-889 |
ISSN: | 1365-2834 0966-0429 |
Popis: | Aims To evaluate the mechanism through which nursing leadership impacts patient safety. Background Patient safety has received considerable attention among policymakers, governments and public sectors with the emphasis in health care settings on minimizing the risk to patients. Claims are made leadership plays a crucial role in patient safety. However, the incidents of adverse events are consistently high in hospitals. Evaluation Published English-only research articles that examine the mechanism by which nursing leadership impacts patient safety were selected from seven electronic databases and manual searches. Data extraction, quality assessments and analysis were completed for ten research studies. Key issues There is evidence of significant mediating effects between nursing leadership and decreased adverse patient outcomes specifically with regard to workplace empowerment, leader-nurse relationship and the quality of the care environment. Conclusion The findings suggest that nursing leadership has a significant indirect impact on patient safety outcomes. From a person-centred perspective, the care environment requires workplace empowerment and effective relationships between leaders and nurses. Implications for nursing management To improve patient safety outcomes, managers must strive to emphasize workplace empowerment, leader-nurse relationship and the quality of the care environment. Managers must consider these domains as part of an effective workplace culture. |
Databáze: | OpenAIRE |
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