Exploring mediating effects between nursing leadership and patient safety from a person‐centred perspective: A literature review

Wang, Meini; Dewing, Jan

doi:10.1111/jonm.13226

Cited by 14 publications

(23 citation statements)

References 41 publications

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“…The results show that nursing leadership has a significant indirect effect on patient safety outcomes. From a person-centered perspective, the care environment requires workplace empowerment and effective relationships between leaders and nurses [ 28 ]. Effective teamwork and leadership are recognized as important factors in many adverse events.…”

Section: Discussionmentioning

confidence: 99%

Predictors of patient safety competency among emergency nurses in Iran: a cross-sectional correlational study

Soola

Ajri-Khameslou

Mirzaei

et al. 2022

BMC Health Serv Res

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Aims This study aimed to assess predictors of patient safety competency among emergency nurses. Background The role of emergency nurses is to provide high-quality health care to patients and ensure their safety. The patient safety competency includes the absence of unnecessary or potential harm when providing health care to patients. In providing health care, effective teamwork can affect patient safety and outcomes. Psychological safety is essential to effective teamwork. Psychological safety allows health care workers to accept the interpersonal risks needed to perform effective teamwork and maintain patient safety. Methods This study was cross-sectional correlational research. Using convenience sampling methods, 254 emergency department nurses from five educational hospitals were enrolled in the study. Patient Safety in Nursing Education Questionnaire was used to measure the patient safety competency, the teamwork questionnaire to examine the teamwork, and Edmondson psychological safety questionnaire was used to measure psychological safety. Descriptive statistics, t-test, one-way analysis of variance (ANOVA), Pearson’s r correlation coefficient, and multivariate stepwise linear regression analysis were applied using SPSS 14.0. Results Participants’ mean patient safety competency score was 2.97 (1-4). Between 18 independent variables evaluated in the multiple regression analysis, seven had a significant effect on the patient safety competency of emergency nurses (R2: 0.39, p < .001). Conclusions The patient safety competency of emergency department nurses was primarily related to the structure and leadership of the team and secondary to psychological safety and experience in patient safety activity. The results demonstrated that policymakers and hospital managers should improve and enhance team structure and leadership via supervision and cooperation with the nursing staff. The development of training programs in patient safety activities, improvement, and increase of psychological safety at the levels of the nursing units is essential to increase patient safety competencies in the emergency nursing program.

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Section: Discussionmentioning

confidence: 99%

Predictors of patient safety competency among emergency nurses in Iran: a cross-sectional correlational study

Soola

Ajri-Khameslou

Mirzaei

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

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“…Community-related management practices were associated with better work conditions and safe organization practices (Wang & Dewing, 2021) in comparison with other management practices.…”

Section: Nursing Leadership Styles and Management Practices Related T...mentioning

confidence: 93%

Relationships between nursing leadership and organizational, staff and patient outcomes: A systematic review of reviews

et al. 2023

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AimTo assess and describe reviews of nursing leadership styles associated with organizational, staff and patient outcomes.DesignA systematic review of reviews.MethodsReviews describing a search strategy and quality assessment. The review followed the PRISMA statement. Nine databases were searched in February 2022.ResultsAfter screening 6992 records, 12 reviews were included reporting 85 outcomes for 17 relational, nine task‐oriented, five passive and five destructive leadership styles. Transformational leadership, which is one of the relational styles, was the most studied among all the styles. Of the outcomes, staff outcomes were the most reported, notably job satisfaction, and patient outcomes were less reported. Also, mediating factors between relational leadership styles and staff and patient outcomes were identified.ConclusionExtensive research shows the beneficial impacts of relational leadership; however, destructive leadership research is lacking. Relational leadership styles should be conceptually assessed. More research is needed on how nurse leadership affects patients and organizations.

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“…An indicative list of most current research studies that follows next, shows that several issues with patients' safety that have been revealed within the wider context of the nursing practice. These issues can be roughly categorised as organisational (Mwachofi et al ., 2011) and human factors (Mwachofi et al ., 2011; Bukoh and Siah, 2020; Wang and Dewing, 2021; Cho et al ., 2022; Kritsotakis et al ., 2022) along with particular nursing practice issues (Blay and Roche, 2020; Foster et al ., 2018; Hunt and Chakraborty, 2021; Halverson and Scott Tilley, 2022). Moreover, current research has turned its attention to the evaluation of nursing care standards, in which certain aspects of nursing, e.g.…”

Section: Introductionmentioning

confidence: 99%

The need for a nursing specific patient safety definition, a viewpoint paper

Chatzi

Μαλλιαρού

2023

IJHG

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PurposeThis viewpoint article discusses and analyses the need and benefits of a patient safety definition within the context of nursing.Design/methodology/approachThis viewpoint article is supported by literature review, statutory documents and expert knowledge evidence. All these sources provided a unified narrative of the background, current aspects and future needs of patient safety.FindingsThe need for strengthening patient safety and the nurses' role within healthcare's actions towards patient safety are discussed. The predominant role of nurses due to the proportionate size and significant role along with the need for clarification of patient safety in nursing terms is recognised. Research evidence of nursing areas with safety issues and relevant nursing interventions are presented. Based on all findings, a research-based nursing specific patient safety definition is proposed. This definition includes three axes: what is patient harm, how this harm can be eliminated or reduced and which are the areas of nursing practice that are identified to provide opportunity for patient harm. These axes include nursing specifications of the patient safety definition.Originality/valueIt is the first time that a nurse specific patient safety definition is proposed. This definition strives to enhance nurse practitioners' understanding and engagement with patient safety by clarifying aspects of patient safety within everyday nursing practice.

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Exploring mediating effects between nursing leadership and patient safety from a person‐centred perspective: A literature review

Cited by 14 publications

References 41 publications

Predictors of patient safety competency among emergency nurses in Iran: a cross-sectional correlational study

Predictors of patient safety competency among emergency nurses in Iran: a cross-sectional correlational study

Relationships between nursing leadership and organizational, staff and patient outcomes: A systematic review of reviews

The need for a nursing specific patient safety definition, a viewpoint paper

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