How does leadership influence incident reporting intention in healthcare? A dual process model of leader–member exchange

Jungbauer, Kevin-Lim; Loewenbrück, Kai F.; Reichmann, Heinz; Wendsche, Johannes; Wegge, Jürgen

doi:10.1177/2397002217745315

Cited by 18 publications

(20 citation statements)

References 116 publications

(154 reference statements)

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“…In one recent and relevant healthcare study involving 15 German hospitals, Jungbauer et al (2018) investigated whether leader–member exchange (a leadership style) influenced patient safety incident reporting intentions via reporting‐specific trust and organizational identification. Interestingly, organizational identification was not directly related to incident reporting intentions, but the relationship became significant when perceptions of discipline for not following safety regulations were high.…”

Section: Discussionmentioning

confidence: 99%

How and when organization identification promotes safety voice among healthcare professionals

Casey

2021

Journal of Advanced Nursing

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Aim The aim of this study is to examine the effect of organizational identification on safety voice behaviour, focusing on the mediating role of safety motivation and the moderating role of management commitment to safety and psychological safety. Design The study used a cross‐sectional questionnaire and a convenience sampling method. Method Data were collected online during November 2019 from 165 staff members from a disability healthcare organization in Australia that employs over 800 staff. Nearly 80% of the study sample were healthcare workers without supervisory responsibilities, and the remainder were senior staff with some operational duties. Measures of organizational identification, safety motivation, perceived management commitment to safety, psychological safety and safety voice were collected. Data were analysed using a moderated mediation model available with the SPSS PROCESS macro. Results Findings show that organizational identification interacted with management commitment to safety to predict safety motivation, such that only healthcare employees who identified with their organization and perceived that their management cares about safety would feel that safety was personally important to them. In turn, safety motivation predicted safety voice. However, the effect of safety motivation on safety voice was only significant when psychological safety was low. Conclusion These findings offer initial evidence for the important role of organizational identification in prompting safety voice, how the relationship is contingent on management commitment to safety and psychological safety. Impact Healthcare professionals' discretionary sharing of ideas and suggestions are crucial to organizational performance and both staff and patient safety. However, safety voice involves inherent social risks because speaking up might not always be perceived positively by co‐workers and leaders. We recommend that managers implement specific strategies to cultivate employee identification with the organization and demonstrate a genuine and visible commitment to safety so that employees will be motivated to raise safety concerns.

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Section: Discussionmentioning

confidence: 99%

How and when organization identification promotes safety voice among healthcare professionals

Casey

2021

Journal of Advanced Nursing

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“…Moreover, a rich exchange of information enhances participation in decision making, promotes a sense of purpose for employees, creates channels of feedback, and allows for a ‘giving–taking’ relationship to happen in order to support organizational goals and results [ 59 ]. Additionally, studies show that where high LMX and trust are present, medical incident reporting is illustrated as extra-role behavior [ 106 ]. Moreover, shifting decision making from managers to subordinates stimulates coworkers’ emotional support and guidance to peers in achieving a higher level of performance, which means that when leaders unleash participation dynamics (i.e., give ‘voice’ to employees’ opinions) and allow helping behavior to happen, then citizenship-like behaviors arise [ 107 , 108 ].…”

Section: Review Of the Literaturementioning

confidence: 99%

Leadership Development: Exploring Relational Leadership Implications in Healthcare Organizations

Maritsa

Γούλα

Psychogios

et al. 2022

IJERPH

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(1) Background: Relational Leadership Theory (RLT) has been gaining rising attention for the past 20 years with studies investigating multiple implications and practices of relationships within organizations. Yet, less attention has been given in healthcare settings. By virtue of the emerging need to move beyond exploring the quality of relationships and to move towards the exploitation of relational dynamics that influence leadership development in healthcare organizations, this study explores both the dyad relationships and the context in which those occur. With recent attention directed to the implementation of human-centered practices and the creation of effective networks to bring desired results, RLT is called on to advance this agenda within healthcare organizations. (2) Material and Methods: Research articles that examined leadership theories over the past thirty years were selected from computerized databases and manual searches. (3) Results: It is argued that the way and context in which relationships are formed between leaders and members is a social process that, in turn, shapes the effectiveness of the management of those organizations. Leadership is not rank—it is the relationship with the relational dynamics that play in the same context, creating evolutionary organizational processes. (4) Conclusions: This paper challenges leadership theory one step further. Exploring an organization through relational leadership theory is much like wearing the lens of ‘cause and effect’ in leadership behavioral studies. Therefore, this study contributes to this direction with a robust co-examination of relational dynamics that take place in the healthcare sector, showcasing a broader framework in which relational leadership is germinated and influences its outcomes.

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“…Rendahnya tingkat pendidikan perawat menjadi salah satu faktor penghambat dalam pelaporan IKP (Lee et al, 2018). Kepemimpinan juga berpengaruh dalam pelaporan IKP (Jungbauer, Loewenbrück, Reichmann, Wendsche, & Wegge, 2018). Kegiatan pengabdian kepada masyarakat bertujuan untuk meningkatkan pengetahuan dan niat perawat untuk melaporkan insiden keselamatan pasien di RS melalui sosialisasi alur dan format pelaporan IKP, serta in-house training pelaporan IKP di RSD Mayjend HM Ryacudu Kotabumi.…”

Section: )unclassified

In House Training Pelaporan Insiden Keselamatan Pasien Sebagai Upaya Meningkatkan Mutu Pelayanan Dan Keselamatan Pasien Di Rumah Sakit

Pramesona

Wardani

Rahmawati

et al. 2022

jsc

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Di Rumah Sakit Daerah (RSD) Mayjend HM Ryacudu Kotabumi, sosialisasi alur dan format pelaporan insiden keselamatan pasien (IKP) terakhir dilaksanakan tahun 2016, sedangkan saat ini banyak pegawai baru yang belum pernah terpapar sistem pelaporan IKP di RS. Hal ini berdampak pada tidak adanya laporan IKP selama dua tahun terakhir. Tujuan kegiatan ini untuk meningkatkan pengetahuan dan niat perawat untuk melaporkan IKP di RS melalui sosialisasi serta in-house training pelaporan IKP tentang alur dan format pelaporan IKP sehingga keselamatan pasien akhirnya dapat terwujud. In-house training ini menggunakan metode ceramah, diskusi interaktif dan role play pelaporan IKP pada 32 perawat pelaksana di RSD Mayjend HM Ryacudu Kotabumi, Lampung Utara pada 4 Juli 2022. Media yang digunakan berupa materi tentang pelaporan IKP. Pre dan post-test diberikan untuk mengevaluasi pengetahuan peserta latih sebelum dan setelah pelatihan. Penilaian cara pengisian formulir pelaporan IKP dilakukan setelah role play melalui contoh kasus. Hasil rata-rata skor pengetahuan perawat meningkat sebesar 14.8% setelah diberikan in-house training. Perawat juga dapat mempraktikkan cara pengisian formulir pelaporan IKP dengan benar. Kegiatan in-house training tentang pelaporan IKP ini efektif dalam meningkatkan pengetahuan perawat untuk melaporkan insiden keselamatan pasien di RS. Perlu dilakukan monitoring dan evaluasi rutin terkait pelaporan IKP pada perawat. Pihak manajemen RS juga disarankan untuk memberikan pelatihan rutin tentang pelaporan IKP pada tenaga kesehatan.

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How does leadership influence incident reporting intention in healthcare? A dual process model of leader–member exchange

Cited by 18 publications

References 116 publications

How and when organization identification promotes safety voice among healthcare professionals

How and when organization identification promotes safety voice among healthcare professionals

Leadership Development: Exploring Relational Leadership Implications in Healthcare Organizations

In House Training Pelaporan Insiden Keselamatan Pasien Sebagai Upaya Meningkatkan Mutu Pelayanan Dan Keselamatan Pasien Di Rumah Sakit

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