Leadership: Patient safety depends on it!

Murray, Melanie; Cope, Vicki

doi:10.1016/j.colegn.2021.07.004

Cited by 6 publications

(6 citation statements)

References 20 publications

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“…These factors contribute to patient safety and quality of care. 16 'Vision' had either no or very weak correlations with the different patient safety dimensions. This suggests that although having a future vision is important, it does not significantly impact patient safety culture.…”

Section: Discussionmentioning

confidence: 97%

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Interplay between leadership and patient safety in dentistry: a dental hospital-based cross-sectional study

Saeed,

Raja,

Khan

et al. 2024

BMJ Open Qual

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ObjectivesThe study aimed to study the association of leadership practices and patient safety culture in a dental hospital.DesignHospital-based, cross-sectional studySettingRiphah Dental Hospital (RDH), Islamabad, Pakistan.ParticipantsAll dentists working at RDH were invited to participate.Main outcome measuresA questionnaire comprised of the Transformational Leadership Scale (TLS) and the Dental adapted version of the Medical Office Survey of Patient Safety Culture (DMOSOPS) was distributed among the participants. The response rates for each dimension were calculated. The positive responses were added to calculate scores for each of the patient safety and leadership dimensions and the Total Leadership Score (TLS) and total patient safety score (TPSS). Correlational analysis is performed to assess any associations.ResultsA total of 104 dentists participated in the study. A high positive response was observed on three of the leadership dimensions: inspirational communication (85.25%), intellectual stimulation (86%), and supportive leadership (75.17%). A low positive response was found on the following items: ‘acknowledges improvement in my quality of work’ (19%) and ‘has a clear sense of where he/she wants our unit to be in 5 years’ (35.64%). The reported positive responses in the patient safety dimensions were high on three of the patient safety dimensions: organisational learning (78.41%), teamwork (82.91%), and patient care tracking/follow-up (77.05%); and low on work pressure and pace (32.02%). A moderately positive correlation was found between TLS and TPSS (r=0.455, p<0.001).ConclusionsLeadership was found to be associated with patient safety culture in a dental hospital. Leadership training programmes should be incorporated during dental training to prepare future leaders who can inspire a positive patient safety culture.

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Section: Discussionmentioning

confidence: 97%

“…Leaders' behaviours impact the safety culture at the workplace, thereby affecting indicators of patient safety. 16 Furthermore, leadership may affect the employees' performance in two ways. First, leaders have an indirect effect through their choice of management style.…”

Section: What This Study Addsmentioning

confidence: 99%

Interplay between leadership and patient safety in dentistry: a dental hospital-based cross-sectional study

Saeed,

Raja,

Khan

et al. 2024

BMJ Open Qual

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“…As concluded by the literature, TFL is not the primary factor but rather a mediator to job satisfaction, which was determined as an essential nursing outcome, shadowing quality work environment and may be an effective retention strategy in nursing. Previous studies confirm that safety outcomes are improved when workplace empowerment takes place in a positive nurse–leader relationship based on trust and respect, where they, together, work toward a patient safety culture [ 53 ].…”

Section: Discussionmentioning

confidence: 98%

“…The connection between supportive leadership and positive patient safety outcomes points to the importance of the TFL’s understanding of patient safety processes and the role of bedside nurses in promoting better safety outcomes [ 38 ]. However, several researchers reported not having a visible leader [ 43 ], which is documented as essential for patient safety changes to occur [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Transformational Leadership in the Nursing Work Environment and Patients’ Outcomes: A Systematic Review

Ystaas,

Nikitara,

Ghobrial

et al. 2023

Nursing Reports

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Background: With the increasingly demanding healthcare environment, patient safety issues are only becoming more complex. This urges nursing leaders to adapt and master effective leadership; particularly, transformational leadership (TFL) is shown to scientifically be the most successfully recognized leadership style in healthcare, focusing on relationship building while putting followers in power and emphasizing values and vision. Aim: To examine how transformational leadership affects nurses’ job environment and nursing care provided to the patients and patients’ outcomes. Design: A systematic literature review was conducted. From 71 reviewed, 23 studies were included (studies included questionnaire surveys and one interview, extracting barriers and facilitators, and analyzing using qualitative synthesis). Result: TFL indirectly and directly positively affects nurses’ work environment through mediators, including structural empowerment, organizational commitment, and job satisfaction. Nurses perceived that managers’ TFL behavior did not attain excellence in any of the included organizations, highlighting the necessity for additional leadership training to enhance the patient safety culture related to the non-reporting of errors and to mitigate the blame culture within the nursing environment. Conclusion: Bringing more focus to leadership education in nursing can make future nursing leaders more effective, which will cultivate efficient teamwork, a quality nursing work environment, and, ultimately, safe and efficient patient outcomes. This study was not registered.

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“…Among the various safety culture dimensions, leadership is the most frequently assessed (Churruca et al, 2021), indicating its importance in enhancing patient safety and care quality. Effective leadership is key because it influences factors ranging from teamwork to error management to situational awareness, all of which influence the safety and quality of care a hospitalized patient receives (Murray & Cope, 2021).…”

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confidence: 99%

Nurse Managers’ Leadership, Patient Safety, and Quality of Care: A Systematic Review

Lee

Sang

2022

West J Nurs Res

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This review examined relationships between nurse unit managers’ leadership and patient safety and quality of care outcomes in hospital settings. Employing four databases (CINAHL, Embase, PubMed, and Web of Science) and ancestry searches, we identified 14 English-language, peer-reviewed, primary studies that examined such relationships using quantitative analyses. The studies were published between 2012 and 2021, and most used a cross-sectional design. Each study’s quality was assessed using the Mixed-Method Appraisal Tool. In synthesizing results by categorizing outcomes, we found a positive trend in associations between effective nurse unit manager leadership and better outcomes, including fewer patient adverse events, increased nurse error reporting, and higher patient satisfaction and care quality. However, the heterogeneity of leadership measurement approaches and outcomes limited integration of study findings. Future researchers should clearly define study concepts to support interpretation of their findings and should use a suitable theoretical framework to help determine appropriate units of analysis.

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Leadership: Patient safety depends on it!

Cited by 6 publications

References 20 publications

Interplay between leadership and patient safety in dentistry: a dental hospital-based cross-sectional study

Interplay between leadership and patient safety in dentistry: a dental hospital-based cross-sectional study

The Impact of Transformational Leadership in the Nursing Work Environment and Patients’ Outcomes: A Systematic Review

Nurse Managers’ Leadership, Patient Safety, and Quality of Care: A Systematic Review

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