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- Title
Authentic leadership, nurse‐assessed adverse patient events and quality of care: The mediating role of nurses' safety actions.
- Authors
Labrague, Leodoro J.; Al Sabei, Sulaiman Dawood; AbuAlRub, Raeda F.; Burney, Ikram A.; Al Rawajfah, Omar
- Abstract
Background: Authentic leadership has been consistently cited as a strong precursor of sustained job performance and work effectiveness in nurses; however, studies linking authentic leadership with nurses' safety actions, nurse‐assessed adverse patient events and nursing care quality are scarce. Aim: To examine whether nurses' safety actions mediate the relationship between authentic leadership, nurse‐assessed adverse events and nursing care quality. Methods: A multi‐centre, cross‐sectional study involving 1,608 nurses employed in acute care facilities in Oman. Multi‐stage regression analysis was conducted in testing for the mediation model. Findings: Nurse managers in Oman were perceived to be highly authentic by their staff nurses. Authentic leadership significantly predicted nurses' safety actions (β = 0.168, p <.001), decrease in nurse‐assessed adverse events (β = −0.017, p =.024) and increase in care quality (β = 0.121, p <.001). Further, the association between authentic leadership and nurse‐assessed adverse events (β = −0.063, p =.057) and care quality (β = 0.038, p =.002) was mediated by nurses' safety actions. Conclusion: Results suggest the importance of developing nurse managers' authentic leadership to foster nurses' safety actions and reduce adverse patient outcomes and promote nursing care quality. Implications for nursing management: Organizational efforts to address patient safety issues should be directed towards developing authentic leadership in nurse managers through leadership programmes, periodic evaluation of leadership competencies (e.g., 360‐degree or a bottom‐up performance evaluation), and a creation of a safe culture in which nurses can openly report safety concerns for corrective action.
- Subjects
OMAN; NURSING audit; MEDICAL quality control; OCCUPATIONAL roles; RESEARCH; NURSE administrators; NURSES' attitudes; LEADERSHIP; CROSS-sectional method; MULTIPLE regression analysis; MEDICAL cooperation; REGRESSION analysis; HOSPITAL nursing staff; NURSES; RESEARCH funding; CRITICAL care medicine; QUESTIONNAIRES; DESCRIPTIVE statistics; ADVERSE health care events; JOB performance; STATISTICAL models; PATIENT safety
- Publication
Journal of Nursing Management, 2021, Vol 29, Issue 7, p2152
- ISSN
0966-0429
- Publication type
Article
- DOI
10.1111/jonm.13356