Volume 4, Issue 4 (12-2020)                   EBHPME 2020, 4(4): 263-274 | Back to browse issues page


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Yodang Y, Nuridah N. Nursing Leadership Models in Promoting and Improving Patient’s Safety Culture in Healthcare Facilities; A Systematic Review. EBHPME 2020; 4 (4) :263-274
URL: http://jebhpme.ssu.ac.ir/article-1-302-en.html
School of Nursing, Faculty of Science and Technology, Universitas Sembilanbelas November Kolaka, Indonesia , yodang.usnkolaka@gmail.com
Abstract:   (9237 Views)
Background: Nurse leader has an important role in encouraging patient’s safety culture among nurses in the healthcare system. This literature review aims to identify the nursing leadership model and to promote and improve patient safety culture to improve patient outcomes in health care facilities including hospitals, primary health care, and nursing home settings.
Methods: Searching appropriate journals through some journal databases were applied including DOAJ, GARUDA, Google Scholar, MDPI, Proquest, Pubmed, Sage Journals, ScienceDirect, and Wiley Online Library, which were published from 2015 to 2020.
Results: Fourteen articles meet the criteria and are included in this review. The majority of these articles were retrieved from western countries, the US, Canada, and Finland. This review identifies three nursing leadership models that seem useful to promote and improve patient safety culture in health care facilities which are transformational, authentic, and ethical leadership models.
Conclusion: The patient safety influences health care outcomes. The evidence shows the leadership has positive relation to patient satisfaction and patient safety outcomes improvement. The transformational, authentic, and ethical leadership models seem to be more useful in promoting, maintaining, and improving patient safety culture in health care facilities.  
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Type of Study: Review Article | Subject: General
Received: 2020/07/17 | Accepted: 2020/12/20 | Published: 2020/12/20

References
1. 1. Khoshakhlagh AH, Khatooni E, Akbarzadeh I, Yazdanirad S, Sheidaei A. Analysis of affecting factors on patient safety culture in public and private hospitals in Iran. BMC Health Services Research. 2019; 19(1): 1-4. [DOI:10.1186/s12913-019-4863-x]
2. de Lima Garcia C, Bezerra IM, Ramos JL, do Valle JE, Bezerra de Oliveira ML, Abreu LC. Association between culture of patient safety and burnout in pediatric hospitals. PloS one. 2019; 14(6): 0218756. [DOI:10.1371/journal.pone.0218756]
3. Huang CH, Wu HH, Lee YC, Li L, Wu CF. Creating a Better Patient Safety Culture in Taiwan: The Viewpoints of Physicians and Registered Nurses. Hospital Practices and Research. 2017; 2(4):122-4. doi: 10.15171/ hpr. 2017. 29. [DOI:10.15171/hpr.2017.29]
4. Kangasniemi M, Vaismoradi M, Jasper M, Turunen H. Ethical issues in patient safety: Implications for nursing management. Nursing Ethics. 2013; 20(8): 904-16. [DOI:10.1177/0969733013484488]
5. Auer C, Schwendimann R, Koch R, De Geest S, Ausserhofer D. How hospital leaders contribute to patient safety through the development of trust. Journal of Nursing Administration. 2014; 44(1): 23-9. [DOI:10.1097/NNA.0000000000000017]
6. Tilford S, Dylak P. What leaders need to know about patient safety collaboratives. Nursing Management. 2015; 21(9): 11. [DOI:10.7748/nm.21.9.11.s11]
7. Sabouri M, Najafipour F, Jariani M, Hamedanchi A, Karimi P. Patient safety culture as viewed by medical and diagnostic staff of selected Tehran hospitals, Iran. Hospital Practices and Research. 2017; 2(1): 15-20. [DOI:10.15171/hpr.2017.04]
8. Schwendimann R, Milne J, Frush K, Ausserhofer D, Frankel A, Sexton JB. A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study. American Journal of Medical Quality. 2013; 28(5): 414-21. [DOI:10.1177/1062860612473635]
9. El-Jardali F, Dimassi H, Jamal D, Jaafar M, Hemadeh N. Predictors and outcomes of patient safety culture in hospitals. BMC Health Services Research. 2011; 11(1): 45. [DOI:10.1186/1472-6963-11-45]
10. Currie D, Wolfe H, Haines CL. LEAD-ing patient safety: How do leaders inspire excellence in patient safety?. In Healthcare Management Forum. 2012; 25(4): 202-4. [DOI:10.1016/j.hcmf.2012.09.004]
11. Disch J, Dreher M, Davidson P, Sinioris M, Wainio JA. The role of the chief nurse officer in ensuring patient safety and quality. JONA: The Journal of Nursing Administration. 2011; 41(4): 179-85. [DOI:10.1097/NNA.0b013e318211874b]
12. Thompson DN, Hoffman LA, Sereika SM, Lorenz HL, Wolf GA, Burns HK, et al. A relational leadership perspective on unit-level safety climate. JONA: The Journal of Nursing Administration. 2011; 41(11): 479-87. [DOI:10.1097/NNA.0b013e3182346e31]
13. Berndt J. Patient safety and simulation in prelicensure nursing education: An integrative review. Teaching and Learning in Nursing. 2014; 9(1): 16-22. [DOI:10.1016/j.teln.2013.09.001]
14. Huang C, Wu H, Lee Y, Li L, Wu C. Creating a better patient safety culture in Taiwan; the viewpoints of physicians and registered nurses. Hospital Practice and Research. 2017; 2(4): 122-4. doi: 10.15171/hpr.2017.29. [DOI:10.15171/hpr.2017.29]
15. Vaismoradi M, Bondas T, Salsali M, Jasper M, Turunen H. Facilitating safe care: a qualitative study of Iranian nurse leaders. Journal of Nursing & Management. 2014; 22(1): 106-16. [DOI:10.1111/j.1365-2834.2012.01439.x]
16. Kerfoot KM. Patient safety and leadership intentions: is there a match?. Nursing Economics. 2016; 34(1): 44.
17. Clarke U, Marks-Maran D. Nurse leadership in sustaining programmes of change. British Journal of Nursing. 2014; 23(4): 219-24. [DOI:10.12968/bjon.2014.23.4.219]
18. Weng RH, Huang CY, Chen LM, Chang LY. Exploring the impact of transformational leadership on nurse innovation behaviour: A cross‐sectional study. Journal of Nursing Management. 2015; 23(4): 427-39. [DOI:10.1111/jonm.12149]
19. Liukka M, Hupli M, Turunen H. How transformational leadership appears in action with adverse events? A study for Finnish nurse manager. Journal of Nursing Management. 2018; 26(6): 639-46. [DOI:10.1111/jonm.12592]
20. Merrill KC. Leadership style and patient safety: implications for nurse managers. Journal of Nursing Administration. 2015; 45(6): 319-24. [DOI:10.1097/NNA.0000000000000207]
21. McFadden KL, Stock GN, Gowen IIICR. Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety. Health Care Management Review. 2015; 40(1): 24-34. [DOI:10.1097/HMR.0000000000000006]
22. Alotaibi EA, ZienYusoff R, Al-Swidi AK, Al-Matari EM, AlSharqi OZ. The mediating effect of organizational climate on the relationship between transformational leadership and patient safety: A study on Saudi hospitals. Mediterranean Journal of Social Sciences. 2015; 6(2): 117. [DOI:10.5901/mjss.2015.v6n2s1p117]
23. Higgins EA. The Influence of Nurse Manager Transformational Leadership on Nurse and Patient Outcomes: Mediating Effects of Supportive Practice Environments, Organizational Citizenship Behaviours, Patient Safety Culture and Nurse Job Satisfaction. 2015. Electronic Thesis and Dissertation. The University of Western Ontario. Repository. 3184. Available from URL: https://ir.lib.uwo.ca/etd/ 3184.
24. Kim MS, Seok JH, Kim BM. Mediating role of the perceived benefits of using a medication safety system in the relationship between transformational leadership and the medication-error management climate. Journal of Research in Nursing. 2020; 25(1): 22-34. [DOI:10.1177/1744987118824621]
25. Lavoie-Tremblay M, Fernet C, Lavigne GL, Austin S. Transformational and abusive leadership practices: impacts on novice nurses, quality of care and intention to leave. Journal of Advanced Nursing. 2016; 72(3): 582-92. [DOI:10.1111/jan.12860]
26. Asif M, Jameel A, Hussain A, Hwang J, Sahito N. Linking Transformational Leadership with Nurse-Assessed Adverse Patient Outcomes and the Quality of Care: Assessing the Role of Job Satisfaction and Structural Empowerment. International Journal of Environmental Research and Public Health. 2019; 16(13): 2381. [DOI:10.3390/ijerph16132381]
27. Anselmann V, Mulder RH. Transformational Leadership, Knowledge Sharing and Reflection, and Work Teams' Performance: A Structural Equation Modelling Analysis. Journal of Nursing Management. 2020. [DOI:10.1111/jonm.13118]
28. Lappalainen M, Härkänen M, Kvist T. The relationship between nurse manager's transformational leadership style and medication safety. Scandinavian Journal of Caring Sciences. 2020; 34(2): 357-69. [DOI:10.1111/scs.12737]
29. Boamah SA, Laschinger HK, Wong C, Clarke S. Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook. 2018; 66(2): 180-9. [DOI:10.1016/j.outlook.2017.10.004]
30. Dirik HF, Seren Intepeler S. The influence of authentic leadership on safety climate in nursing. Journal of Nursing Management. 2017; 25(5): 392-401. [DOI:10.1111/jonm.12480]
31. Lotfi Z, Atashzadeh-Shoorideh F, Mohtashami J, Nasiri M. Relationship between ethical leadership and organisational commitment of nurses with perception of patient safety culture. Journal of Nursing Management. 2018; 26(6): 726-34. [DOI:10.1111/jonm.12607]
32. Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Services Research. 2017; 17(1): 582. [DOI:10.1186/s12913-017-2533-4]
33. Jarrett MP. Patient safety and leadership: Do you walk the walk?. Journal of Healthcare Management. 2017; 62(2): 88-92. [DOI:10.1097/JHM-D-17-00005]
34. Wong CA, Cummings GG, Ducharme L. The relationship between nursing leadership and patient outcomes: a systematic review update. Journal of Nursing Management. 2013; 21(5): 709-24. [DOI:10.1111/jonm.12116]
35. Kanerva A, Kivinen T, Lammintakanen J. Collaborating with nurse leaders to develop patient safety practices. Leadership in Health Services. 2017; 30(3): 249-62. [DOI:10.1108/LHS-05-2016-0022]
36. Kessler O. Leadership, safety culture and patient safety in hospitals: in search of evidence. BMC Health Services Research. 2014; 14(2): 64. [DOI:10.1186/1472-6963-14-S2-P64]
37. Zaheer S, Ginsburg L, Chuang YT, Grace SL. Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership.Health Care Management Review. 2015; 40(1): 13-23. [DOI:10.1097/HMR.0000000000000005]
38. Williams JC. Nurses' organizational commitment, job satisfaction, and perception of their managers' leadership style as predictors of perception of patient safety culture. Ann Arbor: Capella University; 2014.
39. Ferreira VB, Amestoy SC, Silva GTRD, Felzemburgh RDM, Santana N, Trindade LDL, et al. Transformational leadership in nurses' practice in a university hospital. Acta Paulista de Enfermagem. 2018; 31(6): 644-50. [DOI:10.1590/1982-0194201800088]
40. Galhardi NM, Roseira CE, Orlandi FDS, Figueiredo RMD. Assessment of the patient safety culture in primary health care.Acta Paulista de Enfermagem. 2018; 31(4): 409-16. [DOI:10.1590/1982-0194201800057]
41. Sexton JB, Sharek PJ, Thomas EJ, Gould JB, Nisbet CC, Amspoker AB, et al. Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout. BMJ Qual Saf. 2014; 23(10): 814-22. [DOI:10.1136/bmjqs-2013-002042]
42. Saadati M, Nouri M, McSherry R. Patient safety leadership walkrounds: Promoting a safety culture in developing countries. Journal of Patient Safety & Quality Improvement. 2016; 4(4): 426.
43. Kristensen S, Christensen KB, Jaquet A, Beck CM, Sabroe S, Bartels P, et al. Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. BMJ Open. 2016; 6(5): 010180. [DOI:10.1136/bmjopen-2015-010180]
44. Wong CA, M Giallonardo L. Authentic leadership and nurse-assessed adverse patient outcomes. Journal of Nursing Management. 2013; 21(5): 740-52. [DOI:10.1111/jonm.12075]
45. Alilyyani B, Wong CA, Cummings G. Antecedents, mediators, and outcomes of authentic leadership in healthcare: A systematic review. International Journal of Nursing Studies. 2018; 83: 34-64. [DOI:10.1016/j.ijnurstu.2018.04.001]
46. Barkhordari-Sharifabad M, Mirjalili NS. Ethical leadership, nursing error and error reporting from the nurses' perspective. Nursing Ethics. 2020; 27(2): 609-20. [DOI:10.1177/0969733019858706]
47. O'Leary K. The Effects of Safety Culture and Ethical Leadership on Safety Performance. 2016. Dissertations and Theses. 201.
Available from URL: https://commons.erau.edu/edt/201.

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