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Is leadership of nurses associated with nurse-reported quality of care? A cross-sectional survey

BACKGROUND: Nurses need to exhibit stronger leadership by taking more responsibility and accountability to improve healthcare quality and patient safety. AIMS: The aim of this study was to determine the association between quality of care and leadership styles and practices, and whether the characte...

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Autores principales: den Breejen-de Hooge, Linda E, van Os-Medendorp, Harmieke, Hafsteinsdóttir, Thóra B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8894782/
https://www.ncbi.nlm.nih.gov/pubmed/35251232
http://dx.doi.org/10.1177/1744987120976176
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author den Breejen-de Hooge, Linda E
van Os-Medendorp, Harmieke
Hafsteinsdóttir, Thóra B
author_facet den Breejen-de Hooge, Linda E
van Os-Medendorp, Harmieke
Hafsteinsdóttir, Thóra B
author_sort den Breejen-de Hooge, Linda E
collection PubMed
description BACKGROUND: Nurses need to exhibit stronger leadership by taking more responsibility and accountability to improve healthcare quality and patient safety. AIMS: The aim of this study was to determine the association between quality of care and leadership styles and practices, and whether the characteristics of nurses influence this interaction. METHODS: We conducted a multicentre cross-sectional survey of 655 nurses working on clinical wards in Dutch university medical centres in 2018. RESULTS: Transformational leadership was significantly associated with quality of care which explained 5.9% of the total variance (R(2 )= 0.059 F = (11,643) = 3.726, p = 0.011), and the nurse characteristics gender, profession and type of practice area were significant influencing factors. Nurses rated the quality of care (mean (M) = 7.7, standard deviation (SD) = 1.3) as moderate and they showed moderate levels of transformational leadership style (M = 3.7, SD = 0.5) and transformational leadership practices (M ≥ 6.2 and ≤ 7.6). CONCLUSIONS: When considering quality improvement on clinical wards strategic managers need to be aware of the fact that leadership is associated with quality of care and that nurse characteristics influence this association. The findings indicate a pressing need for education and training for nurses in how to develop leadership and raising the awareness among strategic managers about the importance of leadership in health care is recommended.
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spelling pubmed-88947822022-03-05 Is leadership of nurses associated with nurse-reported quality of care? A cross-sectional survey den Breejen-de Hooge, Linda E van Os-Medendorp, Harmieke Hafsteinsdóttir, Thóra B J Res Nurs Articles BACKGROUND: Nurses need to exhibit stronger leadership by taking more responsibility and accountability to improve healthcare quality and patient safety. AIMS: The aim of this study was to determine the association between quality of care and leadership styles and practices, and whether the characteristics of nurses influence this interaction. METHODS: We conducted a multicentre cross-sectional survey of 655 nurses working on clinical wards in Dutch university medical centres in 2018. RESULTS: Transformational leadership was significantly associated with quality of care which explained 5.9% of the total variance (R(2 )= 0.059 F = (11,643) = 3.726, p = 0.011), and the nurse characteristics gender, profession and type of practice area were significant influencing factors. Nurses rated the quality of care (mean (M) = 7.7, standard deviation (SD) = 1.3) as moderate and they showed moderate levels of transformational leadership style (M = 3.7, SD = 0.5) and transformational leadership practices (M ≥ 6.2 and ≤ 7.6). CONCLUSIONS: When considering quality improvement on clinical wards strategic managers need to be aware of the fact that leadership is associated with quality of care and that nurse characteristics influence this association. The findings indicate a pressing need for education and training for nurses in how to develop leadership and raising the awareness among strategic managers about the importance of leadership in health care is recommended. SAGE Publications 2021-01-06 2021-03 /pmc/articles/PMC8894782/ /pubmed/35251232 http://dx.doi.org/10.1177/1744987120976176 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Articles
den Breejen-de Hooge, Linda E
van Os-Medendorp, Harmieke
Hafsteinsdóttir, Thóra B
Is leadership of nurses associated with nurse-reported quality of care? A cross-sectional survey
title Is leadership of nurses associated with nurse-reported quality of care? A cross-sectional survey
title_full Is leadership of nurses associated with nurse-reported quality of care? A cross-sectional survey
title_fullStr Is leadership of nurses associated with nurse-reported quality of care? A cross-sectional survey
title_full_unstemmed Is leadership of nurses associated with nurse-reported quality of care? A cross-sectional survey
title_short Is leadership of nurses associated with nurse-reported quality of care? A cross-sectional survey
title_sort is leadership of nurses associated with nurse-reported quality of care? a cross-sectional survey
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8894782/
https://www.ncbi.nlm.nih.gov/pubmed/35251232
http://dx.doi.org/10.1177/1744987120976176
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