Journal
NURSING OUTLOOK
Volume 66, Issue 2, Pages 180-189Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.outlook.2017.10.004
Keywords
Patient safety; Transformational leadership; Empowerment; Job satisfaction; Work environment
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Funding
- Western University
- Canadian Nurses Foundation
- Ontario Graduate Scholarship
- Registered Nurses Association of Ontario's Research, and Education Interest Group grants
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Background: Improving patient safety within health care organizations requires effective leadership at all levels. Purpose: The objective of this study was to investigate the effects of nurse managers' transformational leadership behaviors on job satisfaction and patient safety outcomes. Methods: A random sample of acute care nurses in Ontario (N = 378) completed the crosssectional survey. Hypothesized model was tested using structural equation modeling. Finding: The model fit the data acceptably.Transformational leadership had a strong positive influence on workplace empowerment, which in turn increased nurses' job satisfaction and decreased the frequency of adverse patient outcomes. Subsequently, job satisfaction was related to lower adverse events. Conclusion: The findings provide support for managers' use of transformational leadership behaviors as a useful strategy in creating workplace conditions that promote better safety outcomes for patients and nurses.
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