医院领导力与安全结果之间的关系。
The link between leadership and safety outcomes in hospitals.
机构信息
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto.
出版信息
J Nurs Manag. 2010 Nov;18(8):914-25. doi: 10.1111/j.1365-2834.2010.01181.x.
AIM
To test and refine a model examining relationships among leadership, interactional justice, quality of the nursing work environment, safety climate and patient and nurse safety outcomes.
BACKGROUND
The quality of nursing work environments may pose serious threats to patient and nurse safety. Justice is an important element in work environments that support safety initiatives yet little research has been done that looks at how leader interactional justice influences safety outcomes.
METHOD
A cross-sectional survey was conducted with 600 acute care registered nurses (RNs) to test and refine a model linking interactional justice, the quality of nurse leader-nurse relationships, work environment and safety climate with patient and nurse outcomes.
RESULTS
In general the hypothesized model was supported. Resonant leadership and interactional justice influenced the quality of the leader-nurse relationship which in turn affected the quality of the work environment and safety climate. This ultimately was associated with decreased reported medication errors, intentions to leave and emotional exhaustion.
CONCLUSIONS
Quality relationships based on fairness and empathy play a pivotal role in creating positive safety climates and work environments.
IMPLICATIONS FOR NURSING MANAGEMENT
To advocate for safe work environments, managers must strive to develop high-quality relationships through just leadership practices.
目的
检验和完善一个考察领导力、互动公平、护理工作环境质量、安全氛围与患者和护士安全结果之间关系的模型。
背景
护理工作环境的质量可能对患者和护士的安全构成严重威胁。公平是支持安全举措的工作环境的一个重要因素，但很少有研究关注领导者互动公平如何影响安全结果。
方法
对 600 名急性护理注册护士进行了横断面调查，以检验和完善一个模型，该模型将互动公平、护士领导-护士关系的质量、工作环境和安全氛围与患者和护士的结果联系起来。
结果
总体而言，假设模型得到了支持。共鸣式领导和互动公平影响了领导-护士关系的质量，进而影响了工作环境和安全氛围的质量。这最终与报告的药物错误、离职意向和情绪疲惫减少有关。
结论
基于公平和同理心的高质量关系在营造积极的安全氛围和工作环境方面发挥着关键作用。
对护理管理的意义
为了倡导安全的工作环境，管理者必须努力通过公正的领导实践来发展高质量的关系。
Zotero 插件