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真实领导对护理安全氛围的影响。

The influence of authentic leadership on safety climate in nursing.

作者信息

Dirik Hasan Fehmi, Seren Intepeler Seyda

机构信息

Dokuz Eylul University, Izmir, Turkey.

出版信息

J Nurs Manag. 2017 Jul;25(5):392-401. doi: 10.1111/jonm.12480. Epub 2017 May 25.

Abstract

AIM

This study analysed nurses' perceptions of authentic leadership and safety climate and examined the contribution of authentic leadership to the safety climate.

BACKGROUND

It has been suggested and emphasised that authentic leadership should be used as a guidance to ensure quality care and the safety of patients and health-care personnel.

METHODS

This predictive study was conducted with 350 nurses in three Turkish hospitals. The data were collected using the Authentic Leadership Questionnaire and the Safety Climate Survey and analysed using hierarchical regression analysis.

RESULTS

The mean authentic leadership perception and the safety climate scores of the nurses were 2.92 and 3.50, respectively. The percentage of problematic responses was found to be less than 10% for only four safety climate items. Hierarchical regression analysis revealed that authentic leadership significantly predicted the safety climate.

CONCLUSIONS

Procedural and political improvements are required in terms of the safety climate in institutions, where the study was conducted, and authentic leadership increases positive perceptions of safety climate.

RECOMMENDATIONS FOR NURSING MANAGEMENT

Exhibiting the characteristics of authentic leadership, or improving them and reflecting them on to personnel can enhance the safety climate. Planning information sharing meetings to raise the personnel's awareness of safety climate and systemic improvements can contribute to creating safe care climates.

摘要

目的

本研究分析了护士对真实领导和安全氛围的认知,并检验了真实领导对安全氛围的贡献。

背景

有人提出并强调,应将真实领导作为确保优质护理以及患者和医护人员安全的指导原则。

方法

本预测性研究对土耳其三家医院的350名护士进行。使用真实领导问卷和安全氛围调查问卷收集数据,并采用分层回归分析进行分析。

结果

护士对真实领导的平均认知得分和安全氛围得分分别为2.92和3.50。仅四个安全氛围项目的问题回复率低于10%。分层回归分析显示,真实领导显著预测了安全氛围。

结论

在所开展研究的机构中,在安全氛围方面需要进行程序和政策改进,且真实领导会增强对安全氛围的积极认知。

对护理管理的建议

展现真实领导的特质,或加以改进并向员工体现这些特质,可增强安全氛围。规划信息分享会议以提高员工对安全氛围的认识,以及进行系统性改进,有助于营造安全的护理氛围。

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