Yazd Branch, Islamic Azad University, Yazd, Iran.
Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
Nurs Ethics. 2020 Mar;27(2):609-620. doi: 10.1177/0969733019858706. Epub 2019 Jul 22.
Nursing errors endanger patient safety, and error reporting helps identify errors and system vulnerabilities. Nursing managers play a key role in preventing nursing errors by using leadership skills. One of the leadership approaches is ethical leadership.
This study determined the level of ethical leadership from the nurses' perspective and its effect on nursing error and error reporting in teaching hospitals affiliated to Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
This was a cross-sectional descriptive study.
A total of 171 nurses working in medical-surgical wards were selected through random sampling. Data collection was carried out using "ethical leadership in nursing, nursing errors and error reporting" questionnaires. Data were analyzed with SPSS20 using descriptive and analytical statistics.
This study was approved by the Ethics Committee for Medical Research. Ethical considerations such as completing informed consent form, ensuring confidentiality of information, explaining research objectives, and voluntary participation were observed in the present study.
The results showed that the level of nursing managers' ethical leadership was moderate from the nurses' point of view. The highest and the lowest levels were related to the power-sharing and task-oriented dimensions, respectively. There was a significant relationship between nursing managers' level of ethical leadership with error rates and error reporting.
The development of ethical leadership approach in nursing managers reduces error rate and increases error reporting. Programs designed to promote such approach in nursing managers at all levels can help reduce the level of error rate and maintain patient safety.
护理差错危及患者安全，差错报告有助于发现差错和系统漏洞。护理管理者通过运用领导技能在预防护理差错方面发挥着关键作用。领导方法之一是道德领导。
本研究旨在从护士的角度确定道德领导的水平及其对伊朗萨迪戈迪医科大学附属教学医院护理差错和差错报告的影响。
这是一项横断面描述性研究。
通过随机抽样，共选取了 171 名在外科病房工作的护士。使用“护理中的道德领导、护理差错和差错报告”问卷收集数据。使用 SPSS20 软件采用描述性和分析性统计方法对数据进行分析。
本研究获得了医学研究伦理委员会的批准。在本研究中，遵守了完成知情同意书、确保信息机密性、解释研究目的和自愿参与等伦理考虑。
结果表明，从护士的角度来看，护理管理者的道德领导水平中等。权力共享和任务导向维度的得分最高和最低。护理管理者道德领导水平与差错率和差错报告之间存在显著关系。
在护理管理者中发展道德领导方法可降低差错率并增加差错报告。设计旨在各级护理管理者中推广这种方法的方案有助于降低差错率并维护患者安全。
