Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Scand J Caring Sci. 2020 Jun;34(2):357-369. doi: 10.1111/scs.12737. Epub 2019 Aug 7.
To describe medication safety, transformational leadership and their relationship as evaluated by Registered Nurses.
Medication safety is one of the aspects of patient safety and an important part of nurses' daily practices. Nurse managers can ensure medication safety by adopting a transformational leadership style. However, little evidence exists regarding how transformational leadership relates to medication safety.
Data were collected from Registered Nurses (n = 161) in three Finnish hospitals in May 2016 using an electronic questionnaire incorporating the Transformational Leadership Scale (TLS) and Medication Safety Scale (MSS). Data were analysed using statistical analyses including descriptive analyses, principal component analysis and multivariate analyses. STROBE reporting guidelines were followed (see Appendix S1).
Nurses evaluated medication safety and transformational leadership in their units to be excellent and good, respectively. There was a moderate but statistically significant correlation between transformational leadership and medication safety. The medication competence of nurses and the management of nursing processes were significantly related to medication safety.
Nurse managers' transformational leadership style can promote medication safety in units. The medication competence of nurses must be addressed because assurance and confidence in their own expertise in pharmacotherapeutic tasks positively affects their perceptions of medication safety.
描述注册护士对用药安全、变革型领导及其关系的评价。
用药安全是患者安全的一个方面，也是护士日常实践的重要组成部分。护士管理者可以通过采用变革型领导风格来确保用药安全。然而，关于变革型领导与用药安全的关系，目前证据有限。
2016 年 5 月，采用电子问卷，对芬兰 3 家医院的 161 名注册护士进行了数据收集，问卷包含变革型领导量表（TLS）和用药安全量表（MSS）。采用统计分析方法，包括描述性分析、主成分分析和多变量分析对数据进行分析。遵循 STROBE 报告指南（见附录 S1）。
护士对其所在科室的用药安全和变革型领导的评价分别为优秀和良好。变革型领导与用药安全之间存在中度但具有统计学意义的相关性。护士的用药能力和护理过程管理与用药安全显著相关。
护士管理者的变革型领导风格可以促进科室的用药安全。护士的用药能力必须得到重视，因为对自己在药物治疗任务方面的专业知识的信心和把握，会积极影响他们对用药安全的看法。
