Anderson Albert D, Floegel Theresa A, Hofler Linda, Swanson Melvin
Author Affiliations: Patient Care Coordinator of Operations (Dr Anderson) and Senior Vice President of Patient Care Services (Dr Hofler), Vidant Medical Center; and Associate Professor (Dr Floegel) and Chief Statistician of the Office of Research and Scholarship and Professor (Dr Swanson), East Carolina University, Greenville, North Carolina.
J Nurs Adm. 2019 Sep;49(9):441-446. doi: 10.1097/NNA.0000000000000782.
This study uses Leader-Member Exchange theory to explore the associations between contact frequency (CF) of nurse leaders and their team members, leader-member relationship, and patient safety culture.
Leader-member relationships are an important part of patient safety culture development. The behaviors of leaders to achieve these relationships are unknown. This study explores CF as a leader behavior to improve patient safety culture.
Cross-sectional survey of bedside nurses (N = 746) from an 8-hospital system.
A significant association was found between relationship strength and patient safety culture; CF's effect on relationship and patient safety culture was demonstrated.
Contact frequency may support relationships between leaders and members and improve patient safety culture on nursing units. Future studies should explore factors that could be enhancing and limiting CF.
本研究运用领导-成员交换理论，探讨护士领导者与其团队成员的接触频率（CF）、领导-成员关系及患者安全文化之间的关联。
领导-成员关系是患者安全文化发展的重要组成部分。领导者实现这些关系的行为尚不清楚。本研究探讨将接触频率作为一种领导行为来改善患者安全文化。
对来自一个由8家医院组成的系统中的床边护士（N = 746）进行横断面调查。
发现关系强度与患者安全文化之间存在显著关联；证实了接触频率对关系及患者安全文化的影响。
接触频率可能有助于领导与成员之间的关系，并改善护理单元的患者安全文化。未来的研究应探索可能增强和限制接触频率的因素。
