Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan.
Department of Adult Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan.
BMJ Lead. 2023 Sep;7(3):189-195. doi: 10.1136/leader-2022-000677. Epub 2023 Jan 2.
Authentic leadership controls quality care and the safety of patients and healthcare professionals, especially nurses.
This study examined the influence of nurses' authentic leadership on the safety climate.
In this predictive research, 314 Jordanian nurses from various hospitals were convenience sampled for cross-sectional and correlational design. This research included all hospital nurses with 1 year of experience, at least at the present hospital. SPSS (V.25) conducted descriptive statistics and multivariate analyses. As needed, sample variables' means, SD and frequencies were supplied.
The mean scores on the entire Authentic Leadership Questionnaire and its subscales were moderate. The mean score of the SCS was below 4 (out of 5), indicating negative safety climate perceptions. A significant positive moderate association was found between nurses' authentic leadership and safety climate. Nurses' authentic leadership predicted a safe climate. Internalised moral and balanced processing subscales were significant predictors of safety climate. Being woman and having a diploma inversely predicted the nurses' authentic leadership; however, the model was insignificant.
Interventions are needed to enhance the perception of the safety climate in hospitals. Nurses' authentic leadership increases their perceptions of a positive safety climate, and thus different strategies to build on nurses' authentic leadership characteristics are warranted.
The negative perceptions of the safety climate mandate that organisations create strategies to increase nurses' awareness about the safety climate. Shared leadership, learning environments and information sharing would improve nurses' perceptions of the safety climate. Future studies should examine other variables influencing safety climate with a more extensive and randomised sample. Safety climate and authentic leadership should be integrated into the nursing curricula and continuing education courses.
真实领导能控制医疗质量和患者及医护人员的安全，尤其是护士的安全。
本研究旨在检验护士真实领导对安全氛围的影响。
这是一项预测性研究，方便选取了来自约旦各医院的 314 名护士，采用横断面和相关性设计。本研究纳入了所有在医院工作、至少在现医院工作 1 年的护士。采用 SPSS（V.25）进行描述性统计和多元分析。必要时提供样本变量的均值、标准差和频率。
整个真实领导问卷及其分量表的平均得分处于中等水平。安全文化量表的平均得分为 4 分以下（满分 5 分），表明安全氛围较差。护士真实领导与安全氛围呈显著正相关。护士真实领导能预测安全氛围。内化道德和平衡处理分量表是安全氛围的显著预测因子。女性和文凭与护士真实领导呈负相关，但模型不显著。
需要采取干预措施来提高医院安全氛围的认知。护士真实领导提高了他们对积极安全氛围的认知，因此需要采取不同的策略来建立护士真实领导的特征。
安全氛围较差，要求组织制定策略来提高护士对安全氛围的认识。共享领导、学习环境和信息共享将提高护士对安全氛围的认知。未来的研究应采用更广泛和随机的样本，研究其他影响安全氛围的变量。安全氛围和真实领导应该整合到护理课程和继续教育课程中。
