TY - JOUR
T1 - Authentic leadership, nurse-assessed adverse patient events, and quality of care
T2 - the mediating role of nurses' safety actions
AU - Labrague, Leodoro J
AU - Al Sabei, Sulaiman
AU - AbuAlRub, Raeda
AU - Burney, Ikram
AU - Al Rawajfah, Omar
N1 - Funding Information:
Overall, the hypothesized model was supported by the study's results linking authentic leadership among nurse managers with nurse‐assessed adverse patient events and nursing care quality through safety actions.
Publisher Copyright:
© 2021 John Wiley & Sons Ltd
© 2021 John Wiley & Sons Ltd.
PY - 2021/6/1
Y1 - 2021/6/1
N2 - Background: Authentic leadership has been consistently cited as a strong precursor of sustained job performance and work effectiveness in nurses; however, studies linking authentic leadership with nurses' safety actions, nurse-assessed adverse patient events and nursing care quality are scarce. Aim: To examine whether nurses' safety actions mediate the relationship between authentic leadership, nurse-assessed adverse events and nursing care quality. Methods: A multi-centre, cross-sectional study involving 1,608 nurses employed in acute care facilities in Oman. Multi-stage regression analysis was conducted in testing for the mediation model. Findings: Nurse managers in Oman were perceived to be highly authentic by their staff nurses. Authentic leadership significantly predicted nurses' safety actions (β = 0.168, p <.001), decrease in nurse-assessed adverse events (β = −0.017, p =.024) and increase in care quality (β = 0.121, p <.001). Further, the association between authentic leadership and nurse-assessed adverse events (β = −0.063, p =.057) and care quality (β = 0.038, p =.002) was mediated by nurses' safety actions. Conclusion: Results suggest the importance of developing nurse managers' authentic leadership to foster nurses' safety actions and reduce adverse patient outcomes and promote nursing care quality. Implications for nursing management: Organizational efforts to address patient safety issues should be directed towards developing authentic leadership in nurse managers through leadership programmes, periodic evaluation of leadership competencies (e.g., 360-degree or a bottom-up performance evaluation), and a creation of a safe culture in which nurses can openly report safety concerns for corrective action.
AB - Background: Authentic leadership has been consistently cited as a strong precursor of sustained job performance and work effectiveness in nurses; however, studies linking authentic leadership with nurses' safety actions, nurse-assessed adverse patient events and nursing care quality are scarce. Aim: To examine whether nurses' safety actions mediate the relationship between authentic leadership, nurse-assessed adverse events and nursing care quality. Methods: A multi-centre, cross-sectional study involving 1,608 nurses employed in acute care facilities in Oman. Multi-stage regression analysis was conducted in testing for the mediation model. Findings: Nurse managers in Oman were perceived to be highly authentic by their staff nurses. Authentic leadership significantly predicted nurses' safety actions (β = 0.168, p <.001), decrease in nurse-assessed adverse events (β = −0.017, p =.024) and increase in care quality (β = 0.121, p <.001). Further, the association between authentic leadership and nurse-assessed adverse events (β = −0.063, p =.057) and care quality (β = 0.038, p =.002) was mediated by nurses' safety actions. Conclusion: Results suggest the importance of developing nurse managers' authentic leadership to foster nurses' safety actions and reduce adverse patient outcomes and promote nursing care quality. Implications for nursing management: Organizational efforts to address patient safety issues should be directed towards developing authentic leadership in nurse managers through leadership programmes, periodic evaluation of leadership competencies (e.g., 360-degree or a bottom-up performance evaluation), and a creation of a safe culture in which nurses can openly report safety concerns for corrective action.
KW - adverse events
KW - authentic leadership
KW - nursing
KW - quality of care
KW - safety action
KW - Leadership
KW - Cross-Sectional Studies
KW - Nurse Administrators
KW - Humans
KW - Nursing Staff, Hospital
KW - Quality of Health Care
KW - Job Satisfaction
UR - http://www.scopus.com/inward/record.url?scp=85107336590&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85107336590&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/4be76aed-eed6-3aff-95c8-d00b838e091b/
U2 - 10.1111/jonm.13356
DO - 10.1111/jonm.13356
M3 - Article
C2 - 33960043
SN - 0966-0429
VL - 29
SP - 2152
EP - 2162
JO - Journal of Nursing Management
JF - Journal of Nursing Management
IS - 7
ER -