The Effect of Nurses' Leadership Behavior on the Quality of Nursing Care and Patient Outcomes

2020 ◽  
Vol 26 (1) ◽  
pp. e8-e18 ◽  
Author(s):  
Ayse Akbiyik ◽  
Esra Akin Korhan ◽  
Servet Kiray ◽  
Merve Kirsan

ObjectiveThe effect of nursing management styles on patient outcomes and the quality of nursing care (QNC) has recently become a topic of discussion. This review was conducted to examine the effects of leadership styles or behaviors on QNC and on patient outcomes.Methods13 research studies published between 1 January 2010 and 31 May 2016 which conformed to the inclusion criteria were reviewed.ResultsThe effects of nursing leaders' leadership styles or behaviors were examined in studies on patient mortality, QNC from the perspective of nurses, patient satisfaction, unwanted/adverse events, health-care-associated infections, pressure ulcers, falls, unwanted weight loss, hospital readmissions, mismanagement of feeding tubes, and inadequacies in daily nursing care.ConclusionsRelationship-focused leadership behaviors directly or indirectly improved patient outcomes and raised the QNC compared with task-focused leadership behaviors.

2019 ◽  
Vol 32 (6) ◽  
pp. 1022-1033 ◽  
Author(s):  
Aladeen Alloubani ◽  
Laila Akhu-Zaheya ◽  
Ibrahim Mubarak Abdelhafiz ◽  
M. Almatari

Purpose The purpose of this paper is to investigate managers’ leadership styles, from the perspective of registered nurses, and its effects on the quality of nursing care in both the private and public healthcare sectors. An additional aim is to assess the relationship between leadership styles and particular organisational outcomes. Design/methodology/approach The sample for this quantitative research study was comprised of 400 respondents, among which 50 were nurse managers, 150 were staff nurses and the remaining respondents were patients. Two questionnaires were used in this study: the multi-factor leadership questionnaire (MLQ) 5X short and a patient satisfaction with nursing care quality questionnaire (PSNCQQ). Findings A positive correlation was found between the transformational leadership style with leadership outcomes and the quality of nursing care (r=0.811**, 0.759**, 0.789** and 0.877** for extra effort, job satisfaction, leader effectiveness and quality, respectively). Practical implications Although the sample study was extensive, a possible limitation is that the research utilised convenient sample who are working in the private and public healthcare sectors thus limiting the generalisability of the study. Originality/value This study was proposed as a baseline for upcoming studies in areas of education, nursing practice, research and quality. Moreover, this study was expected to be imperative to the hospital’s management, in order to improve the current level of leadership, education models and advancement programs for the healthcare sector’s senior staff.


2019 ◽  
Vol 2 (2) ◽  
pp. 91-96
Author(s):  
Munawar Munawar ◽  
Ariyanti Saleh ◽  
Rini Rachmawaty

Background: Various efforts are made to maintain and improve the quality of nursing services, one of which is to carry out nursing care according to the standards of nursing practice safely, effectively and ethically. To maintain quality, it is necessary to control nursing care in a directed and planned manner. One of the controls in nursing management is supervision. Purpose: The purpose of this literature study is to identify the effectiveness of the implementation of supervision on the performance of implementing nurses in hospitals. Methods: Database searches used in this literature review are Pubmed, Science Direct and Google Scholar published in 2007-2018. Results: From the six articles used, it was found that supervision had an impact on improving nurses' performance in the form of actions and behaviors that could be measured to maintain and improve the quality of health services for both sick and healthy patients. Other impacts among them commitment, employee attachment, competence and individual quality as well as improving service qualityto them after completing the credentialing process as stated in the Nurse Clinical Assignment Letter. Conclusion: Implementation of supervision motivates nurses to be more attached to work, and has better performance opportunities


2020 ◽  
Vol 2 (1) ◽  
pp. 33
Author(s):  
Retno Wahyu Nugrahini ◽  
Vivi Yosafianti Pohan

Tiered supervision that supports improving the quality of nursing services in the field of nursing at Sultan Agung Islamic Hospital has not been carried out in a structured and documented manner. Baitul Izzah 1 room as a disease treatment room in class III, the head of the room has not yet supervised the Person in Charge of Care (PPJA) and so on PPJA to the Associate Nurse (PP). The supervision that has been carried out so far is only to ask directly about existing problems to the head of the room and directly observe the activities of implementing nursing care by PPJA and PP. Tiered supervision does not go well, because there are no references and standards for its implementation. The purpose of this study was to determine Implementation of The Tiered Supervision as a Supervision Function. It was found that the implementation of tiered supervision instruments improved the performance of the head of the room, PPJA and PP, then the patient's medical record document increases in completeness chargingespecially the patient's Islamic education document. In conclusion, tiered supervision instruments are very helpful in the implementation of the supervisory function as well as monitoring and evaluation in nursing management in the implementation of nursing care in the inpatient room. The recommendation for the role of the nursing field that is most important in controlling the quality of nursing care is to actively involve staff to jointly ensure the continuity of the implementation of tiered nursing supervision.


1991 ◽  
Vol 2 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Rebecca C. Kuhn

The forces influencing the development of outcome standards are gaining momentum. These forces are professional nursing issues, accreditation standards, and reimbursement issues. Traditionally, structure and process measures provided the means for evaluating the quality of nursing care. But nurses also play an important role in achieving positive patient outcomes. Outcome standards provide a mechanism for measuring patient outcomes. In 1990, the American Association of Critical-Care Nurses (AACN) published Outcome Standards for Nursing Care of the Critically Ill. The book serves as a model for developing and using outcome standards in critical care units. This chapter describes these outcome standards and recommends ways to use them. The Joint Commission on the Accreditation of Healthcare Organizations’ (JCAHO) ten-step model outlines development of unit-specific outcome standards. Methods focus throughout on a quality assurance framework


2005 ◽  
Vol 14 (10) ◽  
pp. 1260-1261 ◽  
Author(s):  
Hsu Nanly ◽  
Brian T.-H. Chen ◽  
Lay-lan Lee ◽  
Min-huey Chung ◽  
Pi-chu Lin

1965 ◽  
Vol 65 (12) ◽  
pp. 50
Author(s):  
Esther Lucile Brown ◽  
Jane E. Knox

2008 ◽  
Vol 28 (3) ◽  
pp. 14-18 ◽  
Author(s):  
Inger S. Andersson ◽  
Margareta Lindgren

1973 ◽  
Vol 22 (1) ◽  
pp. 91
Author(s):  
A. Mooth ◽  
Mabel A. Wandelt ◽  
Maria C. Phaneuf

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