Effect of transformational leadership on job satisfaction and patient safety outcomes

Sheila A. Boamah, Heather K. Spence Laschinger, Carol Wong, Sean Clarke

Research output: Contribution to journalArticlepeer-review


Background: Improving patient safety within health care organizations requires effective leadership at all levels. Purpose: The objective of this study was to investigate the effects of nurse managers’ transformational leadership behaviors on job satisfaction and patient safety outcomes. Methods: A random sample of acute care nurses in Ontario (N = 378) completed the crosssectional survey. Hypothesized model was tested using structural equation modeling. Finding: The model fit the data acceptably. Transformational leadership had a strong positive influence on workplace empowerment, which in turn increased nurses’ job satisfaction and decreased the frequency of adverse patient outcomes. Subsequently, job satisfaction was related to lower adverse events. Conclusion: The findings provide support for managers’ use of transformational leadership behaviors as a useful strategy in creating workplace conditions that promote better safety outcomes for patients and nurses.

Original languageEnglish (US)
Pages (from-to)180-189
Number of pages10
JournalNursing outlook
Issue number2
StatePublished - Mar 1 2018


  • Empowerment
  • Job satisfaction
  • Patient safety
  • Transformational leadership
  • Work environment

ASJC Scopus subject areas

  • General Nursing


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