Effect of transformational leadership on job satisfaction and patient safety outcomes

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

doi:10.1016/j.outlook.2017.10.004

Effect of transformational leadership on job satisfaction and patient safety outcomes

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

Nursing

Research output: Contribution to journal › Article › peer-review

Abstract

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 language	English (US)
Pages (from-to)	180-189
Number of pages	10
Journal	Nursing outlook
Volume	66
Issue number	2
DOIs	https://doi.org/10.1016/j.outlook.2017.10.004
State	Published - Mar 1 2018

Keywords

Empowerment
Job satisfaction
Patient safety
Transformational leadership
Work environment

ASJC Scopus subject areas

General Nursing

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10.1016/j.outlook.2017.10.004

Cite this

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title = "Effect of transformational leadership on job satisfaction and patient safety outcomes",

abstract = "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{\textquoteright} 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{\textquoteright} 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{\textquoteright} use of transformational leadership behaviors as a useful strategy in creating workplace conditions that promote better safety outcomes for patients and nurses.",

keywords = "Empowerment, Job satisfaction, Patient safety, Transformational leadership, Work environment",

author = "Boamah, {Sheila A.} and {Spence Laschinger}, {Heather K.} and Carol Wong and Sean Clarke",

note = "Funding Information: Sincere gratitude goes to the registered nurses who participated in this study and the Western University Dissertation Scholarship for their funding resources. This study was funded in part by the Canadian Nurses Foundation , the Ontario Graduate Scholarship, and contributions from the Registered Nurses Association of Ontario's Research, and Education Interest Group grants. Publisher Copyright: {\textcopyright} 2017 Elsevier Inc.",

year = "2018",

month = mar,

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doi = "10.1016/j.outlook.2017.10.004",

language = "English (US)",

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AU - Boamah, Sheila A.

AU - Spence Laschinger, Heather K.

AU - Wong, Carol

AU - Clarke, Sean

N1 - Funding Information: Sincere gratitude goes to the registered nurses who participated in this study and the Western University Dissertation Scholarship for their funding resources. This study was funded in part by the Canadian Nurses Foundation , the Ontario Graduate Scholarship, and contributions from the Registered Nurses Association of Ontario's Research, and Education Interest Group grants. Publisher Copyright: © 2017 Elsevier Inc.

PY - 2018/3/1

Y1 - 2018/3/1

N2 - 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.

AB - 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.

KW - Empowerment

KW - Job satisfaction

KW - Patient safety

KW - Transformational leadership

KW - Work environment

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Effect of transformational leadership on job satisfaction and patient safety outcomes

Abstract

Keywords

ASJC Scopus subject areas

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