La gestión del liderazgo enfermero y la cultura de seguridad del paciente en las organizaciones sanitarias

  1. Andrea Cuervas-Mons Tejedor 1
  2. Gemma Álvarez García 2
  3. Ainhoa Pedriza Álvarez 2
  4. Laura Gutiérrez Vivas 3
  1. 1 Maestría. Enfermera especialista en Salud Mental. Centro San Francisco Javier. Pamplona, Navarra (España)
  2. 2 Maestría. Enfermera. Hospital Universitario Donostia. San Sebastián, País Vasco (España)
  3. 3 Enfermera especialista en Salud mental. Hospital Universitario Donostia. San Sebastián, País Vasco (España)
Montrer des affiliations +
Revue:
Metas de enfermería

ISSN: 1138-7262

Année de publication: 2022

Volumen: 25

Número: 5

Pages: 60-69

Type: Article

DOI: 10.35667/METASENF.2022.25.1003081939 DIALNET GOOGLE SCHOLAR

D'autres publications dans: Metas de enfermería

Résumé

Objective: to update the analysis of the relationship between nursing leadership and patient safety, differentiating between types of leadership. Method: a narrative review conducted between March and December 2021. The PubMed, IBECS and CINAHL databases were consulted, using the terms Leadership, Patient Safety, Risk Management and Nursing, Supervisory, among others. Articles from the past five years published in Spanish or English were included. Three female researchers were in charge of selection. Results: there were 294 records retrieved, 13 of which were finally included in the review. Three types of leadership (authentic, transformational and ethical) were associated with a reduction in adverse events. Authentic leadership appeared as a predictor for an increase in safety environment. The ethical leadership was associated with a higher report of errors. Important aspects of the leader person were identified in order to improve safety: not assigning blame during feedback, being able to convey messages adequately, establishing a trust environment and continuous communication with staff, being accessible and motivating, having emotional intelligence, and promoting teamwork. Conclusions: different types of leadership are associated with benefits in patient safety. Supervisors developing an effective leadership based on positive relationships will encourage an adequate safety culture, which must be taken into account at the time of promotion.

Références bibliographiques

  • Gómez Portillo I. La evolución de la cooperación y el origen de la sociedad humana [tesis]. Barcelona: Universidad Autónoma de Barcelona; 2013.
  • Chávarri Dicenta F. Hacia un modelo Complejo unificado de comportamiento de liderazgo en la organización moderna [tesis]. Madrid: Universidad Politécnica de Madrid; 2001.
  • Lupano Perugini ML, Castro Solano A. Estudios sobre el liderazgo: Teorías y evaluación. Psicodebate. 2006; 6:107-22.
  • García Vargas OH. El concepto de poder y su interpretación desde la perspectiva del poder en las organizaciones. Estud. Gerenc. 2009 Ene-Mar; 25(110):63-83.
  • Souza Souza LP, Ferreira Cordeiro AL, Nunes de Aguiar R, Veloso Dias O, Vieira MA, Ramos Laís H. El liderazgo en la visión de enfermeros líderes. Enferm Glob. 2013 Abr; 12(30):268-80.
  • Bass B. Leadership and Performance Beyond Expectations. New York: The Free Press;1985.
  • Brown ME, Treviño LK, Harrison DA. Ethical leadership: A social learning perspective for construct development and testing. Organ Behav Hum Decis Process. 2005 Jul; 97(2):117-34.
  • George B. Authentic Leadership: Rediscovering the Secrets of Creating Lasting Value. San Francisco, CA: Jossey-Bass; 2003.
  • Gardner WL, Cogliser CC, Davis KM, Dickens MP. Authentic leadership: a review of the literature and research agenda. Leadership Q. 2011 Dic; 22(6): 1120-45.
  • Terol E, Agra Y. Estrategia en seguridad del paciente del Sistema Nacional de Salud. Med Clin. 2008 Dic; 131(3):1-3.
  • Sharp L, Rannus K, Olofsson A, Kelly D, Oldenmenger WH. Patient safety culture among European cancer nurses-An exploratory, cross-sectional survey comparing data from Estonia, Germany, Netherlands, and United Kingdom. J Adv Nurs. 2019 Dic; 75(12):3535-43.
  • Wong CA, Cummings GG. The relationship between nursing leadership and patient outcomes: a systematic review. J Nurs Manag. 2007 Jul; 15(5):508-21.
  • Murray M, Sundin D, Cope V. The nexus of nursing leadership and a culture of safer patient care. J Clin Nurs. 2018 Mar; 27(5-6):1287-93.
  • Boamah SA, Spence Laschinger HK, Wong C, Clarke S. Effect of transformational leadership on job satisfaction and patient safety outcomes. Nurs Outlook. 2018; 66(2):180-9.
  • Barkhordari-Sharifabad M, Mirjalili NS. Ethical leadership, nursing error and error reporting from the nurses’ perspective. Nurs Ethics. 2020; 27(2):609-20.
  • Dirik HF, Seren Intepeler S. The influence of authentic leadership on safety climate in nursing. J Nurs Manag. 2017; 25(5):392-401.
  • Zohar D, Werber YT, Marom R, Curlau B, Blondheim O. Modifying head nurse messages during daily conversations as leverage for safety climate improvement: A randomised field experiment. BMJ Qual Saf. 2017; 26(8):653-62.
  • Fischer SA, Jones J, Verran JA. Consensus achievement of leadership, organisational and individual factors that influence safety climate: Implications for nursing management. J Nurs Manag. 2018; 26(1):50-8.
  • Lotfi Z, Atashzadeh-Shoorideh F, Mohtashami J, Nasiri M. Relationship between ethical leadership and organisational commitment of nurses with perception of patient safety culture. J Nurs Manag. 2018; 26(6):726-34.
  • Weaver SH, Lindgren TG, Cadmus E, Flynn L, Thomas-Hawkins C. Report From the Night Shift: How Administrative Supervisors Achieve Nurse and Patient Safety. Nurs Adm Quarterly. 2017; 41(4): 328-36.
  • Jeffs L, Baker GR, Taggar R, Hubley P, Richards J, Merkley J, Shearer J, Webster H, Dizon M, Fong JH. Attributes and Actions Required to Advance Quality and Safety in Hospitals: Insights from Nurse Executives. Nurse Lead 2018; 31(2):20-31.
  • Labrague LJ, Al Sabei SD, AbuAlRub RF, Burney IA, Al Rawajfah O. Authentic leadership, nurse-assessed adverse patient events and quality of care: The mediating role of nurses’ safety actions. J Nurs Manag. 2021 Oct; 29(7):2152-62.
  • Liukka M, Hupli M, Turunen H. How transformational leadership appears in action with adverse events? A study for Finnish nurse manager. J Nurs Manag 2018; 26(6):639-46.
  • Souza MC, Oliveira G, Mendonca TD,Pena FC, Pazetto A, Gasparino RC. Nursing coaching leadership and its influence on job satisfaction and patient safety. Rev esc. Enferm Jul 2021 [aprox. 7 p.]. Doi: https://doi.org/10.1590/S1980-220X2020042103779
  • Zaheer, S, Ginsburg, L, Wong HJ, Thomson K, Bain L, Wulffhart Z. Acute care nurses’ perceptions of leadership, teamwork, turnover intention and patient safety- a mixed methods study. BMC Nursing 2021; 20:134 [aprox. 10 p.]. Doi: https://doi.org/10.1186/s12912-021-00652-w
  • Tekingündüz S, Yildiz E, Inci R. Relationship between nurses´perceptions of patient safety culture and job stress, trust, identification and leadership. J Nurs Manag. 2021; (3):344-54.
La source de données: Dialnet