The influence of nurse manager leadership behaviors and unit work climates on work environment and patient outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/308623
Category:
Abstract
Type:
Presentation
Title:
The influence of nurse manager leadership behaviors and unit work climates on work environment and patient outcomes
Author(s):
Tolentino, Luz R.; Neubert, Mitchell J.; Hunter, Emily M.
Lead Author STTI Affiliation:
Non-member
Author Details:
Luz R. Tolentino, MSN, BSN, RN, NEA-BC, remy.tolentino@baylorhealth.edu; Mitchell J. Neubert, PhD, BS; Emily M. Hunter, PhD, MA, BA
Abstract:

Session presented on: Sunday, November 17, 2013

Leadership behavior is an important influence on the nursing work environment and patient care. This study investigated the influence of servant leadership, directive leadership behavior, and unit work climates on work environment, nursing staff and patient outcomes. A sample of 1485 staff nurses across 157 units of a multi-facility healthcare organization completed a survey assessing their manager's leadership behavior and individual outcomes. The leadership ratings were aggregated to the unit level and compared to unit-level work environment, nursing staff and patient outcome data.  In regressions, including both servant leadership and directive behavior, higher levels of servant leadership behavior were significantly associated with nurse reports of higher job satisfaction, organizational commitment, and lower emotional exhaustion. Higher levels of directive behavior were significantly associated with organizational commitment, helping and innovative behavior, and less incivility. Higher levels of servant leadership also were significantly associated with higher unit Practice Environment Scale (PES) scores from the National Nursing Database for Quality Indicators (NDNQI) RN Survey, last-shift-worked nurse satisfaction, patient satisfaction scores, and lower hospital-acquired pressure ulcers. Directive behavior was not significantly associated with work environment or patient outcome data. Higher levels of servant leadership also were significantly associated with unit-level virtuous, ethical, and service climates, which in turn were all associated with higher PES scores, with virtuous climate having the strongest influence. Servant leadership and directive leadership contribute to positive outcomes for nurses, the work environment, and patients; but most of the strongest effects are best explained by servant leadership. Implications for leadership and establishing the appropriate work climate will be discussed.
Keywords:
Work Environment; Patient Outcomes; Leadership
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe influence of nurse manager leadership behaviors and unit work climates on work environment and patient outcomesen_GB
dc.contributor.authorTolentino, Luz R.en_GB
dc.contributor.authorNeubert, Mitchell J.en_GB
dc.contributor.authorHunter, Emily M.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsLuz R. Tolentino, MSN, BSN, RN, NEA-BC, remy.tolentino@baylorhealth.edu; Mitchell J. Neubert, PhD, BS; Emily M. Hunter, PhD, MA, BAen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308623-
dc.description.abstract<p>Session presented on: Sunday, November 17, 2013</p>Leadership behavior is an important influence on the nursing work environment and patient care. This study investigated the influence of servant leadership, directive leadership behavior, and unit work climates on work environment, nursing staff and patient outcomes. A sample of 1485 staff nurses across 157 units of a multi-facility healthcare organization completed a survey assessing their manager's leadership behavior and individual outcomes. The leadership ratings were aggregated to the unit level and compared to unit-level work environment, nursing staff and patient outcome data.  In regressions, including both servant leadership and directive behavior, higher levels of servant leadership behavior were significantly associated with nurse reports of higher job satisfaction, organizational commitment, and lower emotional exhaustion. Higher levels of directive behavior were significantly associated with organizational commitment, helping and innovative behavior, and less incivility. Higher levels of servant leadership also were significantly associated with higher unit Practice Environment Scale (PES) scores from the National Nursing Database for Quality Indicators (NDNQI) RN Survey, last-shift-worked nurse satisfaction, patient satisfaction scores, and lower hospital-acquired pressure ulcers. Directive behavior was not significantly associated with work environment or patient outcome data. Higher levels of servant leadership also were significantly associated with unit-level virtuous, ethical, and service climates, which in turn were all associated with higher PES scores, with virtuous climate having the strongest influence. Servant leadership and directive leadership contribute to positive outcomes for nurses, the work environment, and patients; but most of the strongest effects are best explained by servant leadership. Implications for leadership and establishing the appropriate work climate will be discussed.en_GB
dc.subjectWork Environmenten_GB
dc.subjectPatient Outcomesen_GB
dc.subjectLeadershipen_GB
dc.date.available2013-12-19T17:33:44Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:33:44Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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