Impact of a patient safety leadership program on head nurses and clinical nurses: a quasi-experimental study
DOI:
https://doi.org/10.1590/1518-8345.4328.3478Keywords:
Patient Safety; Leadership; Nursing Administration Research; Nurses; Self-Efficacy; Professional Burnout.Abstract
Objective: to evaluate the impact of a patient safety leadership
program on head nurses and clinical nurses in the same nursing
unit. Method: a pre-post quasi-experimental study that included
60 head nurses and 240 clinical nurses was conducted. Only the
head nurses received patient safety leadership program training
for 12 months. Before and after the training, the General Self-
Efficacy Scale was completed by the head nurses, and the
General Self-Efficacy Scale, the Hospital Leadership Behavior
Assessment Scale, the Safety Behavior Scale and the Maslach
Burnout Inventory were completed by the clinical nurses.
Descriptive and inferential analyses of the data were performed
using absolute and relative frequencies, means and standard
deviations, and paired t-tests to assess the effect of the training.
Results: both the head nurses’ and the clinical nurses’ selfefficacy
increased significantly (p <0.01) after the training. The
leadership behavior of the head nurses and the safety behavior
of the clinical nurses also improved significantly (p<0.05).
We observed a statistically significant reduction in “emotional
exhaustion” and an increase in “personal accomplishment”
among the clinical nurses (P<0.001). Conclusion: the patient
safety leadership program had a positive impact on the head
nurses’ self-efficacy and leadership behavior and the clinical
nurses’ self-efficacy, safety behavior and job burnout.
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