Risk Management and Healthcare Policy (Jun 2024)
The Association of Transformational Leadership on Safety Practices Among Nurses: The Mediating Role of Patient Safety Culture
Abstract
Mahmoud Hamdan,1,2 Amar Hisham Jaaffar,3,4 Omar Khraisat,5 Marwan Rasmi Issa,6 Mu’taman Jarrar7,8 1Quality Management and Patient Safety Administration, King Saud Medical City, Riyadh, Saudi Arabia; 2College of Graduate Studies (COGS), Universiti Tenaga Nasional (UNITEN), Putrajaya Campus, Kajang, Selangor, 4300, Malaysia; 3Institute of Energy Policy and Research (Iepre), Universiti Tenaga Nasional (UNITEN), Putrajaya Campus, Kajang, Selangor, 4300, Malaysia; 4College of Business Management and Accounting (COBA), Universiti Tenaga Nasional (UNITEN), Putrajaya Campus, Kajang, Selangor, 43000, Malaysia; 5Faculty of Nursing, Al-Ahliyya Amman University, Amman, Jordan; 6Skills Development Training Center, King Saud Medical City, Riyadh, 12746, Saudi Arabia; 7Medical Education Department, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia; 8Vice Deanship for Development and Community Partnership, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaCorrespondence: Mahmoud Hamdan, College of Graduate Studies (COGS), Universiti Tenaga Nasional (UNITEN), Putrajaya Campus, Jalan IKRAM-UNITEN, Kajang, Selangor, 4300, Malaysia, Tel +966580405515, Email [email protected]: To ensure best possible patient outcomes, patient safety is a major component of healthcare delivery system that needs to be prioritized. Safety practices among nurses are essential to maintain patient safety, especially the practices of medication administration, handover, patient falls and unplanned extubations prevention.Purpose: To investigate the mediating effect of patient safety culture between the relationship of transformational leadership and safety practices among nurses.Methods: The data in this cross-sectional study were gathered from a survey targeted clinical nurses using a random sampling technique. The study was conducted in a medical city in Saudi Arabia, and two hundred nurses were surveyed. The Multifactor Leadership, Hospital Survey on Patient Safety Culture, and Nursing Safety Practice questionnaires were used in the study.Results: The results revealed significant positive associations between transformational leadership, patient safety culture, and nursing safety practices. Moreover, patient safety culture mediates the association between transformational leadership and safety practices among nurses.Conclusion: Enhancing transformational leadership capabilities among nurse managers should be considered in order to improve nursing safety practices. Additionally, patient safety culture should be measured and improved periodically to ensure better nursing safety practices.Keywords: nurses, safety practices, transformational leadership, patient safety, culture
