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Effectiveness of a Patient Safety Culture Based Leadership Model on Incident Reporting and Learning about Patient Safety
... After removing duplicates (n = 3,134), 6,558 publications were screened by Source: Author's own work title and abstract and 6,513 were excluded, of which 1,045 were reviews, 1,302 were editorials and 4,121 because they only considered the relationship between leadership and patient safety culture and were not concerned with errors. Of the remaining 45 articles, a further 32 were excluded, 2 for poor quality (O'Connor and Carlson, 2016;Tutiany et al., 2019), 3 for being written in the Korean language (Kim, 2013(Kim, , 2015, 2 because they included health professionals other than nurses (ALFadhalah and Elamir, 2022; Lee et al., 2016), 1 because it included administrative staff (Van Dyck et al., 2013) and 24 because they did not correspond with the aim of the review to select only primary studies investigating the specific correlation between leadership style and error management. At the end of the above process, 13 articles were deemed eligible for final inclusion in the review. ...
Purpose
This paper aims to assess the influence of nursing leadership style on error management culture (EMC).
Design/methodology/approach
This scoping review was conducted following the integrative review methodology of the Joanna Briggs Institute (JBI) and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). PubMed, CINAHL, Scopus, Web of Science, Embase and EBSCO databases were systematically searched to identify studies on nursing leadership, error management and measurement, and error management culture. The studies’ methodological quality was then assessed using the JBI Critical Appraisal Checklist for Analytical Cross-Sectional Studies.
Findings
Thirteen manuscripts were included for review. The analysis confirmed that nursing leadership plays an important role in EMC and nurses’ intention to report errors. Three emerging themes were identified: 1) leadership and EMC; 2) leadership and the intention to report errors; and 3) leadership and error rate.
Research limitations/implications
A major limitation of the studies is that errors are often analyzed in a transversal way and associated with patient safety, and not as a single concept.
Practical implications
Healthcare managers should promote training dedicated to head nurses and their leadership style, for creating a good work environment in which nurses feel free and empowered to report errors, learn from them and prevent their reoccurrence in the future.
Originality/value
There is a positive relationship between nursing leadership and error management in terms of reduced errors and increased benefits. Positive nursing leadership leads to improvements in the caring quality.
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