Nurses' perceptions of the influence of leadership behaviours and organisational culture on patient safety incident reporting practices.

Islam Ali Al-Oweidat, Ali Saleh, Anas Husam Khalifeh, Nazih Abu Tabar, Mohammad Rafe Al Said, Malek Mohammad Khalil, Huthaifah Khrais
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Abstract

Background: Patient safety is a priority for all healthcare organisations. Enhancing patient safety incident reporting practices requires effective leadership behaviours at all levels in healthcare organisations.

Aim: To explore nurses' perceptions of the influence of nurse managers' leadership behaviours and organisational culture on patient safety incident reporting practices.

Method: A descriptive, cross-sectional, correlational design was adopted with a convenience sample of 325 nurses from 15 Jordanian hospitals.

Results: Respondents had positive perceptions of their nurse managers' leadership behaviours and organisational culture. There was a significant positive relationship between leadership behaviours and organisational culture (r=0.423, P<0.001) and between leadership behaviours and actual incident-reporting practices (r=0.131, P<0.001). Additionally, there was a significant positive relationship between organisational culture and incident-reporting practices (r=0.250, P<0.001).

Conclusion: Healthcare organisations must develop leaders who will foster a supportive and just culture that will enhance nurses' practice with regards to reporting patient safety incidents.

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护士对领导行为和组织文化对患者安全事件报告实践影响的看法。
背景:患者安全是所有医疗机构的首要任务。加强患者安全事件报告实践需要在医疗保健组织的各级有效的领导行为。目的:探讨护士对护士管理者的领导行为和组织文化对患者安全事件报告实践影响的看法。方法:采用描述性、横断面、相关设计,对来自约旦15家医院的325名护士进行方便抽样。结果:受访者对护士管理者的领导行为和组织文化有积极的看法。领导行为与组织文化之间存在显著的正相关关系(r=0.423, p)。结论:医疗保健组织必须培养能够培养支持性和公正文化的领导者,这将增强护士在报告患者安全事件方面的实践。
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