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An evaluation of the impact of leadership styles exhibited by emergency department nurse managers in academic health centers on nurse turnover and patient satisfaction.

机译：对学术健康中心急诊科护士经理展示的领导方式对护士更替和患者满意度的影响进行评估。

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摘要

Nurse managers with effective leadership skills are an essential component to the solution for ending the nursing shortage. Empirical studies of existing emergency department (ED) nurse manager leadership styles and their impact on key nurse management outcomes such as staff nurse turnover and patient satisfaction have not been performed. The specific aims of this study were to determine what types of leadership styles were used by ED nurse managers in academic health center hospitals and to examine their influence on staff nurse turnover and patient satisfaction. ED nurse managers were asked to complete the Multifactor Leadership Questionnaire, a statistically reliable and valid leadership style measurement instrument, adapted for online (internet) data collection and a 10-item researcher defined nurse manager role and practice demographics survey. Two staff nurses were asked to complete a rater survey for their respective nurse manager to validate leadership styles. All data were analyzed with SPSS for Windows software. Completed surveys (15 managers and 30 staff nurses) representing 15 out of 98 possible U.S. academic health centers were obtained. Due to a limited sample size, descriptive statistics, including frequencies, percentages and Fisher's Exact Tests with 95% Confidence Intervals, were used to analyze the data. The sample percentage of managers who exhibited Transformational leadership styles and demographic findings of nurse manager age, total years experience and length of time in current position matched current reports in the literature. A trend of lower staff nurse turnover with Transformational leadership style compared to non-Transformational leadership styles was identified. However, the type of leadership style did not appear to have an effect on patient satisfaction. Nurse managers whose leadership style was Transformational were older and had more years of experience than those whose styles were non-Transformational. The ED is an ever changing, highly regulated, critical care environment. Effective ED nurse manager leadership strategies are vital to maintaining the standards of professional emergency nursing practice to create an environment that can produce management outcomes of decreased staff nurse turnover thereby enhancing staff nurse retention and potentially impacting patient satisfaction.
机译：具有有效领导能力的护士经理是解决护理短缺问题的重要组成部分。尚未对现有急诊科（ED）护士经理领导风格及其对关键护士管理成果（如员工护士流动和患者满意度）的影响进行实证研究。这项研究的具体目的是确定在学术保健中心医院中，急诊护士经理采用了哪种类型的领导方式，并研究其对员工护士流动率和患者满意度的影响。要求ED护士经理填写《多因素领导力调查表》，这是一种统计上可靠且有效的领导风格测量工具，适用于在线（互联网）数据收集，并由10名研究人员定义了护士经理的角色和实践人口统计调查。要求两名员工护士为其各自的护士经理完成评估者调查，以验证领导风格。使用Windows软件SPSS分析所有数据。已获得代表98个可能的美国学术健康中心中的15个的完整调查（15名管理人员和30名护士护士）。由于样本量有限，因此使用描述性统计数据（包括频率，百分比和置信区间为95％的Fisher精确检验）来分析数据。表现出变革型领导风格和人口统计学结果的经理经理的样本百分比，包括护士经理的年龄，总工作经验和任职时间长短与文献中的最新报告相符。与非变革型领导风格相比，具有变革型领导风格的职员护士流动率有降低的趋势。但是，领导风格的类型似乎对患者的满意度没有影响。领导风格为“变革型”的护士经理比那些非变革型领导的经理年龄更大，经验丰富。急诊部是一个不断变化的，受到严格监管的重症监护环境。有效的ED护士经理领导策略对于维持专业急诊护理实践的标准至关重要，以创造一种环境，使员工的护士流失率降低，从而提高员工的护士保有率并可能影响患者满意度，这是至关重要的。

著录项

  • 作者

    Raup, Glenn.;

  • 作者单位

    University of Arkansas for Medical Sciences.;

  • 授予单位 University of Arkansas for Medical Sciences.;
  • 学科 Health Sciences Nursing.; Health Sciences Health Care Management.
  • 学位 Ph.D.
  • 年度 2007
  • 页码 93 p.
  • 总页数 93
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;预防医学、卫生学;
  • 关键词

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