Leadership Styles and Nursing Care Quality in the Dimensions of Nursing Practice: A Systematic Review
Keywords:
Leadership and Nursing Quality in Nurse’ Dimension: A systematic ReviewAbstract
This systematic review design research aimed to synthesize a corpus of knowledge on leadership styles and nursing quality practices accordingly with the 5 dimensions. The data were searched from Science Direct, Emerald Insight, CINAHL, ProQuest, Medline/PubMed, Google Scholar, Thai List, Thaijo and other electronic databases of universities. The sample was 11 related research articles, purposively selected from research reports on leadership and nursing quality, published during 2013 - 2023. The instruments were records of general data of the research reports, and quality evaluation records, based on the concepts of PRISMA 2020, and Kmet, Lee and Cook’s quality assessment criteria for research. Kappa statistics were employed
1. Most of the studies were conducted in government hospitals (n=9), involving first-line nurse managers (n=6). The largest sample size was 775. The validity and reliability of the instruments met the criteria, used descriptive statistics (n=11), while only 5 articles reported construct validity.
2. Most of the research articles were based on Bass and Avolio’s transformational leadership theory. Two dimensions were found regarding the measurement of nursing quality in the nursing dimensions. Most articles (n=5) found measurement dimensions according to the established standards of the organization consisting of nurses’ perception of nursing care concerning the quality standards (EPAECQC) with 7 components, and Quality of Health service with 5 components, and the measurement dimension according to the actual incidences from nursing care patients (n=2), for example incidences of infected pressure ulcers.
The synthesis of research studies indicates a lack of leadership and nursing quality, so that there should be more studies on mid-line and high-line managers. The development of nursing quality measure tools in nursing dimensions in the context of Thai nursing organizations should be improved.
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