ArticleInternational journal of environmental research and public health2019
Linking Transformational Leadership with Nurse-Assessed Adverse Patient Outcomes and the Quality of Care: Assessing the Role of Job Satisfaction and Structural Empowerment.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05776615 (The Effect of the Mobile Application Developed for the Care of Sick Newborns on Nurses' Perception of Nursing Diagnoses and MissCare), which is not on this map. Cited by 61 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of the Mobile Application Developed for the Care of Sick Newborns on Nurses' Perception of Nursing Diagnoses and MissCare: A Randomized Controlled Trial
Who cites it
61 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Structural and psychological empowerment in relation to nurse job satisfaction and burnout: a systematic review and meta-analysis.BMC health services research · 2026Pooled it
- WhatsApp-Delivered Intervention for Continued Learning for Nurses in Pakistan During the COVID-19 Pandemic: Results of a Randomized-Controlled Trial.Frontiers in public health · 2022Trial
- Leveraging sociological systems theory: integrating transformational leadership and social capital to enhance quality of care - an exploratory longitudinal study of German hospitals.BMC health services research · 2026Article
- Impact of Quiet Quitting and Nursing Work Environment on Quality of Care and Patient Safety: A Cross-Sectional Study Among Nurses in Greece.Healthcare (Basel, Switzerland) · 2026Article
- Effect of focused nursing training on infection control measures on nurses' practice for patients undergoing percutaneous nephrolithotomy.World journal of nephrology · 2026Article
- Head nurse leadership styles and job satisfaction among nurses in teaching hospitals of southeastern Iran: a cross-sectional study.BMC nursing · 2026Article
- Linking Transformational Leadership to Patient Care Quality: The Role of Structural Empowerment and Registered Nurses' Clinical Leadership.Journal of nursing management · 2026Article
- The Role of Transformational Leadership in Improving Nurse Retention and Well-Being in Non-Western Countries: A Systematic Review.Journal of healthcare leadership · 2026Review
- The Impact of Digital Healthcare Adoption and Service Quality on Patient Satisfaction: The Moderating Role of Telehealth Services in Pakistan.Journal of nursing management · 2026Article
- Development and Validation of a Multidimensional Nursing Empowerment Scale (NES).Journal of nursing management · 2026Article
- A cross-sectional study on the impact of administrative procedures and medical staff services on patient satisfaction with trust in public sector hospitals: the moderating role of e-health knowledge.BMC health services research · 2025Article
- Excellent Nursing Leadership Towards Magnet Culture Among Nurse Leaders: An Interview Study.Journal of advanced nursing · 2025Article
- Nurses retention: the impact of transformational leadership, career growth, work well-being, and work-life Balance.BMC nursing · 2025Article
- The Impact of Nurse Managers' Transformational Leadership on Nurses' Work Engagement: A Cross-Sectional Study.Journal of nursing management · 2025Article
- Effects of Consensus on Leader-Member Exchange (LMX) Within Nursing Teams on the Relationship Between Abusive Supervision, Job Satisfaction, and Unit Turnover: A Multilevel Moderation Study.Journal of nursing management · 2025Article
- The Role of Competent Leaders in Nursing Staff Empowerment: A Cross-Sectional Study.Journal of healthcare leadership · 2025Article
- Antecedents of Patient Loyalty: Exploring Mediating and Moderating Paradigms in Public Hospitals.Patient preference and adherence · 2025Article
- "Direct Me or Leave Me": The Effect of Leadership Style on Stress and Self-Efficacy of Healthcare Professionals.Behavioral sciences (Basel, Switzerland) · 2024Article
- Individual and unit level insights from hospital staff ratings on structural empowerment, leadership-management performance, well-being, and quality of care.BMC health services research · 2024Article
- Head Nurse Leadership: Facilitators and Barriers to Adherence to Infection Prevention and Control Programs-A Qualitative Study Protocol.Nursing reports (Pavia, Italy) · 2024Article
1 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The purpose of this study was to examine the relationships between transformational leadership (TL), structural empowerment (SE), job satisfaction (JS), nurse-assessed adverse patient outcomes (APO), and the quality of care (QOC). The study further investigates the mediating effects of SE and JS on TL-APO and TL-QOC relationships. A total of 600 nurses working at 17 government hospitals in Pakistan completed the survey. The hypothesized model was tested using a confirmatory factor analysis and structural equation modeling. We found a positive relationship between TL, SE, JS, and QOC but negative relationships between TL and APO, SE and APO, and JS and APO. Our study further suggests that SE and JS strongly mediate both TL-APO and TL-QOC relationships.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.