ArticleJournal of advanced nursing2021
A quest for quality care: Exploration of a model of leadership relationships, work engagement, and patient outcomes.
Article in Journal of advanced nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Evidence on the links between patient experience and safety: a systematic review.BMJ open quality · 2026Pooled it
- Impact of Nurse Manager Leadership Styles on Work Engagement: A Systematic Literature Review.Journal of nursing management · 2023Pooled it
- Observational
- Assessment of the relationships between leader behavior, organizational silence, work engagement, and extra role behaviors in hospitals.BMC health services research · 2026Article
- The Mediating Role of Psychological Capital Between Caring Behaviour and Work Engagement of Nurses: A Cross-Sectional Study.Nursing open · 2026Article
- The relationship between psychological safety, patient safety culture, and work engagement with patient safety outcomes: a cross-sectional study in a Japanese university hospital.BMC health services research · 2026Article
- Examining resilience, moral sensitivity, and work engagement among Chinese anesthesia nurses.Frontiers in psychology · 2026Article
- Article
- Resonant Leadership and Proactive Vitality Management in Nurses: The Mediating Role of Post-COVID-19 Organizational Compassion.The journal of nursing research : JNR · 2025Article
- Understanding the Experiences of Nurses' Work: Development and Psychometric Evaluation of an End of Shift Survey.Journal of clinical nursing · 2025Article
- The influence of resonant leadership on teachers' innovative behavior: The mediating mechanism of information processing models.PloS one · 2025Article
- The influencing factors of nurses' job engagement in tertiary, A grade hospitals in East China: A cross-sectional study.Nursing open · 2024Article
- Healthcare leaders navigating complexity: a scoping review of key trends in future roles and competencies.BMC medical education · 2024Article
- Article
- Motivation to Lead: A Study of the Supportive Nursing Leadership Environment.Journal of nursing management · 2024Article
- Analysis of the chain-mediated effects of nurses' sense of professional gain and sense of professional mission between psychological resilience and work engagement in 10 general hospitals in Sichuan province.Frontiers in psychology · 2024Article
- Nurses' assessed self-efficacy levels to medical asepsis and their relation to structural empowerment, work engagement and work-related stress.Work (Reading, Mass.) · 2023Article
- Digitization in Everyday Nursing Care: A Vignette Study in German Hospitals.International journal of environmental research and public health · 2022Article
- Predictors of patient safety competency among emergency nurses in Iran: a cross-sectional correlational study.BMC health services research · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo explore the effects of resonant leadership, leader exchange relationships and perceived organizational support on work engagement and patient outcomes.
designA cross-sectional survey design.
methodsData were collected in June and July 2016 from 252 nurses and clerical staff and institutional patient safety (falls rates) and patient satisfaction (Friends and Family Test) in New Zealand. Data were analysed with structural equation modelling (SEM).
resultsThe final model was an excellent fit to the data (χ
conclusionExisting literature investigating the drivers and impacts of work engagement predominantly focuses on staff outcomes rather than patient outcomes. The findings identify modifiable factors to improve staff experience, patient safety, and ultimately patient satisfaction. Resonant leadership, a relational style, is a core antecedent of quality care and positively associated with staff experience and patient outcomes. IMPACT: This investigation into a real-world problem for nurse leaders also confirmed that an organizational focus on work engagement is not always required. Resonant leadership improves staff work experience, patient safety, and patient satisfaction. Nurse leaders should measure, foster, and develop resonant leadership in practice.
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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.