Evidence map›Paper›PMID 37755351›Full record

ReviewNursing reports (Pavia, Italy)2023

The Impact of Transformational Leadership in the Nursing Work Environment and Patients' Outcomes: A Systematic Review.

Line Miray Kazin Ystaas, Monica Nikitara, Savoula Ghobrial, Evangelos Latzourakis, Giannis Polychronis, Costas S Constantinou

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Nursing reports (Pavia, Italy), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Line Miray Kazin YstaasDepartment of Health Sciences, School of Life and Health Sciences, University of Nicosia, Nicosia 1700, Cyprus.
Monica NikitaraDepartment of Health Sciences, School of Life and Health Sciences, University of Nicosia, Nicosia 1700, Cyprus.ORCID 0000-0002-4595-2211
Savoula GhobrialDepartment of Health Sciences, School of Life and Health Sciences, University of Nicosia, Nicosia 1700, Cyprus.
Evangelos LatzourakisDepartment of Health Sciences, School of Life and Health Sciences, University of Nicosia, Nicosia 1700, Cyprus.
Giannis PolychronisDepartment of Health Sciences, School of Life and Health Sciences, University of Nicosia, Nicosia 1700, Cyprus.ORCID 0000-0002-1437-4754
Costas S ConstantinouDepartment of Basic and Clinical Sciences, Medical School, University of Nicosia, Nicosia 1700, Cyprus.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the increasingly demanding healthcare environment, patient safety issues are only becoming more complex. This urges nursing leaders to adapt and master effective leadership; particularly, transformational leadership (TFL) is shown to scientifically be the most successfully recognized leadership style in healthcare, focusing on relationship building while putting followers in power and emphasizing values and vision.

aimTo examine how transformational leadership affects nurses' job environment and nursing care provided to the patients and patients' outcomes.

designA systematic literature review was conducted. From 71 reviewed, 23 studies were included (studies included questionnaire surveys and one interview, extracting barriers and facilitators, and analyzing using qualitative synthesis).

resultTFL indirectly and directly positively affects nurses' work environment through mediators, including structural empowerment, organizational commitment, and job satisfaction. Nurses perceived that managers' TFL behavior did not attain excellence in any of the included organizations, highlighting the necessity for additional leadership training to enhance the patient safety culture related to the non-reporting of errors and to mitigate the blame culture within the nursing environment.

conclusionBringing more focus to leadership education in nursing can make future nursing leaders more effective, which will cultivate efficient teamwork, a quality nursing work environment, and, ultimately, safe and efficient patient outcomes. This study was not registered.

Indexed as

nursingsystematic reviewtransformational leadershipwork environment

Identifiers

PMID37755351
PMCPMC10537672

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.