ArticleBMC health services research2024
Transformational nurse leadership attributes in German hospitals pursuing organization-wide change via Magnet® or Pathway® principles: results from a qualitative study.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The economics of implementing MagnetBMC health services research · 2026Article
- 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
- Fostering Spiritually Supportive Work Environments in Healthcare: Leadership Recommendations From a Narrative Review.Journal of nursing management · 2026Review
- Being a professional nurse until retirement - a qualitative interview study in Germany.BMC nursing · 2025Article
- Internal Communication and Dissemination Strategies During Magnet Implementation in German Hospitals: A Qualitative Study.Journal of nursing management · 2025Article
- Understanding Implementation Barriers for Lean Magnet Accreditation in the United Arab Emirates: A Qualitative Approach.Journal of nursing management · 2025Article
- Article
- The Effect of Ethical Leadership on Nurse Bullying, Burnout, and Turnover Intentions.Journal of nursing management · 2024Article
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Authors and funding
4 authors.
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Abstract
backgroundBudget constraints, staff shortages and high workloads pose challenges for German hospitals. Magnet® and Pathway® are concepts for implementing organization-wide change and redesigning work environments. There is limited research on the key elements that characterize nurse leaders driving the implementation of Magnet®/Pathway® principles outside the U.S. We explored the key attributes of nurse leaders driving organization-wide change through Magnet®/Pathway® principles in German hospitals.
methodsUsing a qualitative study design, semi-structured interviews (n = 18) were conducted with nurse leaders, managers, and clinicians, in five German hospitals known as having started implementing Magnet® or Pathway® principles. The interviews were recorded and transcribed verbatim. Data were analyzed in Atlas.ti using content analysis. For the analysis, a category system was created using a deductive-inductive approach.
resultsFive leadership attributes and eleven sub-attributes were identified as main themes and sub-themes: Visionary leaders who possess and communicate a strong vision and serve as role models to inspire change. Strategic leaders who focus on strategic planning and securing top management support. Supportive leaders who empower, emphasizing employee motivation, individualized support, and team collaboration. Stamina highlights courage, assertiveness, and resilience in the face of challenges. Finally, agility which addresses a leader's presence, accessibility, and rapid responsiveness, fostering adaptability.
conclusionsThe study demonstrates leadership attributes explicitly focusing on instigating and driving organization-wide change through Magnet®/Pathway® principles in five German hospitals. The findings suggest a need for comprehensive preparation and ongoing development of nurse leaders aimed at establishing and sustaining a positive hospital work environment.
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