ArticleBMC nursing2026
Effect of nurse leadership on national survey and evaluation of inpatient satisfaction: a single-center correlation study.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND AND
objectiveRecently, the concept of nurse leadership has been expanded from managerial duties and styles to the essential abilities of frontline nurses for inspiring patients. Nevertheless, limited studies have reported the correlation between frontline nurse leadership and patient satisfaction. This study aims to investigate the association between nursing leadership and the National Health Commission Inpatient Satisfaction Survey and Evaluation (NHC-ISSE) to provide empirical evidence for enhancing patient satisfaction and nursing practice.
methodsA total of 108 nurses currently on duty were enrolled in this single-center cross-sectional study and surveyed using the Nurse Leadership Questionnaire (NLQ). Concurrently, all 329 patients under their care (ranging from 2 to 4 patients per nurse) were included in the NHC-ISSE survey. Pearson correlation and multivariate partial correlation were used to analyze the relationship between nurse leadership and patient satisfaction.
resultsThe NLQ returned 108/108 questionnaires with a 100% response rate and 198.87 ± 29.31 average score; the NHC-ISSE returned 317/329 questionnaires with a 96.4% response rate and 38.98 ± 3.07 average score. There were positive correlations between the total and dimension scores of the two scales (r = 0.292 to 0.795, all P < 0.001). Multivariate analysis revealed significant partial correlations between nurse communication skills (rpartial=0.193, P = 0.048), problem-solving ability (rpartial=0.244, P = 0.014), and nursing expertise (rpartial=0.307, P = 0.002) in relation to the NHC-ISSE scores. Meanwhile, the NLQ scores were significantly associated with patient satisfaction on nurse-patient communication (rpartail=0.445, P < 0.001), medication management (rpartail=0.244, P = 0.012), and nursing expertise (rpartail=0.324, P = 0.001).
conclusionThe seven essential competencies encompassed in the NLQ scale are positively associated with inpatient satisfaction, especially nurses’ communication skills, problem-solving skills, and nursing expertise. Enhancing nursing leadership may contribute to improving the patient experience and satisfaction. It is recommended to launch quality improvement initiatives to monitor the impact of nurse leadership on patient outcomes.
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