ArticleFrontiers in health services2026
Positive leadership and health-related long-term outcomes among hospital nurses: a cross-sectional study.
Article in Frontiers in health services, 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: Nurses face high job demands that increase the risk of burnout, reduced job satisfaction, and intention to leave the profession. Leadership is a key resource for improving working conditions in healthcare, yet research has largely focused on deficit-oriented approaches. Positive leadership, grounded in positive psychology, aims to actively promote well-being and flourishing. The PERMA-Lead model operationalizes this approach through five dimensions: Positive Emotions, Engagement, Relationships, Meaning, and Accomplishment. Evidence on PERMA-Lead in nursing contexts remains limited. Aim: This study examined perceptions of positive leadership among nurses and nurse managers and investigated associations between PERMA-Lead and health-related long-term outcomes. Methods: A cross-sectional survey was conducted in an acute care hospital in the German-speaking part of Switzerland. Nurses and nurse managers ( Results: PERMA-Lead levels were high across all dimensions (means >78 on a 0-100 scale). Managers rated their leadership higher than non-management staff ( Conclusions: Positive leadership appears relevant for nurse retention. In contrast, its association with job satisfaction is less clear and depends on model specification, while no association was observed with burnout symptoms. Leadership may need to be complemented by structural improvements in working conditions.
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