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How magnetic are Finnish hospitals measured by transformational leadership and empirical quality outcomes?
Author(s) -
KVIST TARJA,
MÄNTYNEN RAIJA,
TURUNEN HANNELE,
PARTANEN PIRJO,
MIETTINEN MERJA,
WOLF GAIL A.,
VEHVILÄINENJULKUNEN KATRI
Publication year - 2013
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/j.1365-2834.2012.01456.x
Subject(s) - transformational leadership , nursing , job satisfaction , patient safety , organizational culture , quality (philosophy) , nursing management , medicine , leadership style , psychology , health care , social psychology , public relations , philosophy , political science , economics , economic growth , epistemology
Aim The overall aim of this study was to examine nurses’ and patients’ perceptions of the Magnet model components of transformational leadership and empirical quality outcomes in four Finnish hospitals and to determine if the evidence for transformational leadership and empirical quality outcomes is the same or different in the four hospitals. Background This report presents baseline measurements for a longitudinal study of the adaptation of the Magnet model in Finnish hospitals. Methods Web‐based surveys and mailed questionnaires were used in 2008–2009 to collect data from patients ( n = 2566) about their satisfaction with care, and from nursing staff about transformational leadership ( n = 1151), job satisfaction ( n = 2707) and patient safety culture ( n = 925) in the selected hospitals. Results Awareness of the work of nursing leaders was low. Nurses reported a high level of job satisfaction. Patient safety culture varied considerably between the four hospitals. Patients believed they generally received excellent quality care. Conclusions Leadership systems are in transition at the hospitals. Patient safety culture is a complex phenomenon that may be unfamiliar to respondents. The results of the study provide a baseline description to guide the journey toward development of Magnet standards. Implications for nursing management Finnish nursing leaders, especially nursing directors, should increase their visibility by working more closely with their staff. They should also pay attention to giving direct feedback about work generally and patient safety issues in particular.