The influence of transformational leadership on nurses performance in hospital settings: Scoping review
DOI:
https://doi.org/10.62741/ahrj.v2i2.49Keywords:
Nurse, Professional performance, Transformational leadership, ResultsAbstract
Introduction: Transformational leadership in nursing has the potential to enhance nurses' performance in hospital settings, fostering quality of care, job satisfaction and organisational commitment.
Objectives: To map the existing evidence regarding the influence of TL on nurses' performance in hospital contexts.
Methodology: A scoping review was conducted according to the Joanna Briggs Institute methodology and PRISMA-ScR checklist. Literature was searched in MedLine, CINAHL and Academic Search, between 2014 and 2024, including grey literature. Studies in English or Portuguese with full-text availability were included.
Results: From 437 records identified, 9 studies were included. Transformational leadership positively correlates with performance outcomes such as job satisfaction, psychological safety, clinical effectiveness and organisational commitment.
Conclusion: Tranformational Leadership emerges as an effective leadership style to improve nurses' performance, supporting a positive work environment and contributing to care excellence. Investment in nursing leadership training is recommended.
References
Fisher, S. A. Developing nurses’ transformational leadership skills. Nursing Standard. 2017, pp. 54-63. DOI: https://doi.org/10.7748/ns.2017.e10857
Boamah, S. Linking Nurses’ Clinical Leadership to Patient Care Quality: The Role of Transformational Leadership and Workplace Empowerment. Canadian Journal of Nursing Research. 2017, pp. 1-11.
Ystaas, L. M, et al. The Impact of Transformational Leadership in the Nursing Work Environment and Patients’ Outcomes: A Systematic Review. Nursing Reports. 13, 2023, pp. 1271-1290.
Bass, B. M e Avolio, B. J. Improving Organizational Effectiveness Through Transformational Leadership. Sage Publications, Inc. 1994.
Organização Mundial da Saúde. World Health Organization. www.who.int. [Online] 2024. https://www.who.int/health-topics/hospitals#tab=tab_1.
Koopmans, L., et al. Construct validity of the individual work performance questionnaire. Journal of Occupational and environemental medicine. 56, 2014, Vol. 3, pp. 331-337. DOI: https://doi.org/10.1097/JOM.0000000000000113
Sonnentag, S. e Frese, M. Performance concepts and performance theory. Psychological management of individual perfomance. 2002, Vol. 23, pp. 3-25. DOI: https://doi.org/10.1002/0470013419.ch1
Tricco, A. C, et al. PRISMA extension for scoping reviews (PRISMA- ScR): Checklist and explanation. Annals of internal medicine. 7, 2018, Vol. 169, pp. 467-473. DOI: https://doi.org/10.7326/M18-0850
Peters, M. D. J., et al. Update methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 10, 2020, Vol. 18, pp. 2119-2126. DOI: https://doi.org/10.11124/JBIES-20-00167
Moher, D., et al. Reprint-- Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement. Physical Therapy. 9, 2009, Vol. 89, pp. 873-880. DOI: https://doi.org/10.1093/ptj/89.9.873
Boamah, S. Linking Nurses` Clinical Leadership to Patient Care Quality: The Role of Transformational Leadership and Workplace Empowerment. Canadian Journal of Nursing Research. 2017, pp. 0-11. DOI: https://doi.org/10.1177/0844562117732490
Wijayanti, K. e Aini, Q. The Influence of Transformational Leadership Style to Nurse Job Satisfaction and Performance in Hospital. Journal of World Science. 7, 2022, Vol. 1, pp. 485-499. DOI: https://doi.org/10.36418/jws.v1i7.69
Ystaas, L. M., et al. The Impact of Transformational Leadership in the Nursing Work Enviorement and Patients`Outcomes: A Systematic Review. Nursing Reports. 2023, Vol. 13, pp. 1271-1290. DOI: https://doi.org/10.3390/nursrep13030108
Ullah, Z. e Khan, M. Z. How does the leadership style play out in job-related outcomes? PUTAJ - Humanities and Social Sciences. 2, 2019, Vol. 26, pp. 113-135.
Asif, M., et al. Linking Transformational Leadership with Nurse-Assessed Adverse Patient Outcomes and Quality of Care: Assessing the Role of Job Satisfation and Structural Empowerment. International Journal of Environemental Research and Public Health. 2019, pp. 1-15. DOI: https://doi.org/10.3390/ijerph16132381
Suratno, K., Ariyanti, S. e Kusrini, K. The Relationship between Transsformational Leadership and Quality of Nursing Work Life in Hospital. International Journal of Caring Sciences. 3, Vol. 11, pp. 1416-1422.
Labrague, L. J., Nwafor, C. E. e Tsaras, K. Influence of toxic transformational leadershipo practices on nurses`job satisfaction, job stress, absenteeism, and turnover intention: a cross-sectional study. Journal of Nursing Management. 5, 2020, Vol. 28, pp. 1104-1113. DOI: https://doi.org/10.1111/jonm.13053
Alsadaan, N., et al. Impact of Nurse leaders Behaviors on Nursing Staff Performance: A Systematic Review of Literature. The Journal of Healthcare. 2023, Vol. 60, pp. 1-14. DOI: https://doi.org/10.1177/00469580231178528
Lievens, I. e Vlerick, P. Transformational Leadership and Safety Performance amoung Nurses: The mediating role of knowledge-related job characteristics. Journal of Advanced Nursing. 3, 2014, Vol. 70, pp. 651-661. DOI: https://doi.org/10.1111/jan.12229
Patarru´, F. e Purwanza, S. W. The Developement of Transformational Leadership model based on caring as an effort to increase nursing performance. Healthcare in Low-resource Settings. 1, 2024, Vol. 12, pp. 1-6. DOI: https://doi.org/10.4081/hls.2023.11779
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