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Exploring the Relationship Between Contact Frequency, Leader-Member Relationships, and Patient Safety Culture
Albert D Anderson1, Theresa A Floegel, Linda Hofler
1Author Affiliations: Patient Care Coordinator of Operations (Dr Anderson) and Senior Vice President of Patient Care Services (Dr Hofler), Vidant Medical Center; and Associate Professor (Dr Floegel) and Chief Statistician of the Office of Research and Scholarship and Professor (Dr Swanson), East Carolina University, Greenville, North Carolina.
Increased contact frequency between nurse leaders and team members strengthens relationships, positively impacting patient safety culture. This leader behavior is key for improving healthcare environments.
Area of Science:
- Nursing Leadership
- Organizational Behavior
- Patient Safety
Background:
- Leader-member relationships are crucial for developing a positive patient safety culture.
- Specific leader behaviors that foster these relationships remain largely unexplored.
- This study investigates contact frequency (CF) as a potential leader behavior to enhance patient safety culture.
Purpose of the Study:
- To examine the association between nurse leader contact frequency (CF) and leader-member relationships.
- To explore the relationship between leader-member relationships and patient safety culture.
- To determine the impact of CF on both relationship quality and patient safety culture.
Main Methods:
- A cross-sectional survey design was employed.
- Data were collected from 746 bedside nurses across an 8-hospital system.
- Leader-Member Exchange (LMX) theory provided the theoretical framework.
Main Results:
- A statistically significant association was identified between the strength of leader-member relationships and patient safety culture.
- Contact frequency (CF) demonstrated a significant effect on both the quality of leader-member relationships and the overall patient safety culture.
- The findings support CF as a measurable factor influencing relationship dynamics and safety outcomes.
Conclusions:
- Higher contact frequency between nurse leaders and team members may foster stronger relationships.
- Improved leader-member relationships, potentially driven by increased CF, can positively influence patient safety culture within nursing units.
- Further research is recommended to identify factors that enhance or limit the effectiveness of contact frequency.
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