Linking transformational leadership, patient safety culture and work engagement in home care services

To assess the relationship between transformational leadership, job demands, job resources, patient safety culture and work engagement in home care services.

Cross-sectional survey.

Healthcare professionals in Norwegian home care services participated in the study (N = 139). Multiple regression analyses with patient safety culture and work engagement as outcomes and transformational leadership, job demands, job resources as predictors were conducted.

The transformational leadership model explained 35.7% of the variance in patient safety culture. Adding job demands and resources and work engagement to the model increased the explained variance to 53.5%. The job resource "skill utilization" was the strongest predictor of work engagement. The full model with all predictor variables explained 28.2% of work engagement.

Transformational leadership has a significant impact on patient safety culture and work engagement in home care services. Employees' perceptions of job demands, available resources and engagement also affect patient safety culture.