Related Experiment Video
Updated: Oct 28, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Manager's influence on the registered nurse and nursing assistant relational quality and patient safety culture
Amy Richmond Campbell1, Susan Kennerly1, Melvin Swanson1
1Department of Nursing, East Carolina University, Greenville, North Carolina, USA.
Aims:
The purpose of this study is to describe the perceptions of relational quality of the registered nurse and nursing assistant and examine how their view of the manager's influence impacts overall patient safety culture of a unit.
Background:
The primary delivery of nursing care within acute care systems uses teams of registered nurses and nursing assistants.
Methods:
A cross-sectional secondary analysis of data collected in the spring of 2018 using the Agency for Healthcare and Quality Hospital Survey of Patient Safety Culture and a seven-item questionnaire measuring relational quality was conducted. The sample included 1,152 responses.
Results:
The manager influenced overall perceptions of safety regardless of the relational quality between the registered nurse and nursing assistant.
Conclusions:
This study found manager behaviours that promote patient safety and also influence overall perceptions of patient safety culture regardless of the relational quality between the registered nurse and nursing assistant.
Implications For Nursing Management:
Positive registered nurse and nursing assistant relational quality amplifies perceptions of patient safety culture, yet it is the manager's behaviours regarding safety that make the stronger contribution in building a culture of safety.
Related Concept Videos
Nurses' Legal Responsibilities III
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
Nurses' Legal Responsibilities II
Communication between nurses and...
Accountability and Responsibility of a Nurse II
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
Obedience
Accountability and Responsibility of a Nurse I
Ethical Standards I
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
