Liderlik Davranışlarının Hasta Güvenliğini Tehdit Eden Olayların Bildirimi Üzerine Etkisi: Hemşireler Üzerinde Bir Çalışma
The Effect of Leadership Behaviors on the Reporting of Events Threatening Patient Safety: A Study on Nurses

Summary/Abstract: During the provision of healthcare services, incidents that unintentionally threaten patient safety may occur. These incidents arise due to a combination of factors and reporting them is essential to prevent errors and enhance patient safety. However, healthcare workers may be reluctant to report such incidents. It is stated that management support and effective leadership are necessary to facilitate incident reporting. Accordingly, this study aims to investigate the effect of the leadership behaviors of managers on the internal reporting, external reporting, and non-reporting tendencies of nurses, who have a high tendency to report incidents among healthcare workers. Data for the study were collected through face-to-face surveys administered to nurses working at a public hospital in Ankara. A total of 283 nurses participated in the study. Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to determine the effect of leadership behaviors on the reporting of events threatening patient safety. The analyses revealed that leadership behavior had a statistically significant negative effect on external reporting (β = –0.223; p < 0.001) and non-reporting (β = –0.204; p < 0.001), while having a statistically significant positive effect on internal reporting (β = 0.253; p < 0.001). Based on the results of this study, it can be concluded that the leadership behaviors exhibited by managers are effective in shaping employees’ attitudes and behaviors as well as their incident reporting tendencies.

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