Relationships between nursing leadership and organizational, staff and patient outcomes : a systematic review of reviews

Hult, Marja; Terkamo-Moisio, Anja; Kaakinen, Pirjo; Karki, Suyen; Nurmeksela, Anu; Palonen, Mira; Peltonen, Laura-Maria; Häggman-Laitila, Arja (2023-08-11)
 
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https://doi.org/10.1002/nop2.1876

Hult, Marja
Terkamo-Moisio, Anja
Kaakinen, Pirjo
Karki, Suyen
Nurmeksela, Anu
Palonen, Mira
Peltonen, Laura-Maria
Häggman-Laitila, Arja
John Wiley & Sons
11.08.2023

Hult, M., Terkamo-Moisio, A., Kaakinen, P., Karki, S., Nurmeksela, A., Palonen, M., Peltonen, L.-M., & Häggman-Laitila, A. (2023). Relationships between nursing leadership and organizational, staff and patient outcomes: A systematic review of reviews. Nursing Open, 10, 5920–5936. https://doi.org/10.1002/nop2.1876

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© 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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doi:https://doi.org/10.1002/nop2.1876
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Abstract

Aim: To assess and describe reviews of nursing leadership styles associated with organizational, staff and patient outcomes.

Design: A systematic review of reviews.

Methods: Reviews describing a search strategy and quality assessment. The review followed the PRISMA statement. Nine databases were searched in February 2022.

Results: After screening 6992 records, 12 reviews were included reporting 85 outcomes for 17 relational, nine task-oriented, five passive and five destructive leadership styles. Transformational leadership, which is one of the relational styles, was the most studied among all the styles. Of the outcomes, staff outcomes were the most reported, notably job satisfaction, and patient outcomes were less reported. Also, mediating factors between relational leadership styles and staff and patient outcomes were identified.

Conclusion: Extensive research shows the beneficial impacts of relational leadership; however, destructive leadership research is lacking. Relational leadership styles should be conceptually assessed. More research is needed on how nurse leadership affects patients and organizations.

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