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The impact of ED nurse manager leadership style on staff nurse turnover and patient satisfaction in academic health center hospitals.
J Emerg Nurs. 2008 Oct; 34(5):403-9.JE

Abstract

INTRODUCTION

Nurse managers with effective leadership skills are an essential component to the solution for ending the nursing shortage. Empirical studies of existing ED nurse manager leadership styles and their impact on key nurse management outcomes such as staff nurse turnover and patient satisfaction have not been performed. The specific aims of this study were to determine what types of leadership styles were used by ED nurse managers in academic health center hospitals and examine their influence on staff nurse turnover and patient satisfaction.

METHOD

ED nurse managers were asked to complete the Multifactor Leadership Questionnaire and a 10-item researcher defined nurse manager role and practice demographics survey. Completed surveys (15 managers and 30 staff nurses) representing 15 out of 98 possible U.S. academic health centers were obtained.

RESULTS

Fisher's exact test with 95% confidence intervals were used to analyze the data. The sample percentage of managers who exhibited Transformational leadership styles and demographic findings of nurse manager age, total years experience and length of time in current position matched current reports in the literature. A trend of lower staff nurse turnover with Transformational leadership style compared to non-Trasformational leadership styles was identified. However, the type of leadership style did not appear to have an effect on patient satisfaction.

DISCUSSION

The ED is an ever-changing, highly regulated, critical-care environment. Effective ED nurse manager leadership strategies are vital to maintaining the standards of professional emergency nursing practice to create an environment that can produce management outcomes of decreased staff nurse turnover, thereby enhancing staff nurse retention and potentially impacting patient satisfaction.

Authors+Show Affiliations

John Peter Smith Hospital, JPS Health Network, 1500 S Main St, Fort Worth, TX 76104, USA. graup@jpshealth.org

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18804712

Citation

Raup, Glenn H.. "The Impact of ED Nurse Manager Leadership Style On Staff Nurse Turnover and Patient Satisfaction in Academic Health Center Hospitals." Journal of Emergency Nursing: JEN : Official Publication of the Emergency Department Nurses Association, vol. 34, no. 5, 2008, pp. 403-9.
Raup GH. The impact of ED nurse manager leadership style on staff nurse turnover and patient satisfaction in academic health center hospitals. J Emerg Nurs. 2008;34(5):403-9.
Raup, G. H. (2008). The impact of ED nurse manager leadership style on staff nurse turnover and patient satisfaction in academic health center hospitals. Journal of Emergency Nursing: JEN : Official Publication of the Emergency Department Nurses Association, 34(5), 403-9. https://doi.org/10.1016/j.jen.2007.08.020
Raup GH. The Impact of ED Nurse Manager Leadership Style On Staff Nurse Turnover and Patient Satisfaction in Academic Health Center Hospitals. J Emerg Nurs. 2008;34(5):403-9. PubMed PMID: 18804712.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of ED nurse manager leadership style on staff nurse turnover and patient satisfaction in academic health center hospitals. A1 - Raup,Glenn H, Y1 - 2008/06/12/ PY - 2007/04/25/received PY - 2007/05/28/revised PY - 2007/08/19/accepted PY - 2008/9/23/pubmed PY - 2008/12/17/medline PY - 2008/9/23/entrez SP - 403 EP - 9 JF - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association JO - J Emerg Nurs VL - 34 IS - 5 N2 - INTRODUCTION: Nurse managers with effective leadership skills are an essential component to the solution for ending the nursing shortage. Empirical studies of existing ED nurse manager leadership styles and their impact on key nurse management outcomes such as staff nurse turnover and patient satisfaction have not been performed. The specific aims of this study were to determine what types of leadership styles were used by ED nurse managers in academic health center hospitals and examine their influence on staff nurse turnover and patient satisfaction. METHOD: ED nurse managers were asked to complete the Multifactor Leadership Questionnaire and a 10-item researcher defined nurse manager role and practice demographics survey. Completed surveys (15 managers and 30 staff nurses) representing 15 out of 98 possible U.S. academic health centers were obtained. RESULTS: Fisher's exact test with 95% confidence intervals were used to analyze the data. The sample percentage of managers who exhibited Transformational leadership styles and demographic findings of nurse manager age, total years experience and length of time in current position matched current reports in the literature. A trend of lower staff nurse turnover with Transformational leadership style compared to non-Trasformational leadership styles was identified. However, the type of leadership style did not appear to have an effect on patient satisfaction. DISCUSSION: The ED is an ever-changing, highly regulated, critical-care environment. Effective ED nurse manager leadership strategies are vital to maintaining the standards of professional emergency nursing practice to create an environment that can produce management outcomes of decreased staff nurse turnover, thereby enhancing staff nurse retention and potentially impacting patient satisfaction. SN - 1527-2966 UR - https://www.unboundmedicine.com/medline/citation/18804712/The_impact_of_ED_nurse_manager_leadership_style_on_staff_nurse_turnover_and_patient_satisfaction_in_academic_health_center_hospitals_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0099-1767(07)00468-0 DB - PRIME DP - Unbound Medicine ER -