University of Oulu

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.

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

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Author: Hult, Marja1; Terkamo-Moisio, Anja1; Kaakinen, Pirjo2,3;
Organizations: 1Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
2Research unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
3The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence, Helsinki, Finland
4Department of Nursing Science, Tampere University, Tampere, Finland
5Department of Nursing Science, University of Turku, Turku, Finland
6Social and Health Care, City of Helsinki, Helsinki, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.6 MB)
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Language: English
Published: John Wiley & Sons, 2023
Publish Date: 2023-10-06


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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Series: Nursing open
ISSN: 2054-1058
ISSN-E: 2054-1058
ISSN-L: 2054-1058
Volume: 10
Issue: 9
Pages: 5920 - 5936
DOI: 10.1002/nop2.1876
Type of Publication: A2 Review article in a scientific journal
Field of Science: 316 Nursing
Copyright information: © 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.