The influence of nursing leadership on nurse performance: a systematic literature review

Authors

  • PAMELA BRADY GERMAIN RN, MN,

    1. Assistant Faculty Lecturer, Faculty of Nursing, University of Alberta, Edmonton
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  • GRETA G. CUMMINGS PhD, RN

    1. Professor, Faculty of Nursing, University of Alberta, Edmonton
    2. CLEAR Outcomes Research Program (Connecting Leadership Education & Research), University of Alberta, Edmonton, Canada
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Greta G. Cummings
Professor
Faculty of Nursing
3rd Floor Clinical Sciences Building
University of Alberta
Edmonton
Alberta T6G 2G3
Canada
E-mail: gretac@ualberta.ca

Abstract

brady germain p. & cummings g.g. (2010) Journal of Nursing Management18, 425–439
The influence of nursing leadership on nurse performance: a systematic literature review

Aim  The aim was to explore leadership factors that influence nurse performance and particularly, the role that nursing leadership behaviors play in nurses’ perceptions of performance motivation.

Background  Nurse performance is vital to quality patient care outcomes and nursing leadership behaviors have been linked to nurse performance.

Evaluations  A review of research articles that examined the factors that nurses perceived as influencing their motivation and performance was conducted. Eight studies were included in the final analysis.

Key issues  Nurses’ perceptions of factors that affect their motivation and ability to perform were grouped into five categories using content analysis: autonomy, work relationships, resource accessibility, nurse factors, and leadership practices. Nursing leadership behaviors were found to influence both nurses’ motivations directly and indirectly via other factors.

Conclusion  The review suggests that nurse performance may be improved by addressing nurse autonomy, relationships among nurses, their colleagues and leaders, and resource accessibility.

Implications for nursing management  Nursing managers and leaders may enhance their nurses’ performance by understanding and addressing the factors that affect their ability and motivation to perform.

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