Cross-domain and multilevel mediation analyses of proprietary NDNQI® and patient experience data show that nurse leaders have a significant effect on the quality of the work environment of direct care nurses and, ultimately, on performance across measures of safety, quality, patient experience and nurse engagement.
Among the notable findings, data show the following:
Nurse manager leadership is associated with multiple work environment drivers across unit types.
The primary drivers of outcomes differ across unit type, both in number and in rank order.
Autonomy and professional development were shown to drive nurse outcomes while a different set of drivers influenced patient outcomes.
In addition to the quantitative analyses, interviews with high-performing nurse managers identify best practices for improving the mediators through which these leaders influence the practice environment.
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