Nursing Leadership Style and the Impact on Medication Variances in a Rural Acute Care Facility
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Authors
Petersen, Barbara
Issue Date
2023-04-19
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Issue
Type
Manuscript
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Keywords
Medication Error , Medication Variance , Nursing Leadership , Transformational Leadership
Alternative Title
Abstract
Patients are harmed in hospitals in the United States (US) every year through medication errors. Quality leaders recognize the need to mitigate medication variances and the harm they could inflict upon patients. Nurse managers can be pivotal in ensuring that error management systems are in place to reduce harm to patients. Evidence supports the positive relationship between transformational leadership styles and patient safety. This quality improvement project utilized a leadership assessment tool for nurse leaders, provided leadership training skills, and examined the impact on medication variances over a six-month period at one acute-care rural US hospital. Medication variances were monitored using the organizational incident reporting system before and after transformational leadership training with nurse leaders. A pre-and post-intervention survey using the Multifactor Leadership Questionnaire (MLQ-5X) noted a decrease in medication variances in three of five units, with one unit realizing a 51% decrease in medication variances. This project has implications for quality leaders in reviewing nurse leader management styles to prevent harmful medication errors in acute care settings.
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Publisher
Creighton University
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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University