Nursing leadership and management effects work environments.

Authors: Tomey AM Affiliation: Professor Emeriti, Indiana State University, College of Nursing, Health and Human Services, North Fort Myers, FL Source: Journal of Nursing Management (J NURS MANAGE), 2009 Jan; 17 (1): 15-25. (103 ref) Publication Type: journal article - review Language: English Major Subjects: Leadership; Nursing Management; Professional Image; Work Environment Minor Subjects: Interprofessional Relations ; Nursing Practice, EvidenceBased ; Professional Autonomy; Professional Development ; Quality Improvement ; Quality of Nursing Care ; Quality of Working Life ; Referral and Consultation ; Teaching Abstract: Aim The aim of this literature search was to identify recent research related to nursing leadership and management effects on work environment using the 14 forces of magnetism. Background This article gives some historical perspective from the original 1983 American Academy of Nursing study through to the 2002 McClure and Hinshaw update to 2009 publications. Evaluation Research publications were given a priority for references. Key issues The 14 forces of magnetism as identified by Unden and Monarch were: '1. Quality of leadership..., 2. Organizational structure..., 3. Management style..., 4. Personnel policies and programs..., 5. Professional models of care..., 6. Quality of care..., 7 Quality improvement..., 8. Consultation and resources..., 9. Autonomy..., 10. Community and the hospital..., 11. Nurse as teacher..., 12. Image of nursing..., 13. Interdisciplinary relationships... and 14. Professional development....'. Conclusions Correlations have been found among positive workplace management initiatives, style of transformational leadership and participative management; patientto-nurse ratios; education levels of nurses; quality of patient care, patient satisfaction, employee health and well-being programmes; nurse satisfaction and retention of nurses; healthy workplace environments and healthy patients and personnel. Implications for nursing management This article identifies some of the research that provides evidence for evidence-based nursing management and leadership practice.

Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland Special Interest: Evidence-Based Practice; Nursing Administration ISSN: 0966-0429 MEDLINE Info: PMID: 19166518 NLM UID: 9306050 Entry Date: 20090410

Revision Date: 20110513 DOI: http://dx.doi.org/10.1111/j.1365-2834.2008.00963.x Accession Number: 2010138990 Database: CINAHL Plus with Full Text Publisher Logo: