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East Carolina University

Leader-Member Relationships and Patient Safety Culture

Abstract

dc:description.abstract

Patient safety culture has been a national objective for years. Many different interventions have been explored in hopes of improvement, but reported statistics suggest that this issue has yet to be solved. The purpose of this study is to examine relationships between nurse leaders and their nursing staff, and how these relationships influence patient safety culture. Several existing data sources were combined into a single dataset to explore the relationships between structural variables, leader-member relationships, and patient safety culture. Structural variables explored included unit size, span of control, leader experience, shift worked, and unit tenure. Leader-member relationships are explored through the lens of Leader-Member Exchange theory, and operationalized using the LMX-7. Patient safety culture is operationalized using AHRQ's Hospital Survey on Patient Safety Culture. This study has implications for nurse leaders, educators, and researchers. The study demonstrates the importance of contact frequency in the formation of leader-member relationships. Additionally, this study confirms the value of leader-member relationship when building a patient safety culture, both at the individual and unit level.

Degree

thesis:*
Department dc:contributor.department
College of Nursing
Grantor dc:publisher
East Carolina University
Year dc:date.issued
2017

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Anderson, Albert D, Jr
Advisor dc:contributor.advisor
  • Scott, Elaine S

Subjects

dc:subject × 3

Rights

Language dc:language.iso
en

Identifiers

dc:identifier.*
Handle dc:identifier.uri
http://hdl.handle.net/10342/6218
OAI identifier oai:identifier
oai:thescholarship.ecu.edu:10342/6218

Chain of custody

source
Harvested from
East Carolina University
Base URL
thescholarship.ecu.edu/server/oai/request
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Anderson, Albert D, Jr. Leader-Member Relationships and Patient Safety Culture. East Carolina University, 2017. http://hdl.handle.net/10342/6218