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J Nurs Manag. 2010 May;18(4):425-39. doi: 10.1111/j.1365-2834.2010.01100.x.

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

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1
Faculty of Nursing, University of Alberta, Edmonton, Alberta T6G 2G3 Canada.

Abstract

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.

[Indexed for MEDLINE]

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