Nursing leadership management and patient safety culture in healthcare organizations

Section: Revisiones

How to quote

Cuervas-Mons Tejedor A, Álvarez García G, Pedriza Álvarez A, Gutiérrez Vivas L. La gestión del liderazgo enfermero y la cultura de seguridad del paciente en las organizaciones sanitarias. Metas Enferm jun 2022; 25(5):60-9. Doi:


Andrea Cuervas-Mons Tejedor1, Gemma Álvarez García2, Ainhoa Pedriza Álvarez2, Laura Gutiérrez Vivas3


1Maestría. Enfermera especialista en Salud Mental. Centro San Francisco Javier. Pamplona, Navarra (España) 2Maestría. Enfermera. Hospital Universitario Donostia. San Sebastián, País Vasco (España)3Enfermera especialista en Salud mental. Hospital Universitario Donostia. San Sebastián, País Vasco (España)

Contact address

Andrea Cuervas-Mons Tejedor. Centro San Francisco Javier. Avenida de Villava, 53. 31015 Pamplona, Navarra (España).

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Objective: to update the analysis of the relationship between nursing leadership and patient safety, differentiating between types of leadership.
Method: a narrative review conducted between March and December 2021. The PubMed, IBECS and CINAHL databases were consulted, using the terms Leadership, Patient Safety, Risk Management and Nursing, Supervisory, among others. Articles from the past five years published in Spanish or English were included. Three female researchers were in charge of selection.
Results: there were 294 records retrieved, 13 of which were finally included in the review. Three types of leadership (authentic, transformational and ethical) were associated with a reduction in adverse events. Authentic leadership appeared as a predictor for an increase in safety environment. The ethical leadership was associated with a higher report of errors. Important aspects of the leader person were identified in order to improve safety: not assigning blame during feedback, being able to convey messages adequately, establishing a trust environment and continuous communication with staff, being accessible and motivating, having emotional intelligence, and promoting teamwork.
Conclusions: different types of leadership are associated with benefits in patient safety. Supervisors developing an effective leadership based on positive relationships will encourage an adequate safety culture, which must be taken into account at the time of promotion.


nursing; Nursing supervision; leadership; patient safety; risk management; review

Versión en Español


La gestión del liderazgo enfermero y la cultura de seguridad del paciente en las organizaciones sanitarias