SACM - United Kingdom
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9667
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Item Restricted Exploring the impact of various leadership styles on nursing turnover in healthcare organisations: a systematic review(Saudi Digital Library, 2023-11-03) Almalki, Abdulmajeed Ali Saeed; Brown, Michael; Rainey, DeborahBackground: In healthcare, nurse managers utilise diverse leadership approaches, such as the transformational, passive-avoidant, transactional, situational, servant, laissez-faire, and compassionate styles, in order to develop nurses' competencies, relationships, culture, and values. Many studies have examined the implications of these leadership styles on nurses’ behaviour and experiences in various clinical settings. The relationship between these styles and nurse retention or turnover is complex because it depends on several factors including empowerment, fostering a positive work environment, effective communication, and continual support. Although current systematic reviews emphasise the effect of leadership styles on nurse competencies and patient outcomes, they do not explicitly reveal the influence of these styles on nurse retention and turnover. Aim: This study aims to determine the influence of nurse leadership styles on nurse retention and turnover. Methods: A systematic literature review was conducted using online databases such as CINAHL, MEDLINE, Cochrane Library, ERIC, and EMBASE, spanning September 2013 to 2023. The research question was formulated using the PEO model (Population, Exposure, Outcome) to ensure clarity and relevance. Relevant studies were examined, with measures taken to avoid redundancy. Specific eligibility criteria were used for study selection. Results: Eight articles met the inclusion criteria. These qualitative studies were carried out across a variety of countries and settings, to investigate the impact of leadership approaches on nurse retention and turnover. The articles exhibited minimal bias as assessed by the CASP checklist. A thematic analysis highlighted the importance of certain leadership characteristics for nurse managers. These characteristics included support, adept communication, respect, a visionary perspective, and proactive initiative. Such leadership styles improved nurse retention by encouraging competency development, innovation, adaptive change, and cultivating a positive atmosphere. Conversely, poor leadership practices diminished nurse satisfaction and increased their intention to leave clinical roles. Notably, transformational leadership was viewed favourably. Conclusion: Healthcare nurses’ commitment, retention, and satisfaction are directly impacted by leadership styles. This review underlined how specific attributes and qualities of leaders can significantly improve nurse dedication and morale. The most effective leadership style in relation to retention is transformational leadership, which fosters an environment that values creativity, inclusivity, and teamwork. These can be combined with other effective leader attributes, such as ethical leadership and spiritual leadership, to increase nurse retention and drastically reduce turnover. These findings can help inform related policy, clinical practice, education, and practice development to improve nurse retention and reduce turnover.18 0