Aims: To evaluate the mechanism through which nursing leadership impacts patient safety.Background: Patient safety has received considerable attention among policy makers,
governments and public sectors with the emphasis in healthcare settings on minimising the risk
to patients. Claims are made leadership plays a crucial role in patient safety However, the
incidents of adverse events are consistently high in hospitals.Evaluation: Published English-only research articles that examine the mechanism by which
nursing leadership impacts patient safety were selected from seven electronic databases and
manual searches. Data extraction, quality assessments and analysis were completed for ten
research studies.Key Issues: There is evidence of significant mediating effects between nursing leadership and
decreased adverse patient outcomes specifically with regard to workplace empowerment, leadernurse
relationship and the quality of the care environment.Conclusion: The findings suggest that nursing leadership has a significant indirect impact on
patient safety outcomes. From a person-centred perspective the care environment requires
workplace empowerment and effective relationships between leaders and nurses.Implications for Nursing Management: To improve patient safety outcomes, managers must
strive to emphasise workplace empowerment, leader-nurse relationship and the quality of the
care environment. Managers must consider these domains as part of an effective workplace
culture.https://doi.org/10.1111/jonm.13226pubpu
