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Journals / İşletme Bilimi Dergisi / 2026 / Cilt: 14 Sayı: 2

The Effect of Leadership Behaviors on the Reporting of Events Threatening Patient Safety: A Study on Nurses

Liderlik Davranışlarının Hasta Güvenliğini Tehdit Eden Olayların Bildirimi Üzerine Etkisi: Hemşireler Üzerinde Bir Çalışma

Şenol Demirci(PRESIDENCY OF THE TURKISH HEALTH INSTITUTES (TÜSEB))0000-0001-8552-8151
Pages
478–490
Publication Date
2026-06-23
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Based on the results of this study, it can be concluded that the leadership behaviors exhibited by managers are effective in shaping employees’ attitudes and behaviors as well as their incident reporting tendencies.

📌 3 Key Takeaways

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Objective & Hypothesis:During the provision of healthcare services, incidents that unintentionally threaten patient safety may occur.
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Key Findings & Data:A total of 283 nurses participated in the study.
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Conclusion & Impact:Based on the results of this study, it can be concluded that the leadership behaviors exhibited by managers are effective in shaping employees’ attitudes and behaviors as well as their incident reporting tendencies.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Olay Bildirimi · Liderlik · Sağlık Çalışanları

Abstract

During the provision of healthcare services, incidents that unintentionally threaten patient safety may occur. These incidents arise due to a combination of factors and reporting them is essential to prevent errors and enhance patient safety. However, healthcare workers may be reluctant to report such incidents. It is stated that management support and effective leadership are necessary to facilitate incident reporting. Accordingly, this study aims to investigate the effect of the leadership behaviors of managers on the internal reporting, external reporting, and non-reporting tendencies of nurses, who have a high tendency to report incidents among healthcare workers. Data for the study were collected through face-to-face surveys administered to nurses working at a public hospital in Ankara. A total of 283 nurses participated in the study. Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to determine the effect of leadership behaviors on the reporting of events threatening patient safety. The analyses revealed that leadership behavior had a statistically significant negative effect on external reporting (β = –0.223; p < 0.001) and non-reporting (β = –0.204; p < 0.001), while having a statistically significant positive effect on internal reporting (β = 0.253; p < 0.001). Based on the results of this study, it can be concluded that the leadership behaviors exhibited by managers are effective in shaping employees’ attitudes and behaviors as well as their incident reporting tendencies.

Özet

Sağlık hizmeti sunumu sırasında istenmeyen bir şekilde hasta güvenliğini tehdit eden olaylar ortaya çıkabilmektedir. Hasta güvenliğini tehdit eden olaylar birçok faktörün birleşimi sebebiyle ortaya çıkmakta ve hataların önlenebilmesi ve hasta güvenliğinin artırılabilmesi için söz konusu olayların bildirilmesi gerekmektedir. Fakat olayların bildirilmesi noktasında sağlık çalışanları isteksiz davranabilmektedir. Olay bildiriminin kolaylaştırılması açısından yönetimin desteği ve etkili bir liderliğin gerekli olduğu belirtilmektedir. Bu doğrultuda bu çalışmada sağlık çalışanları arasında olay bildirim eğilimi yüksek olan hemşirelerin, bağlı oldukları yöneticilerinin liderlik davranışlarının iç bildirim, dış bildirim ve kayıtsız kalma eğilimleri üzerine etkisinin araştırılması amaçlanmaktadır. Araştırma kapsamında veriler Ankara’da faaliyet gösteren bir kamu hastanesinde çalışan hemşirelere yüz-yüze anket uygulanarak toplanmıştır. Toplamda 283 hemşire araştırmaya katılım sağlamıştır. Araştırma kapsamında liderlik davranışlarının hasta güvenliğini tehdit eden olayların bildirimi üzerine etkisini tespit etmek için Kısmi En Küçük Kareler Yapısal Eşitlik Modellemesi (PLS-SEM) kullanılmıştır. Yürütülen analizler neticesinde liderlik davranışının dış bildirim (β = –0,223; p < 0,001) ve kayıtsız kalma (β = –0,204; p < 0,001) üzerinde negatif, iç bildirim üzerinde ise pozitif yönde istatistiki açıdan anlamlı bir etkiye sahip (β = 0,253; p < 0,001) olduğu belirlenmiştir. Bu çalışmanın sonuçlarına göre yöneticilerin sergiledikleri liderlik davranışlarının, çalışanların tutum ve davranışlarını şekillendirdiği gibi olay bildirim eğilimlerini de şekillendirmede etkili olduğu çıkarımında bulunulabilir.

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Cite This Article

Demirci, Ş. (2026). The Effect of Leadership Behaviors on the Reporting of Events Threatening Patient Safety: A Study on Nurses. İşletme Bilimi Dergisi, Cilt: 14 Sayı: 2, 478–490. https://doi.org/10.22139/jobs.1777506

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