Evid Based Nurs doi:10.1136/ebn1140
  • Nursing Issues
  • Quantitative study – other

The style of nursing leadership in hospitals is an independent risk factor for 30-day mortality of patients in acute care

  1. Lisbeth Fagerström
  1. Buskerud University College, Drammen, Norway
  1. Correspondence to Lisbeth Fagerström
    Buskerud University College, Papirbredden, Grønland 58, 3045 Drammen, Norway; lisbeth.fagerstrom{at}

Commentary on:


The focus of the study is on nursing leadership and its association to patient mortality. Cummings and colleagues state in the introduction that the relationship between nursing leadership styles in hospitals and patient outcomes has not been explored in many studies. The authors discuss the influence of different nursing leadership styles, such as task- and relationship-focused, emotionally intelligent and transformational leadership styles.


The purpose of the study was to examine the contribution of hospital nursing leadership styles to 30-day mortality after controlling for patient demographics, comorbidities and hospital factors. Secondary data about nurses, patients and institutions from 90 hospitals collected from 1998 to 1999 through the Canadian Alberta Nurse Survey were used. The main analysis method was hierarchical logistic regression analyses with logit …

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