INFLUENCE OF NURSING LEADERSHIP ON STAFF RETENTION AND PATIENT SATISFACTION IN CLINICAL SETTINGS

Abstract

Background: Nursing leadership plays a critical role in shaping clinical environments, influencing both staff retention and patient satisfaction. With healthcare systems facing staffing shortages, burnout, and high turnover rates, effective leadership is essential to foster supportive work cultures and quality care. This study examines how nursing leadership styles impact nurse retention and patient satisfaction in clinical settings.

Methods: A quantitative cross-sectional design was employed, collecting data from 200 nurses and 200 patients across three hospitals using validated questionnaires: the Nursing Leadership Questionnaire (NLQ) and the Patient Satisfaction Questionnaire (PSQ). Stratified random sampling ensured representation across departments. Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression analysis to explore relationships between leadership practices, retention, and satisfaction.

Results: Transformational leadership was the most prevalent style (73%), with strong correlations to staff retention—77% of nurses intended to stay in their jobs, and 70% felt valued by leadership. Effective communication (79%) and supportive leadership (72%) were key factors. Patient satisfaction was high (84%), with responsiveness (81%) and clear communication (78%) as standout domains. However, only 56% of nurses reported adequate growth opportunities, highlighting areas for improvement.

Conclusion: The study underscores the significant influence of transformational nursing leadership on staff retention and patient satisfaction. Supportive, communicative, and recognition-driven leadership fosters workforce stability and enhances patient experiences. Healthcare organizations should prioritize leadership development programs to cultivate these competencies, addressing both staffing challenges and care quality.