AimTo analyse the relationship between authentic nursing leadership and safety climates across hospital settings during the COVID‐19 pandemic.BackgroundAuthentic nursing leadership shapes the safety climate by fostering positive perceptions of workplace policies, processes, procedures and practices that influence how safety is prioritised and addressed within an organisation.DesignA cross‐sectional study.MethodsOur study was conducted from December 2021 to December 2022 in six Brazilian hospitals. Participants were nursing staff working in General Medicine Units, Intensive Care Units (ICU) and Emergency Departments (ED) who provided care to patients with COVID‐19. The Authentic Leadership Questionnaire and the Safety Attitudes Questionnaire were used to measure nursing staff perceptions of authentic leadership and safety climates. Data were analysed using descriptive and inferential statistics.Results391 nursing staff across six hospitals participated. Self‐awareness significantly enhanced perceptions of the safety climates. Additionally, being a Registered Nurse and working in the ICU were positively associated with achieving safe climates in the working environment. In contrast, working in EDs was significantly negatively related to safety climates.ConclusionsThe COVID‐19 pandemic underscored a lack of authentic nursing leadership and unsafe climates. Therefore, it is critical to implement educational strategies that foster authentic leadership, particularly focusing on self‐awareness, to promote more positive safety climates. Ensuring that leadership and safety climates are relationship‐focused is critical to enhancing patient outcomes.Implications for the Profession and/or Patient CareNursing staff's perceptions of authentic leadership and safety climates are important in making more informed decisions about patient management.ImpactSince self‐awareness increases positive perceptions of safety climates, nursing staff should exercise it to guide their actions in facing future health crises.Reporting MethodSTROBE guidelines.Patient or Public ContributionHigher self‐awareness in relationships with others is a predictor of safety climates and can lead to enhanced patient outcomes.

中文翻译：

---

COVID-19 大流行期间医院环境中的真实护理领导和安全氛围：一项横断面研究


目的分析 COVID-19 大流行期间真实护理领导与医院环境中安全氛围之间的关系。背景真正的护理领导通过培养对工作场所政策、流程、程序和实践的积极认知来塑造安全氛围，这些政策、流程、程序和实践会影响组织内如何优先考虑和解决安全问题。设计一项横断面研究。方法我们的研究于 2021 年 12 月至 2022 年 12 月在巴西六家医院进行。参与者是在全科医学病房、重症监护病房 （ICU） 和急诊科 （ED） 工作的护理人员，他们为 COVID-19 患者提供护理。真实领导力问卷和安全态度问卷用于衡量护理人员对真实领导力和安全氛围的看法。使用描述性和推理性统计对数据进行分析。结果6 家医院的 391 名护理人员参与。自我意识显着增强了对安全气候的感知。此外，成为一名注册护士并在 ICU 工作与在工作环境中实现安全气候呈正相关。相比之下，在 ED 工作与安全气候呈显著负相关。结论COVID-19 大流行凸显了缺乏真正的护理领导和不安全的环境。因此，实施培养真正领导力的教育策略至关重要，尤其是关注自我意识，以促进更积极的安全氛围。确保领导和安全氛围以关系为中心，对于提高患者预后至关重要。对专业和/或患者护理的影响护理人员对真实领导和安全氛围的看法对于做出更明智的患者管理决策非常重要。影响由于自我意识增加了对安全气候的积极看法，护理人员应该锻炼它来指导他们面对未来健康危机的行动。报告方法STROBE 指南。患者或公众贡献在与他人的关系中提高自我意识是安全氛围的预测指标，可以提高患者的预后。