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Patient Safety Climate and Leadership in the Emergency Department Open Access


Other title
Patient Safety in Health Care
Medical Errors in the Emergency Department
Nursing Leaders and Patient Safety
Patient Safety Climate and Leadership in the Emergency Department
The Competing Values Framework
Type of item
Degree grantor
University of Alberta
Author or creator
Al-Ahmadi, Somaia
Supervisor and department
Rondeau, Kent (SPH)
Examining committee member and department
Francescutti, Louis (SPH)
Wilson, Donna (Nursing)
Jhangri, Gian (SPH)
Zakariasen, Ken (SPH)
Department of Public Health Sciences

Date accepted
Graduation date
Master of Science
Degree level
The purpose of this study was to explore the relationship between the four leadership archetypes identified using the Competing Values Framework and patient safety climate in the ED. We used an established patient safety-rating instrument, the Safety Attitudes Questionnaire, to assess the safety climate. The leadership archetypes were assessed using the Multifactor Leadership Questionnaire. Data were gathered using a survey tool approaching RNs from the Emergency Nurses Interest Group and the College and Association of the Registered Nurses of Alberta. Multivariate analyses were used to explore measures of patient safety climate and measures of the leadership archetypes using Pearson’s correlation and OLS regression models. The findings provide particular support for a contingent relationship between employee-centered leadership and entrepreneurial leadership, and patient safety climate in the Emergency Department. Employee-centered and entrepreneurial leadership archetypes were found to be instrumental in fostering patient safety climate in the ED.
License granted by Somaia Al-Ahmadi ( on 2011-09-27T14:36:16Z (GMT): Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of the above terms. The author reserves all other publication and other rights in association with the copyright in the thesis, and except as herein provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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