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The relationship between leader support, staff influence over decision making, work pressure and patient satisfaction: A cross-sectional analysis of NHS datasets in England

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  • T.H.R. West
  • P. Daher
  • J.F. Dawson
  • J. Lyubovnikova
  • S.C. Buttigieg
  • M.A. West
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Article numbere052778
<mark>Journal publication date</mark>28/02/2022
<mark>Journal</mark>BMJ Open
Issue number2
Volume12
Number of pages8
Publication StatusPublished
Early online date1/02/22
<mark>Original language</mark>English

Abstract

Objective To explore the relationships between leader support, staff influence over decisions, work pressure and patient satisfaction. Design A cross-sectional study of large National Health Service (NHS) datasets in England in 2010. Setting and participants 158 NHS acute hospital trusts in England (n=63 156) from all staff groups. Primary and secondary outcome measures Survey data measuring leader support, staff influence over decision making, staff work pressure and objective outcome data measuring patient satisfaction. Results Multilevel serial mediation analysis showed a significantly positive association between leader support and staff influence over decisions (B=0.74, SE=0.07, p