Analyzing the Influence of Nurse Leadership on Organizational Culture and Patient Satisfaction

Posted: Apr 09, 2023

• Hazel Morris
• Hudson Kelly
• Hunter Barnes

Abstract

This research presents a novel computational framework for analyzing the complex relationships between nurse leadership behaviors, organizational culture dynamics, and patient satisfaction outcomes in healthcare settings. Traditional approaches in healthcare management research have relied heavily on survey-based methodologies and linear statistical models, which often fail to capture the intricate, non-linear interdependencies and emergent properties within healthcare organizations. Our study introduces an innovative methodology combining agent-based modeling, natural language processing of electronic health record narratives, and topological data analysis to reveal previously unrecognized patterns in leadership-culture-patient satisfaction interactions. We developed a multi-scale simulation environment that models nurse leadership behaviors as dynamic influence networks, organizational culture as emergent collective behaviors, and patient satisfaction as complex adaptive system outcomes. The methodology was validated using data from 42 healthcare organizations over a three-year period, comprising over 15,000 leadership interactions, 28,000 cultural artifacts, and 125,000 patient satisfaction indicators. Our results demonstrate that specific leadership behavior patterns—particularly those involving distributed decision-making, psychological safety cultivation, and adaptive communication strategies—create fractal-like organizational structures that significantly enhance both cultural resilience and patient satisfaction metrics. The topological analysis revealed that organizations with certain connectivity patterns in their leadership networks showed 37