Degree Name

Doctor of Business of Administration


Faculty of Business


The healthcare sector has a complex context consisting of a variety of professions with different designations who work collaboratively to provide safe patient care. The reporting of medical errors is an important indicator of quality improvement, which can promote patient safety. Underreporting is a significant issue in healthcare sectors worldwide, and the failure to report errors contributes to bad and adverse patient outcomes, increased hospital stays, decreased efficiency and increased patient mortality.

The interaction between nurses and their leaders plays an important role in nurses’ errorreporting behaviours. While effective leadership promotes and strengthens quality in health care, which leads to assurance of positive outcomes, ineffective leadership leads to patient harm. Although many studies show the importance of leadership in health care, few have studied the link between leadership styles and the effect of these styles on patients and any quality. Studies have shown that different leadership styles affect both staff’s overall performance and error-reporting behaviours, but no studies have examined the direct effect of different leadership styles on nurses’ intention to report errors, which is one of the important indicators for patient safety. To promote and enhance the intention to report errors, the important factors and predictors need to be identified. The theory of planned behaviour (TPB), a well-validated and well-established theory, can predict the intention to report errors through three predictors: attitude, subjective norms (SNs) and perceived behavioural control (PBC).

FoR codes (2008)




Unless otherwise indicated, the views expressed in this thesis are those of the author and do not necessarily represent the views of the University of Wollongong.