Congruence of perceptions among nursing leaders and staff regarding missed nursing care and teamwork

Beatrice J. Kalisch, Kyung Hee Lee

Research output: Contribution to journalArticle

17 Citations (Scopus)


The objective of this study was to test the congruence of the perceptions of unit-based nurse leaders (managers, advanced practice nurses) and nursing staff members (registered nurses, nursing assistants, unit secretaries) in acute care hospitals as to the extent and type of missed nursing care and nursing teamwork. Based on the leader-member exchange congruence framework (LMX), nursing staff and nursing leaders completed the MISSCARE Survey, and a segment of the participants completed the Nursing Teamwork Survey. The findings of this study show a lack of LMX congruence between leaders and nursing staff members. Nursing staff report less missed care and lower teamwork than do leaders, and nursing staff list more problems with having adequate material and labor resources than do leaders. LMX congruence has been associated with positive organizational outcomes.

Original languageEnglish
Pages (from-to)473-477
Number of pages5
JournalJournal of Nursing Administration
Issue number10
Publication statusPublished - 2012 Oct 1


All Science Journal Classification (ASJC) codes

  • Leadership and Management

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