目的 通过对护理领域安全领导力的发展、相关概念、前因后果等进行分析，明确其概念，为安全领导力在护理领域的实践和发展提供理论依据。方法 检索中国知网、万方、维普、SinoMed、PubMed、Web of Science等数据库中有关护理领域的安全领导力的相关研究，通过文献回顾，采用Walker和Avant概念分析方法进行分析。结果 共纳入35篇文献，安全领导力包括安全指导、安全关怀、安全控制和安全激励4个概念属性。先决条件为患者安全问题较复杂、缺乏安全领导后果严重、安全领导未引起重视。后置影响包括促进组织安全文化建设、改善安全领导能力、提高护士安全意识。测量工具为基于控制和承诺的安全管理量表和安全领导力问卷。结论 在未来研究中应推进测量工具开发，衡量护理管理者安全领导力水平，促进医院提质增效和安全文化高质量发展。

Objective To clarify the concept of safety leadership by analyzing the development of safety leadership in nursing field,related concepts,causes and effects,and to provide a theoretical basis for the future practice and development of safety leadership in nursing field.Methods Relevant studies on safety leadership from databases such as CNKI,Wanfang Data,VIP Database,SinoMed,PubMed,and Web of Science were retrieved.Through literature review,the Walker and Avant conceptual analysis method was employed for analysis.Results A total of 35 studies were included.The concept of safety leadership included 4 conceptual attributes：safety guidance,safety care,safety control,and safety motivation.The prerequisites were complex patient safety issues,serious consequences of absent safety leadership,and insufficient attention to safety leadership.The posterior impacts were facilitating an organizational culture of safety,improving safety leadership abilities,and increasing nurses’ safety awareness.Measurement tools included the concom safety management scale and safety leadership questionnaire.Conclusions The development of measurement tools should be advanced in future research to assess the level of safety leadership among nursing administrators,thereby promoting the improvement of hospital efficiency and the high-quality development of safety culture.

R47-05

东部战区总医院院管课题（22HLZX14）