Results of multilevel serial mediation of leader support on patient satisfaction via staff influence over decisions and work pressure
| Variables | Staff influence over decisions | Work pressure | Patient satisfaction | ||||||
| B | SE | P value | B | SE | P value | B | SE | P value | |
| Level 1 (individual/staff level) effects | |||||||||
| Leader support | 0.43 | 0.00 | 0.00 | −0.18 | 0.00 | 0.00 | - | - | - |
| Staff influence over decisions | - | - | - | −0.09 | 0.00 | 0.00 | - | - | - |
| Level 2 (trust level) effects | |||||||||
| Trust size* | 0.00 | 0.00 | 0.08 | 0.00 | 0.00 | 0.44 | −0.02 | 0.01 | 0.14 |
| London based† | 0.01 | 0.01 | 0.37 | −0.01 | 0.02 | 0.53 | −7.06 | 0.96 | 0.00 |
| Ratio of doctors/bed | 0.07 | 0.02 | 0.00 | 0.02 | 0.05 | 0.74 | 6.14 | 2.03 | 0.00 |
| Leader support | 0.74 | 0.07 | 0.00 | −0.16 | 0.35 | 0.64 | −23.00 | 14.52 | 0.11 |
| Staff influence over decisions | −0.84 | 0.41 | 0.04 | 26.70 | 17.69 | 0.13 | |||
| Work pressure | −17.50 | 4.34 | 0.00 | ||||||
| Effect | SE | P value | |
| Patient satisfaction | |||
| Indirect effect via staff influence over decisions | 19.89 | 13.46 | 0.14 |
| Indirect effect of via work pressure | 2.88 | 6.40 | 0.65 |
| Serial indirect effect via staff influence over decisions and work pressure | 10.96 | 5.55 | 0.04 |
n=63 156 at the Level 1 and 158 at level 2.
*Trust size is total number of employees divided by 10.
†0 = not in London; 1=London based.