The Causal Relationships among Staff Nurses' Job Stress Factors, Patient Safety Culture Perception and Patient Safety Nursing Activities in a University Hospital / 간호행정학회지

ABSTRACT

PURPOSE: The objective of this study was to explore the causal relationships among staff nurses' job stress factors, patient safety culture perception, and patient safety nursing activities through path analysis. METHODS: The participants, 275 staff nurses with over a year of exp rience working at a university hospital in Seoul, completed structured questionnaires. The data were collected from January 5 to February 28, 2018. The data analysis included descriptive statistics, t-test, ANOVA, Scheffé test and Pearson correlation coefficients using the SPSS/WIN 24.0 program, and path analysis & bootstrapping using AMOS 24.0 program. RESULTS: The path analyses of the hypothesized causal model showed a considerable explanatory power for each of the endogenous variables. About 45 percent of organizational culture was explained by work overload, lack of knowledge/skill, inadequate reward, work environment, and communication. The finding in this study confirmed the mediating effect of patient safety culture perception on the relationships between job stress factors and patient safety nursing activities. CONCLUSION: The proper arrangement of nursing staff, proper treatment and rewards, positive work environment, organizational culture, and smooth communication are needed to promote patient safety nursing activities.