J Korean Crit Care Nurs.  2017 Feb;10(1):63-74. 10.0000/jkccn.2017.10.1.63.

Effects of Professional Autonomy, Organizational Commitment, and Perceived Patient Safety Culture on Patient Safety Management Activities of Nurses in Medium and Small-Sized Hospitals

• Hwang HJ
• Lee YM

• KMID: 2397696
• DOI: http://doi.org/10.0000/jkccn.2017.10.1.63

Abstract

PURPOSE
The purpose of this study was to examine the effect of professional autonomy, organizational commitment, and perceived patient safety culture on patient safety management activities of nurses in medium and small-sized hospitals.
METHODS
A cross-sectional design was employed. Self-reported questionnaires were completed by 121 nurses with at least 3 months of working experience in medium and small-sized hospitals located in B city. Data were analyzed using descriptive statistics, a t-test, a one-way ANOVA, Pearson correlation coefficients, and a multiple regression analysis.
RESULTS
Professional autonomy (r=.22, p=.016), organizational commitment (r=.34, p < .001), and perceived patient safety culture (r=.55, p < .001) had a statistically significant positive correlation with patient safety management activities. The factors that might affect patient safety management activities were professional autonomy (β=.23, p=.003) and perceived patient safety culture (β=.55, p < .001). The explanatory power of these factors for patient safety management activities was 33.5% (F= 21.19, p < .001).
CONCLUSIONS
The development of repetitive and continuous education programs is needed to improve a nurse's professional autonomy and perceived patient safety culture.

Keyword

Professional autonomy; Organizational culture; Patient safety; Safety management

MeSH Terms

Education
Humans
Organizational Culture
Patient Safety*
Professional Autonomy*
Safety Management