J Korean Acad Fundam Nurs.  2018 Feb;25(1):68-77. 10.7739/jkafn.2018.25.1.68.

A Structure Model of Clinical Nurses' Silence on Patient Safety

Affiliations
  • 1College of Nursing, Kosin University, Busan, Korea. hjw0721@naver.com

Abstract

PURPOSE
The aim of this study was to establish a hypothetical model on silence regarding patient safety and to verify the model's goodness of fit and hypotheses.
METHODS
The participants in this study were 330 registered nurses working in tertiary hospitals with over 300 beds. Data were collected between July 1, and August 30, 2017, from nurses who agreed to participate. A covariance structure analysis was performed.
RESULTS
The model of fit index was χ² =59.54, normed χ² =2.29, GFI=.97, AGFI=.93, SRMR=.05, NFI=.99, CFI=.95 and RMSEA=.05. The organizational culture had an influence on patient safety motivation (β=.26, p=.003) and attitude (β=.43, p < .001). RN-MD collaboration had an influence on patient safety motivation (β=.33, p < .001), attitude (β=.35, p < .001), and patient safety silence (β=−.17, p=.026). Supervisory trust had an influence on patient safety motivation (β=.26, p < .001), attitude (β=.12, p=.036), and patient safety silence (β=−.23, p=.002). Patient safety motivation had an influence on patient safety silence (β=−.33, p=.006). The model of patient safety silence explained 36.0% of the variances.
CONCLUSION
This study is meaningful in that it provides basic data for nursing education and program development for rejecting patient safety silence.

Keyword

Collaboration; Culture; Nurse; Safety; Trust

MeSH Terms

Cooperative Behavior
Education, Nursing
Humans
Motivation
Nurses
Organizational Culture
Patient Safety*
Program Development
Tertiary Care Centers
Full Text Links
  • JKAFN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr