J Korean Acad Nurs Adm.  2021 Jan;27(1):34-42. 10.11111/jkana.2021.27.1.34.

Factors Affecting Patient Safety Culture of Clinical Nurses: Focusing on Authentic Leadership and Team effectiveness

• Lee TW
• Kim PJ
• Lee HY
• Shin HK
• Lee HS
• Choi Y

• KMID: 2525911
• DOI: http://doi.org/10.11111/jkana.2021.27.1.34

Abstract

Purpose
This study was conducted to test a structural model for patient safety culture of clinical nurses focusing on organizational policy and interpersonal factors.
Methods
A descriptive structural equation model design was used. Participates in this study were 385 clinical nurses. The variables of safety management system, authentic leadership, team effectiveness, and patient safety culture were measured to test the hypothetical model. SPSS 25.0 and AMOS 21.0 were used to analyze descriptive statistics and path analysis.
Results
The final model fit satisfied goodness-of-fit and all path were significant. Authentic leadership (β=.54, p=<.001) was reported as the most influencing factor, followed by team effectiveness (β=.24, p<.001) and safety management system (β=.21, p<.001). Safety management system (β=.38, p=.002) and authentic leadership (β=.12, p=.002) had indirect effects on patient safety culture as well.
Conclusion
The findings of this study show the importance of authentic leadership, team effectiveness, and safety management system to develop patient safety culture. The health care organization should develop the programs to increase these influencing factors.

Keyword

Patient safety culture; Clinical nurse; Authentic leadership; Team effectiveness