J Korean Acad Fundam Nurs.  2023 Feb;30(1):46-55. 10.7739/jkafn.2023.30.1.46.

Mediating Effects of Job Satisfaction between Nurses’ Perceptions of Patient Safety Culture and Their Safety Nursing Activities

Affiliations
  • 1Head of QI Department, Ulsan Gilmary Nursing Hospital, Ulsan, Korea
  • 2Professor, College of Nursing, Dongguk WISE University, Gyeongju, Korea

Abstract

Purpose
This study was conducted to identify the mediating effects of job satisfaction in the relationship between nurses’ perceptions of patient safety culture and safety nursing activities.
Methods
Data for this study were collected using a structured questionnaire from 219 nurses recruited through convenience sampling among nurses at the general wards of four small and medium-sized hospitals with fewer than 300 beds. The data collection period was between September 11 and 28, 2018. Data were analyzed using multiple regression and the Sobel test in SPSS 25.0 for Windows.
Results
The mean score was 3.14 out of 5 points for patient safety culture, 3.21 out of 5 points for job satisfaction, and 4.10 out of 5 points for safety nursing activities. Patient safety culture was significantly correlated with job satisfaction (r=.55, p<.001) and safety nursing activities (r=.48, p<.001). Job satisfaction was significantly correlated with safety nursing activities (r=.55, p<.001). Nurses' perceptions of patient safety culture (β=.48, p<.001) and job satisfaction (β=.42, p<.001) were identified as significant predictors of safety nursing activities. Job satisfaction had a partial mediating effect in the relationship between nurses’ perceptions of patient safety culture and safety nursing activities. These variables explained 35% of the variance in safety nursing activities.
Conclusion
Improving nurses’ perceptions of patient safety culture and job satisfaction, which had a partial mediating effect, can promote safety nursing activities.

Keyword

Job satisfaction; Mediating factor; Nursing service; Patient safety; 직무만족, 매개인자, 간호서비스, 환자안전
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