J Korean Acad Nurs Adm.
2024 Sep;30(4):367-378. 10.11111/jkana.2024.30.4.367.
Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
- Affiliations
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- 1Nurse, Department of Nursing, Pusan National University Hospital ‧ Graduate Student, College of Nursing, Pusan National University
- 2Professor, College of Nursing ‧ Research Institute of Nursing Science, Pusan National University
- KMID: 2563050
- DOI: http://doi.org/10.11111/jkana.2024.30.4.367
Abstract
- Purpose
This study examined the influence of patient safety management systems, leadership, and communication types on nurses’ patient safety management activities.
Methods
Participants were 237 nurses who has been working in medical institutes for over 6 months. Online self-report questionnaires were conducted. Measures included patient safety management systems, transformational leadership, authentic leadership, communication types, and patient safety management activities. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and multiple regression with SPSS/WIN 24.0.
Results
According to the general characteristics, patient safety management activities were higher among nurses who were female (t=4.27, p<.001), charge nurses (t=-2.41, p=.016), had healthcare accreditation experience (t=4.36, p<.001), and worked in nursing units implementing a team nursing method (F=6.26, p=.002) with more than 30 nurses (F=6.28, p=.043). Female nurses (β=.16, p=.015) with high authentic leadership (β=.21, p=.002), low informal communication (β=-.21, p=.004), and high downward communication (β=.19, p=.009) showed higher patient safety management activities. The models' explanatory power was 21.0%.
Conclusion
Based on the results of this study, further research is needed to investigate the differences in patient safety management activities according to gender, the number of nurses per ward, and the nursing delivery system. Lowering informal communication and strengthening authentic leadership and downward communication may improve nurses’ patient safety management activities.
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