J Korean Acad Nurs Adm.  2024 Sep;30(4):392-403. 10.11111/jkana.2024.30.4.392.

Influence of Patient Safety Culture, Ethical Nursing Competence, and Nursing Professionalism on the Perception of Disclosure of Patient Safety Incidents among Nurses in Tertiary Hospitals

• Kim S
• Lee Y

• KMID: 2563052
• DOI: http://doi.org/10.11111/jkana.2024.30.4.392

Abstract

Purpose
This study aimed to identify the factors influencing nurses’ perceptions of the disclosure of patient safety incidents in tertiary hospitals.
Methods
As a descriptive study, data were collected from 315 nurses working in two tertiary hospitals in Busan via structured self-report questionnaires from June 28 to September 3, 2023, through an online survey. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficients, and hierarchical regression analysis with SPSS/WIN 27.0.
Results
Analysis was conducted by controlling for the characteristics of the study participants, which revealed significant differences in their perceptions of the disclosure of patient safety incidents. Ethical nursing competence (β=.30, p<.001) and patient safety culture (β=.15, p=.012) were significant influencing factors on the perception of such disclosure, and the explanatory power of the regression model was 21.0% (F=14.63, p<.001).
Conclusion
To enhance the aforementioned perception among nurses in tertiary hospitals, healthcare institutions should provide learning opportunities to improve their ethical nursing competence. Fostering an organizational culture that promotes and encourages open disclosure of patient safety incidents is also essential.

Keyword

Patient safety; Disclosure; Organizational culture; Ethics, nursing; Professionalism