Interprofessional collaboration mediates the relationship between perceived organizational learning and safety climate in hospitals: A cross-sectional study.

IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE Pub Date : 2024-01-01 DOI:10.3233/JRS-230026

Keiko Ishii, Katsumi Fujitani, Hironobu Matsushita

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引用次数: 0

Abstract

Background: Organizational learning (OL) and interprofessional collaboration (IPC) are said to enhance medical safety in hospitals, but the relationship between these variables has not been quantitatively tested.

Objective: This study examines the mediating effects of IPC on the relationship between OL and safety climate (improvement, compliance, and patient/family involvement).

Methods: An anonymous self-reporting questionnaire was administered to 1,495 healthcare workers from November 2021 to January 2022. The questions regarded the hospital's safety climate, OL, and IPC. A mediation analysis using structural equation modeling was conducted to examine the mediating role of IPC on the relationship between OL and the three safety climates. The indirect effect was estimated using 2,000 bootstrap samples.

Results: Responses from 643 healthcare workers were analyzed. The direct effects of OL were 𝛽 = .74, 75 (p < .001) on improvement and involvement and 𝛽 = 0.1 (p > .05) on compliance. The indirect effects of IPC on improvement and involvement were 𝛽 = .14 (95%CI: .00 ∼ .06) and 𝛽 = .37 (95%CI: .04 ∼ .09), respectively.

Conclusion: This study determined the mechanisms that enhance a hospital's safety climate, demonstrating that IPC mediates the relationship between OL and improvement and patient/family involvement. However, OL and IPC are not related to compliance.

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专业间合作对医院组织学习感知与安全氛围之间关系的中介作用：一项横断面研究。

背景：据说组织学习（OL）和跨专业协作（IPC）可以提高医院的医疗安全，但这些变量之间的关系尚未得到定量测试：本研究探讨了 IPC 对 OL 与安全氛围（改善、依从性和患者/家属参与）之间关系的中介效应：方法：2021 年 11 月至 2022 年 1 月期间，对 1495 名医护人员进行了匿名自我报告问卷调查。问题涉及医院的安全氛围、OL 和 IPC。通过结构方程模型进行中介分析，研究 IPC 对 OL 与三种安全氛围之间关系的中介作用。使用 2,000 个自举样本对间接效应进行了估计：结果：分析了 643 名医护人员的回答。OL 对依从性的直接影响为 ¼ = .74, 75 (p .05)。IPC对改善和参与的间接影响分别为：.14（95%CI：.00 ∼ .06）和.37（95%CI：.04 ∼ .09）：本研究确定了提升医院安全氛围的机制，表明 IPC 在 OL 与改进和患者/家属参与之间起到了中介作用。然而，OL 和 IPC 与依从性无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

2.20

自引率

17.60%

发文量

102

期刊介绍： The International Journal of Risk and Safety in Medicine is concerned with rendering the practice of medicine as safe as it can be; that involves promoting the highest possible quality of care, but also examining how those risks which are inevitable can be contained and managed. This is not exclusively a drugs journal. Recently it was decided to include in the subtitle of the journal three items to better indicate the scope of the journal, i.e. patient safety, pharmacovigilance and liability and the Editorial Board was adjusted accordingly. For each of these sections an Associate Editor was invited. We especially want to emphasize patient safety.