{"title":"A comparative study of patient safety culture from departed and on-the-job nurses' viewpoints.","authors":"Chih-Hsuan Huang, Yii-Ching Lee, Hsin-Hung Wu","doi":"10.1108/JHOM-10-2024-0402","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to first investigate and compare the perceptions of departed and on-the-job nurses in the patient safety culture and then identify critical dimension(s) that might affect these two groups.</p><p><strong>Design/methodology/approach: </strong>A chi-squared test is employed to find critical demographic variables between departed and on-the-job nurses. In addition, linear regression with forward selection is used to identify the essential dimensions of the Chinese version of the Safety Attitudes Questionnaire (CSAQ) that affect the overall satisfaction of the patient safety culture in a regional teaching hospital in Taiwan. A total of 196 departed nurses and 386 on-the-job nurses participate in this study.</p><p><strong>Findings: </strong>No significant differences in eight dimensions along with the overall satisfaction of the patient safety culture are found between these two groups. For departed nurses, the strongest predictor of the overall satisfaction of the patient safety culture is perceptions of management, while safety climate and teamwork climate have significant relationships with the overall satisfaction. On the other hand, working conditions is the most essential dimension influencing the overall satisfaction from on-the-job nurses' viewpoints followed by perceptions of management and emotional exhaustion. The perceptions of management are the only factor that influences the overall satisfaction for both groups.</p><p><strong>Practical implications: </strong>Measuring the patient safety culture cannot predict nurses' turnover; however, some aspects of dimensions from the CSAQ are associated with the overall satisfaction of the patient safety culture.</p><p><strong>Originality/value: </strong>Health practitioners should focus on implementing known strategies to improve the overall satisfaction, including support from leadership, sufficient resources and burnout alleviation.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health Organization and Management","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1108/JHOM-10-2024-0402","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
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Abstract
Purpose: This study aims to first investigate and compare the perceptions of departed and on-the-job nurses in the patient safety culture and then identify critical dimension(s) that might affect these two groups.
Design/methodology/approach: A chi-squared test is employed to find critical demographic variables between departed and on-the-job nurses. In addition, linear regression with forward selection is used to identify the essential dimensions of the Chinese version of the Safety Attitudes Questionnaire (CSAQ) that affect the overall satisfaction of the patient safety culture in a regional teaching hospital in Taiwan. A total of 196 departed nurses and 386 on-the-job nurses participate in this study.
Findings: No significant differences in eight dimensions along with the overall satisfaction of the patient safety culture are found between these two groups. For departed nurses, the strongest predictor of the overall satisfaction of the patient safety culture is perceptions of management, while safety climate and teamwork climate have significant relationships with the overall satisfaction. On the other hand, working conditions is the most essential dimension influencing the overall satisfaction from on-the-job nurses' viewpoints followed by perceptions of management and emotional exhaustion. The perceptions of management are the only factor that influences the overall satisfaction for both groups.
Practical implications: Measuring the patient safety culture cannot predict nurses' turnover; however, some aspects of dimensions from the CSAQ are associated with the overall satisfaction of the patient safety culture.
Originality/value: Health practitioners should focus on implementing known strategies to improve the overall satisfaction, including support from leadership, sufficient resources and burnout alleviation.
期刊介绍：
■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.
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