Fostering a safe horizon: Nursing organizational culture as a mediator between medication safety climate and reporting intentions for high-alert medication errors among pediatric nursing care

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-07-23 DOI:10.1016/j.pedn.2025.07.018

Abdelaziz Hendy , Rasha Kadri Ibrahim , Hosny Maher Sultan , Hanan F. Alharbi , Zeinab Al-Kurdi , Naglaa Hassan Abuelzahab , Taliaa Mohsen Al-Yafeai , Ahmad Ahmeda , Zainab Attia Abdallah , Wesam Taher Almagharbeh , Ghada Ahmed Hassan

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引用次数: 0

Abstract

Introduction

Medication errors in pediatric care, especially involving high-alert medications, pose significant risks. Nurses' reluctance to report such errors is influenced by organizational culture, fear of blame, and ineffective reporting systems. A positive medication safety climate and supportive organizational culture are essential in promoting error-reporting behaviors.

Aim

This study examines the mediating role of nursing organizational culture in the relationship between medication safety climate and nurses' intention to report high-alert medication errors in pediatric settings.

Methods

A descriptive quantitative study was conducted with 251 pediatric nurses in Cairo, Egypt, using a self-report questionnaire. The questionnaire was administered online from November 2024 to February 2025. Measures included the Medication Safety Climate (MSC), Nursing Organizational Culture, and Nurses' Intention to Report Errors.

Results

A significant positive correlation was found between MSC and reporting intention (r = 0.91, p < .01). Relational culture (r = 0.33, p < .01), innovation culture (r = 0.62, p < .01), and task culture (r = 0.43, p < .01) were positively correlated with reporting intention. Hierarchical culture showed a negative correlation (r = −0.40, p < .01). Mediation analysis confirmed organizational culture partially mediated the relationship (total effect = 0.4001).

Conclusion

A supportive organizational culture, especially one that is relational, innovative, and task-oriented, enhances error reporting. Strengthening these cultural elements, alongside a positive safety climate, improves pediatric patient safety.

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培养安全视野：护理组织文化在儿科护理中药物安全气候与高警戒性药物错误报告意图之间的中介作用

儿科护理中的用药错误，特别是涉及高警惕性药物的用药错误，会造成重大风险。护士不愿报告此类错误是受组织文化、害怕指责和无效报告制度的影响。积极的用药安全氛围和支持性的组织文化对于促进错误报告行为至关重要。目的探讨护理组织文化在儿科用药安全氛围与护士高危用药错误报告意向之间的中介作用。方法采用自我报告问卷对埃及开罗251名儿科护士进行描述性定量研究。该问卷于2024年11月至2025年2月在网上进行。措施包括用药安全氛围（MSC）、护理组织文化和护士报告错误的意愿。结果MSC与报告意向呈显著正相关(r = 0.91, p <；. 01)。关系文化(r = 0.33, p <；.01)、创新文化(r = 0.62, p <；.01)，任务文化(r = 0.43, p <；.01)与报告意向正相关。等级文化呈负相关(r = - 0.40, p <；. 01)。中介分析证实组织文化有部分中介作用（总效应= 0.4001）。结论支持性的组织文化，尤其是关系型、创新性和任务导向的组织文化，可以提高错误报告的效率。加强这些文化因素，以及积极的安全氛围，可以改善儿科患者的安全。

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

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.