Factors Influencing Nurses' Medication Safety Competence: A Structural Equation Model.

IF 1.7 4区医学 Q3 NURSING

Journal of nursing care quality Pub Date : 2026-07-01 Epub Date: 2025-12-31 DOI:10.1097/NCQ.0000000000000943

Yao-Cheng Shi, Hui-Ren Zhuang

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引用次数: 0

Abstract

Background: Medication safety competence is critical, yet how workplace and psychological factors shape medication safety competence is unclear.

Purpose: To examine links among work environment, work-related stress, professional identity, and medication safety competence.

Methods: A cross-sectional survey of 641 nurses in China was conducted and structural equation modeling was used to test relationships.

Results: Professional identity predicted medication safety competence (β = .276, P < .001) and partially mediated effects of work environment (indirect = 0.098; 95% CI, 0.063-0.146) and stress (indirect = 0.036; 95% CI, 0.021-0.056).

Conclusions: Supportive environments and stronger professional identity are associated with higher medication safety competence, whereas stress is detrimental. Organizational strategies should enhance resources, reduce stressors, and cultivate professional identity to improve medication safety and ultimately improve patient safety outcomes.

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影响护士用药安全能力的因素：一个结构方程模型。

背景：用药安全能力至关重要，但工作场所和心理因素如何影响用药安全能力尚不清楚。目的：探讨工作环境、工作压力、职业认同与用药安全能力的关系。方法：对全国641名护士进行横断面调查，采用结构方程模型检验关系。结果：职业认同预测用药安全能力（β = 0.276， P）。结论：支持性环境和较强的职业认同与较高的用药安全能力相关，而压力则相反。组织策略应增强资源，减少压力源，培养职业认同，以提高用药安全，最终改善患者安全结果。

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 nursing care quality 医学-护理

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.