{"title":"护士感知领导行为与医院安全文化关系的结构方程模型研究。","authors":"Aysun Ünal, Nezaket Yıldırım, Selma Öncel","doi":"10.1111/ijn.13324","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Work environments that support patient safety initiatives are important for quality service and patient outcomes. The relationship between the leadership behaviours of nurse managers and safety culture, which has the potential to support these initiatives, constitutes one of the most important knowledge gaps.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>The study aimed to determine the relationship between nurses' perceived leadership behaviours and hospital safety culture and the factors affecting them.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>We tested the theoretical model using structural equation modelling with the AMOS 21 program.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The research was conducted with 134 nurses in two public hospitals in the south of Türkiye. Data were collected between October and December 2021 using the Leadership Behaviour Questionnaire and the Patient Safety Culture Hospital Questionnaire. Descriptive statistical analysis used to evaluate the data of the study. Structural equation modelling analysis and confirmatory factor analysis performed to test the research hypotheses.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The study found that non-punitive attitudes towards the mistakes had a full mediating effect on overall perception of safety interaction with employee-oriented leadership and high-level hospital interventions (β = −0.510, 95% CI −1.006/−0.076), and change had partly mediating effect on overall perception of safety interaction with change-oriented leadership (β = −0.510, 95% CI −1.043/−0.053).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>It is clear that if nurse managers are to improve the staff's patient safety culture, they should develop change-oriented leadership skills by identifying adverse events and risks and motivating staff to learn from errors without taking punitive measures. In this context, healthcare organizations should evaluate the leadership qualities of managers. Managers at all levels can make plans to develop leadership behaviours that will play a facilitating role in improving patient safety.</p>\n </section>\n </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Investigation of the Relationship Between Perceived Leadership Behaviours of Nurses and Hospital Safety Culture: A Study With the Structural Equation Model\",\"authors\":\"Aysun Ünal, Nezaket Yıldırım, Selma Öncel\",\"doi\":\"10.1111/ijn.13324\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Work environments that support patient safety initiatives are important for quality service and patient outcomes. 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引用次数: 0
摘要
背景：支持患者安全举措的工作环境对优质服务和患者预后非常重要。护士管理者的领导行为与安全文化之间的关系，有可能支持这些举措，构成了最重要的知识差距之一。目的：研究护士感知领导行为与医院安全文化的关系及其影响因素。设计：我们使用结构方程模型和AMOS 21程序对理论模型进行检验。方法：对云南省南部两所公立医院的134名护士进行调查。数据收集于2021年10月至12月，使用领导行为问卷和患者安全文化医院问卷。描述性统计分析用于评价研究数据。采用结构方程建模分析和验证性因子分析对研究假设进行检验。结果：研究发现，对错误的非惩罚性态度对员工导向领导和高水平医院干预的整体安全互动感知具有完全中介作用（β = -0.510, 95% CI -1.006/-0.076），而变化对员工导向领导的整体安全互动感知具有部分中介作用（β = -0.510, 95% CI -1.043/-0.053）。结论：很明显，如果护士管理者要改善员工的患者安全文化，他们应该通过识别不良事件和风险，激励员工从错误中吸取教训，而不是采取惩罚性措施，来培养变革导向的领导技能。在这种情况下，医疗保健组织应该评估管理者的领导素质。各级管理人员可以制定计划，发展领导行为，在改善患者安全方面发挥促进作用。
Investigation of the Relationship Between Perceived Leadership Behaviours of Nurses and Hospital Safety Culture: A Study With the Structural Equation Model
Background
Work environments that support patient safety initiatives are important for quality service and patient outcomes. The relationship between the leadership behaviours of nurse managers and safety culture, which has the potential to support these initiatives, constitutes one of the most important knowledge gaps.
Objectives
The study aimed to determine the relationship between nurses' perceived leadership behaviours and hospital safety culture and the factors affecting them.
Design
We tested the theoretical model using structural equation modelling with the AMOS 21 program.
Methods
The research was conducted with 134 nurses in two public hospitals in the south of Türkiye. Data were collected between October and December 2021 using the Leadership Behaviour Questionnaire and the Patient Safety Culture Hospital Questionnaire. Descriptive statistical analysis used to evaluate the data of the study. Structural equation modelling analysis and confirmatory factor analysis performed to test the research hypotheses.
Results
The study found that non-punitive attitudes towards the mistakes had a full mediating effect on overall perception of safety interaction with employee-oriented leadership and high-level hospital interventions (β = −0.510, 95% CI −1.006/−0.076), and change had partly mediating effect on overall perception of safety interaction with change-oriented leadership (β = −0.510, 95% CI −1.043/−0.053).
Conclusions
It is clear that if nurse managers are to improve the staff's patient safety culture, they should develop change-oriented leadership skills by identifying adverse events and risks and motivating staff to learn from errors without taking punitive measures. In this context, healthcare organizations should evaluate the leadership qualities of managers. Managers at all levels can make plans to develop leadership behaviours that will play a facilitating role in improving patient safety.
期刊介绍：
International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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