领导风格、科室氛围和安全氛围对安全用药实践有影响吗？

Do Leadership Style, Unit Climate, and Safety Climate Contribute to Safe Medication Practices?

作者信息

Farag Amany, Tullai-McGuinness Susan, Anthony Mary K, Burant Christopher

机构信息

Author Affiliations: Assistant Professor (Dr Farag), College of Nursing, The University of Iowa; Adjunct Associate Professor (Dr Tullai-McGuinness); Assistant Professor (Dr Christopher Burant), Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio; Professor and Associate Dean for Research (Dr Anthony), College of Nursing, Kent State University, Ohio.

出版信息

J Nurs Adm. 2017 Jan;47(1):8-15. doi: 10.1097/NNA.0000000000000430.

DOI:10.1097/NNA.0000000000000430

PMID:27893496

Abstract

OBJECTIVES

This study aims at: examining if leadership style and unit climate predict safety climate; and testing the direct, indirect, and total effect of leadership style, unit climate, and safety climate on nurses' safe medication practices.

BACKGROUND

The Institute of Medicine and nursing scholars propose that safety climate is a prerequisite to safety practices. However, there is limited empirical evidence about factors contributing to the development of safety climate and about the association with nurses' safe medication practices.

METHOD

This cross-sectional study used survey data from 246 RNs working in a Magnet® hospital.

RESULTS

Leadership style and unit climate predicted 20% to 50% of variance on all safety climate dimensions. Model testing revealed the indirect impact of leadership style and unit climate on nurses' safe medication practices.

CONCLUSION

Our hypothesized model explained small amount of the variance on nurses' safe medication practices. This finding suggests that nurses' safe medication practices are influenced by multiple contextual and personal factors that should be further examined.

摘要