College of Nursing, University of Santo Tomas, Manila, Philippines.
Mental Health Nursing Department, College of Nursing, University of Ha'il, Ha'il City, Saudi Arabia.
Int Nurs Rev. 2024 Jun;71(2):1-11. doi: 10.1111/inr.12946. Epub 2024 Mar 4.
The aim was to investigate the interrelationships of nurses' safety climate, quality of care, and adherence to and compliance with standard precautions (SPs).
Investigations about nurses' safety climate and quality care and their association with adherence to and compliance with SPs remain remarkably scant across literature, specifically among developing countries like the Philippines.
Cross-sectional design and structural equation modeling (SEM) approach while complying with STROBE guidelines.
Participant nurses were recruited using convenience sampling (n = 870). Four validated self-report instruments were used to collect data from February to August 2022. Spearman rho, SEM, mediation, and path analyses were employed for data analysis.
The emerging model showed acceptable model fit parameters. The safety climate positively influenced the quality of care and adherence to and compliance with SPs. Quality of care directly affected adherence to SPs, while adherence to SPs directly affected compliance with SPs. The quality of care mediated the relationship between safety climate and adherence to SPs. Whereas adherence to SPs mediated the relationships between safety climate and compliance with SPs and the quality of care and compliance with SPs.
Nurses' safety climate directly affected the quality of care and SPs adherence and compliance. The quality of care mediated the impact of safety climate on SPs adherence. Finally, SPs adherence demonstrated a mediating effect among quality of care, safety climate, and SPs compliance.
Nursing policymakers and administrators can use the findings to design strategic policies and sustainable in-service educational courses fostering and maintaining nurses' safety climate, quality of care, and SPs adherence and compliance.
本研究旨在探讨护士的安全氛围、护理质量与标准预防措施（SPs）的依从性和遵从性之间的相互关系。
有关护士安全氛围和护理质量及其与 SPs 的依从性和遵从性之间的关联的研究在文献中仍然非常有限，尤其是在菲律宾等发展中国家。
横断面设计和结构方程模型（SEM）方法，同时符合 STROBE 指南。
使用便利抽样（n=870）招募参与者护士。在 2022 年 2 月至 8 月期间，使用四个经过验证的自我报告工具收集数据。采用 Spearman rho、SEM、中介和路径分析进行数据分析。
新兴模型显示出可接受的模型拟合参数。安全氛围积极影响护理质量和 SPs 的依从性和遵从性。护理质量直接影响 SPs 的依从性，而 SPs 的依从性直接影响 SPs 的遵从性。护理质量中介了安全氛围与 SPs 的依从性之间的关系。而 SPs 的依从性则在安全氛围与 SPs 的遵从性以及护理质量与 SPs 的遵从性之间起中介作用。
护士的安全氛围直接影响护理质量和 SPs 的依从性和遵从性。护理质量中介了安全氛围对 SPs 依从性的影响。最后，SPs 的依从性在护理质量、安全氛围和 SPs 的遵从性之间表现出中介作用。
护理政策制定者和管理人员可以利用这些发现设计战略政策和可持续的在职教育课程，促进和维持护士的安全氛围、护理质量以及 SPs 的依从性和遵从性。
