Huang Chih-Hsuan, Wu Hsin-Hung, Lee Yii-Ching, Li Xiumei
Business School, Hubei University of Economics, Wuhan City, People's Republic of China.
Hubei Enterprise Culture Research Center, Hubei University of Economics, Wuhan, People's Republic of China.
Risk Manag Healthc Policy. 2024 Mar 5;17:513-523. doi: 10.2147/RMHP.S446651. eCollection 2024.
This research aims to investigate the role of management leadership in promoting a culture of patient safety within healthcare organizations. Through a comprehensive mediation analysis of the Chinese version of the safety attitudes questionnaire (CSAQ) and patient safety culture, the study examines the interplay between these critical factors and their combined influence on healthcare outcomes.
In a medical center located in Taiwan, a cross-sectional survey was carried out utilizing the CSAQ. Among the 1500 distributed surveys, 1037 were returned and deemed valid, resulting in a return rate of 69.13%. To investigate the main measures, Structural Equation Modeling with mediation analysis was employed to scrutinize the direct and indirect effects of factors including teamwork climate, job satisfaction, stress recognition, perceptions of management, working conditions, and emotional exhaustion on safety climate.
The findings reveal that effective management leadership plays a pivotal role in shaping safety attitudes and fostering a robust patient safety culture. The study identifies three critical facets of patient safety that are entirely mediated by management perceptions: teamwork climate, working conditions, and stress recognition. The results highlight the importance of enhancing these dimensions to advance the patient safety culture within healthcare organizations. Moreover, stress recognition is identified as a critical factor influencing the organizational culture of patient safety.
This research offers valuable insights for healthcare organizations seeking to prioritize patient safety and improve overall quality of care. By enhancing our understanding of the critical factors that shape safety attitudes and patient safety culture, this study provides a roadmap for effective management leadership and a culture of patient safety within healthcare organizations. The study underscores the significance of management leadership in promoting patient safety culture and highlights the importance of enhancing teamwork climate, working conditions, and stress recognition to advance patient safety culture.
本研究旨在探讨管理领导力在促进医疗组织内患者安全文化方面的作用。通过对中文版安全态度问卷（CSAQ）和患者安全文化进行全面的中介分析，该研究考察了这些关键因素之间的相互作用及其对医疗结果的综合影响。
在台湾的一家医疗中心，利用CSAQ进行了一项横断面调查。在分发的1500份调查问卷中，有1037份被收回并视为有效，回收率为69.13%。为了研究主要措施，采用带有中介分析的结构方程模型来审视团队合作氛围、工作满意度、压力认知、管理认知、工作条件和情感耗竭等因素对安全氛围的直接和间接影响。
研究结果表明，有效的管理领导力在塑造安全态度和培育强大的患者安全文化方面起着关键作用。该研究确定了患者安全的三个关键方面，它们完全由管理认知介导：团队合作氛围、工作条件和压力认知。结果强调了加强这些维度以推进医疗组织内患者安全文化的重要性。此外，压力认知被确定为影响患者安全组织文化的一个关键因素。
本研究为寻求将患者安全置于优先地位并提高整体护理质量的医疗组织提供了有价值的见解。通过增进我们对塑造安全态度和患者安全文化的关键因素的理解，本研究为医疗组织内有效的管理领导力和患者安全文化提供了路线图。该研究强调了管理领导力在促进患者安全文化方面的重要性，并突出了加强团队合作氛围、工作条件和压力认知以推进患者安全文化的重要性。
