Xu Jiaqi, Dong Ziyan, Xie Wen, Yang Liuqing, Zhou Ying, Li Jie
Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Adv Nurs. 2024 Aug 22. doi: 10.1111/jan.16363.
To identify correlations among job burnout, structural empowerment, and patient safety culture (PSC), and to explore the potential moderating effect of structural empowerment on the associations between burnout and PSC.
The study used a cross-sectional survey design.
Convenient sampling was employed. We conducted an anonymous online survey in January 2024 among nurses employed at hospitals in three regions of China. Job burnout, structural empowerment, and perceptions of PSC were assessed. A total of 1026 useable surveys were included in the analyses. Descriptive statistics were performed using SPSS software. A latent structural equation modeling approach using Mplus software was used to analyze the moderating effect.
The proposed hypothetical model was supported. Job burnout had a strong direct negative effect on structural empowerment and PSC. Structural empowerment had a significant moderating effect on the relationship between job burnout and PSC.
The empirically validated moderation model and study results suggest that managers of healthcare organisations can improve patient safety and care quality by fostering empowerment and providing sufficient support to clinical nurses.
The findings of this study suggest that providing more support, resources, and information is likely to be effective in weakening the detrimental impact of job burnout on PSC. This study provides insights into the possible approaches that may improve patient safety. To control the impact of nurses' burnout on care quality, nurse managers should increase empowerment as well as staff nurse engagement.
We have adhered to relevant EQUATOR guidelines and conducted an observational study, following the STROBE checklist.
During the data collection phase of this study, clinical caregivers participated in completing the online survey.
确定职业倦怠、结构赋权与患者安全文化（PSC）之间的相关性，并探讨结构赋权对职业倦怠与PSC之间关联的潜在调节作用。
本研究采用横断面调查设计。
采用便利抽样。2024年1月，我们对中国三个地区医院的护士进行了匿名在线调查。评估了职业倦怠、结构赋权和对PSC的认知。分析共纳入1026份可用调查问卷。使用SPSS软件进行描述性统计。使用Mplus软件的潜在结构方程建模方法分析调节作用。
所提出的假设模型得到支持。职业倦怠对结构赋权和PSC有强烈的直接负面影响。结构赋权对职业倦怠与PSC之间的关系有显著的调节作用。
经实证验证的调节模型和研究结果表明，医疗保健机构的管理者可以通过促进赋权并为临床护士提供充分支持来提高患者安全和护理质量。
本研究结果表明，提供更多支持、资源和信息可能有效地削弱职业倦怠对PSC的不利影响。本研究为可能改善患者安全的方法提供了见解。为了控制护士倦怠对护理质量的影响，护士长应增强赋权以及护士的参与度。
我们遵循了相关的EQUATOR指南，并按照STROBE清单进行了一项观察性研究。
在本研究的数据收集阶段，临床护理人员参与完成了在线调查。
