Myongji Hospital, Gyeonggi-do, Republic of Korea.
Red Cross College of Nursing, Chung-Ang University, 84 Heukseok-ro Dongjak-gu, Seoul 06974, Seoul, Republic of Korea.
Appl Nurs Res. 2024 Dec;80:151856. doi: 10.1016/j.apnr.2024.151856. Epub 2024 Sep 24.
This study aimed to identify the mediating effect of patient safety culture on the relationship between reflective thinking and patient safety competency in emergency department nurses.
Given the complexity and the need for timely assessments and interventions in the emergency department, the patient safety competency of nurses is crucial for preventing safety incidents.
This study utilized a cross-sectional descriptive correlational design with a convenience sample of 200 emergency department nurses. Participants completed a web-based, self-administered questionnaire that assessed reflective thinking, patient safety culture, and patient safety competency. The percentile bootstrap method for mediation analysis was performed to ascertain the mediating role of patient safety culture in the relationship between reflective thinking and patient safety competency.
Both reflective thinking and patient safety culture were significant predictors of patient safety competency. Furthermore, patient safety culture was found to mediate the relationship between reflective thinking and patient safety competency among emergency department nurses.
The findings suggest that emergency department nurses could benefit from a competency enhancement program or quality improvement projects that focus on reflective thinking and patient safety culture, which are significant predictors of patient safety competency.
本研究旨在确定患者安全文化在急诊护士反思思维与患者安全能力之间的关系中的中介作用。
鉴于急诊科的复杂性和对及时评估和干预的需求，护士的患者安全能力对于预防安全事件至关重要。
本研究采用横断面描述性相关性设计，使用便利抽样法选取了 200 名急诊护士。参与者完成了一份基于网络的、自我管理的问卷，该问卷评估了反思思维、患者安全文化和患者安全能力。采用百分位 bootstrap 方法进行中介分析，以确定患者安全文化在反思思维与患者安全能力之间关系中的中介作用。
反思思维和患者安全文化都是患者安全能力的重要预测因素。此外，患者安全文化被发现介导了急诊护士反思思维与患者安全能力之间的关系。
这些发现表明，急诊护士可以从注重反思思维和患者安全文化的能力增强计划或质量改进项目中受益，这些都是患者安全能力的重要预测因素。
