The mediating effect of patient safety culture on the relationship between professionalism, self-leadership, and compliance with infection prevention activity against emerging respiratory infectious disease among nurses working in geriatric long-term care hospitals: A cross-sectional study
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Purpose: This study investigates the mediating effect of patient safety culture on the relationship between professionalism, self-leadership, and compliance with infection prevention activity against emerging respiratory infectious diseases among nurses working in geriatric long-term care hospitals. Methods: In total, 136 nurses from eight geriatric long-term care hospitals were invited to participate. For the statistical analyses, descriptive statistics, t-test, ANOVA, and Pearson’s correlation coefficient analyses were employed. The mediating effect was analyzed using the three-step mediation procedure of Baron and Kenny in hierarchical regression, and the significance of the mediating effect was tested using the Sobel test. Results: Patient safety culture had a full mediating effect on the relationship between professionalism and compliance with infection prevention activity (Z=3.14, p=.001) and a full mediating effect on the relationship between self-leadership and compliance with infection prevention activity (Z=3.37, p<.001). Conclusion: The study findings indicate that a higher patient safety culture within the organization further enhances compliance with infection prevention activity. Therefore, it is crucial to develop strategies to enhance nurses’ professionalism and self-leadership, as well as to improve organizational patient safety culture for the infection control in geriatric long-term care hospitals.
Abstract
Purpose: This study investigates the mediating effect of patient safety culture on the relationship between professionalism, self-leadership, and compliance with infection prevention activity against emerging respiratory infectious diseases among nurses working in geriatric long-term care hospitals. Methods: In total, 136 nurses from eight geriatric long-term care hospitals were invited to participate. For the statistical analyses, descriptive statistics, t-test, ANOVA, and Pearson’s correlation coefficient analyses were employed. The mediating effect was analyzed using the three-step mediation procedure of Baron and Kenny in hierarchical regression, and the significance of the mediating effect was tested using the Sobel test. Results: Patient safety culture had a full mediating effect on the relationship between professionalism and compliance with infection prevention activity (Z=3.14, p=.001) and a full mediating effect on the relationship between self-leadership and compliance with infection prevention activity (Z=3.37, p<.001). Conclusion: The study findings indicate that a higher patient safety culture within the organization further enhances compliance with infection prevention activity. Therefore, it is crucial to develop strategies to enhance nurses’ professionalism and self-leadership, as well as to improve organizational patient safety culture for the infection control in geriatric long-term care hospitals.
참고문헌 (28)
- Morawska L, "Airborne transmission of SARSCoV-2 : the world should face the reality", Environment International, 139, pp.105730~ (2020)[DOI]
- Kim YJ, "Survey on infection control status and perceived importance of ICP(infection control practitioner)in long term care hospital", Journal of the Korea Academia-Industrial Cooperation Society, 18(7), pp.466~475 (2017)[DOI]
- "Current outbreak situation in the Republic of Korea" (2021)[URL]
- Docherty AB, "Features of 20 133 UK patients in hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol : prospective observational cohort study", BMJ, 369, pp.m1985~ (2020)[DOI]
- Berdida DJE, "Nursing staff compliance and adherence to standard precautions during the COVID-19 pandemic : a cross-sectional study", Nursing & Health Sciences, 25(1), pp.108~119 (2023)[DOI]
- Kim JI, "Factors affecting compliance of infection control of coronavirus disease 2019 among nurses based on health belief model", Korean Journal of Health Promotion, 22(1), pp.18~25 (2022)[DOI]
- Choi JY, "Factors influencing on hospital nurses’performance of COVID-19 infection prevention activities", The Journal of the Convergence on Culture Technology, 8(2), pp.131~138 (2022)[DOI]
- Lee MA, "Relationship among nursing professionalism, nursing work environment, and patient safety nursing activities in general hospital nurses", Journal of Korean Academy of Nursing Administration, 25(4), pp.317~328 (2019)[DOI]
- Wang Q, "Associations between self-leadership and self-reported execution of infection prevention and control among physicians and nurses", American Journal of Infection Control, 52(3), pp.267~273 (2024)[DOI]
- Cao H, "What is nursing professionalism? A concept analysis", BMC Nursing, 22(1), pp.34~ (2023)[DOI]
- Manz CC, "Toward an expanded theory of self-influence processes in organizations", The Academy of Management Review, 11(3), pp.585~600 (1986)[DOI]
- Han Y, "Effects of self-leadership and job involvement on clinical competence in general hospital nurses", Journal of Korean Academy of Nursing Administration, 19(4), pp.462~469 (2013)[DOI]
- Han AL, "Effects of self-leadership and self-efficacy on nursing performance of nurses working in long-term care hospitals", Journal of Korean Gerontological Nursing, 18(1), pp.12~21 (2016)[DOI]
- Byun SH, "Perception of patient safety culture, knowledge and performance of standard precaution among long-term care hospitals nurses", Journal of Digital Convergence, 17(9), pp.231~240 (2019)[DOI]
- Jung SJ, "Influence of professionalism and organizational communication on patient safety culture of nurses in hemodialysis units", Journal of Korean Clinical Nursing Research, 25(1), pp.98~105 (2019)[DOI]
- Han Y, "Cross-sectional study on patient safety culture, patient safety competency, and adverse events", Western Journal of Nursing Research, 42(1), pp.32~40 (2020)[DOI]
- Yeun EJ, "Development of a nursing professional values scale", Journal of Korean Academy of Nursing, 35(6), pp.1091~1100 (2005)[DOI]
- Min KR, "A study on the effect of self-leadership on safety consciousness and safety culture", Korean Journal of Safety Culture, 14(6), pp.163~183 (2021)[DOI]
- Kwon BM, "A study on the influence of self-leadership of Korean aircraft mechanics on organizational effectiveness(including the mediating effect of their safety culture)", Journal of the Korean Society for Aviation and Aeronautics, 25(2), pp.48~62 (2017)[DOI]
- Yun BK, "Effects of empowerment, infection control organizational culture and infection control awareness on performance among nurses in long-term care hospital", Journal of Korean Clinical Nursing Research, 28(2), pp.146~156 (2022)[DOI]
- Han SS, "Factors affecting nursing professionalism", The Journal of Korean Academic Society of Nursing Education, 14(1), pp.73~79 (2008)[DOI]
- Manz CC, "The art of self-leadership: Strategies for personal effectiveness in your life and work", pp.115~ (1983), Prentice-Hall
- Kim HS, "The relationship between middle school teachers’self-leadership and job satisfaction", master, pp.2003
- Yoon SH, "Development and validation of the Korean patient safety culture scale for nursing homes", Journal of Korean Academy of Nursing, 43(3), pp.379~388 (2013)[DOI]
- Jeong SY, "Development of a tool to measure compliance with infection prevention activities against emerging respiratory infectious diseases among nurses working in acute care and geriatric hospitals", Annals of Geriatric Medicine and Research, 27(1), pp.22~31 (2023)[DOI]
- Baek SH, "The effects of moral sensitivity and organizational culture for infection control on infection control performance of long-term care hospital nurses", Journal of Korean Academic Society of Home Health Care Nursing, 30(1), pp.26~36 (2023)[DOI]
- Sim KY, "Influencing factors of prevention practices against infection exposure among emergency medical technicians in emergency rooms", The Korean Journal of Emergency Medical Services, 22(1), pp.21~34 (2018)[DOI]
- Shim SA, "The standard for the prevention of infections of a local medical workers: Centered on the nurse’s moral sensitivity, infection management, standard precaution", master, pp.2018