Cross-lagged analysis of system thinking ability and safety behavior among nurses in Emergency Department
10.3760/cma.j.cn115682-20221115-05522
- VernacularTitle:急诊科护士系统思考能力与安全行为的交叉滞后分析
- Author:
Na GUO
1
;
Caixiao SHI
;
Dongmei LI
;
Junjun ZHANG
;
Linlin FAN
Author Information
1. 郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院急诊科,郑州 450018
- Keywords:
Emergency Departemnt;
Nurses;
System thinking ability;
Safety behavior;
Cross-lagged analysis
- From:
Chinese Journal of Modern Nursing
2023;29(26):3557-3561
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the correlation between system thinking ability and safety behavior of nurses in Emergency Department.Methods:From August 2021 to February 2022, convenience sampling was used to select nurses in Emergency Department from three ClassⅢ hospitals as the survey subject. Three rounds of questionnaire surveys were conducted using the Systems Thinking Scale and the Nurse Safety Behavior Questionnaire, with a 3-month interval among each round. The measurement time for each round was marked as T1, T2, and T3, respectively. AMOS 23.0 software was used for cross-lagged analysis to explore the correlation between Emergency Department nurses' system thinking ability and safety behavior. A total of 257 nurses in Emergency Department participated in the three rounds of questionnaire surveys.Results:The results of cross-lagged analysis showed that T1 system thinking ability could predict T2 safety behavior and T2 system thinking ability (β=0.26, 0.58, P<0.01). T1 safety behavior could predict T2 safety behavior and T2 system thinking ability (β=0.54, 0.17, P<0.01). T2 system thinking ability could predict T3 safety behavior and T3 system thinking ability (β=0.31, 0.59, P<0.01). T2 safety behavior could predict T3 safety behavior (β=0.48, P<0.01), but it could not predict T3 system thinking ability (β=0.04, P>0.05) . Conclusions:The system thinking ability and safety behavior of nurses in Emergency Department interact with each other, and the correlation develops dynamically. We should strengthen the cultivation of system thinking ability among nurses in Emergency Department to improve their safe behavior.