Effects of Nursing Organizational Culture on Near-Miss Reporting Intention: The Mediating Effect of Ethical Nursing Competence and the Moderated Mediation Effect of Psychological Safety
10.22650/JKCNR.2026.32.1.34
- Author:
Kyu Jung KI
1
;
Key Hyo LEE
Author Information
1. Quality Improvement and Patient Safety Office, Good Samsun Hospital
- From:
Journal of Korean Clinical Nursing Research
2026;32(1):34-44
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:This study examined the association between nursing organizational culture and near-miss reporting intention and explored the relationships among these variables, focusing on the mediating effect of ethical nursing competence and the moderated mediating effect of psychological safety.
Methods:This cross-sectional descriptive correlational study included 216 nurses working at three general hospitals with more than 200 beds in B metropolitan city. Data were collected from January 17 to February 20, 2025. The data were analyzed using IBM SPSS/WIN Statistics 29.0 and Hayes’ PROCESS macro (Models 4 and 7). Indirect effects were estimated using bootstrapping with 5,000 resamples and 95% confidence intervals.
Results:Clan culture and market culture showed direct associations with near-miss reporting intention, whereas adhocracy culture and hierarchy culture were indirectly associated with near-miss reporting intention through ethical nursing competence. Moderated mediation by psychological safety was identified in the pathways of clan culture and adhocracy culture. In the clan culture pathway, conditional indirect effects were not significant but were significant within a specific range. In contrast, in the adhocracy culture pathway, conditional indirect effects were significant, and the magnitude of the indirect effect increased as psychological safety increased.
Conclusion:Structural relationships between near-miss reporting intention and nursing organizational culture, ethical nursing competence, and psychological safety were identified. The findings may serve as baseline data for understanding relationships among variables related to near-miss reporting intention.
