Mediating effect of perceived patient safety culture on job burnout and safety behavior of nurses in Emergency Department of Class Ⅲ hospitals
10.3760/cma.j.cn115682-20211111-05070
- VernacularTitle:三级医院急诊科护士患者安全文化感知在其职业倦怠与安全行为中的中介效应分析
- Author:
Aihua ZHANG
1
;
Xianqiong FENG
;
Lei YE
;
Tao LIN
Author Information
1. 四川大学华西护理学院/四川大学华西医院神经外科，成都 610041
- Keywords:
Nurses;
Safety behavior;
Job burnout;
Patient safety culture;
Emergency Department;
Class Ⅲ hospital
- From:
Chinese Journal of Modern Nursing
2022;28(30):4180-4185
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of perceived patient safety culture on job burnout and safety behavior among nurses in Emergency Departments of ClassⅢ hospitals.Methods:This study was a cross-sectional study. From February 26 to March 14, 2021, 455 Emergency Department nurses from 39 hospitals in 9 provinces/municipalities were selected as the participants by a combination of purposeful sampling and convenience sampling. 455 Emergency Department nurses was conducted through WeChat using the General Information Questionnaire, Maslach Burnout Inventory (MBI) , Hospital Survey on Patient Safety Culture (HSOPSC) , and the Nurse Safety Behavior Questionnaire (NSBQ) . A total of 428 valid questionnaires were collected, with a valid recovery rate of 94.07%.Results:Among 428 Emergency Department nurses, the scores of job burnout, perceived patient safety culture and nurse safety behavior were 52 (38, 64) , 150 (139, 166) and 54 (49, 58) , respectively. The job burnout score of Emergency Department nurses was negatively correlated with the perceived patient safety culture score ( r=-0.661, P<0.01) and the safety behavior score ( r=-0.513, P<0.01) . There was a positive correlation between the perceived patient safety culture score and the safety behavior score of Emergency Department nurses ( r=0.482, P<0.01) . The perceived patient safety culture of Emergency Department nurses has a mediating effect between their job burnout and safety behavior, accounting for 34.90% of the total effect. Conclusions:Nurses in Emergency Department of Class Ⅲ hospitals have moderate job burnout, and there is room for improvement in their safety behaviors and perceived patient safety culture. In the relationship among the three, perceived patient safety culture has a certain mediating effect between job burnout and safety behavior of nurses. In Emergency Department nursing management, a series of measures can be taken to prevent or reduce the job burnout of nurses, strengthen the construction of patient safety culture and other measures to improve the safety of nursing behavior.
