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KMID : 0367020130250060633
Journal of Korean Academic of Adult Nursing
2013 Volume.25 No. 6 p.633 ~ p.643
Role of Transformational-leadership in the Relationship between Medication Error Management Climate and Error Reporting Intention of Nurse
Kim Myoung-Soo

Abstract
Purpose: The objective of this study was to identify the moderating and mediating effects of transformational-leadership in the relationship between medication error management climate and error reporting intention.

Methods: Participants in this study were 118 nurses from 11 hospitals in Korea. The scales of medication error management climate, transformational-leadership and error reporting intention of nurses were used in this study. Descriptive statistics, t-test, ANOVA, partial Pearson correlation coefficient, and stepwise multiple regression were used for data analysis.

Results: Higher transformational leadership group members had higher error management climate (t=3.88~4.64, p<.001) and higher intention to error reporting (t=2.49, p=.014). There were significant positive correlations between subcategories of medication error management climate and transformational leadership (r=.37~.51, p<.001). But error reporting intention was related to the transformational leadership (r=.28 p=.002), two subcategories such as "learn from error" (r=.26, p=.004) and "medication error competence" (r=.25, p=.008) of medication error management climate. Transformational-leadership was a moderator and a mediator between medication error management climate and error reporting intention.

Conclusion: Based on the results of this study, transformational-leadership promotion training program to construct medication error management climate and to improve error reporting intention should be needed.
KEYWORD
Leadership, Organizational cultures, Medical errors, Safety management
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