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KMID : 0614820190250040340
Journal of Korean Academy of Nursing Administration
2019 Volume.25 No. 4 p.340 ~ p.352
The Causal Relationships among Staff Nurses¡¯ Job Stress Factors, Patient Safety Culture Perception and Patient Safety Nursing Activities in a University Hospital
Kim Mi-Kyung

Lee Sang-Mi
Abstract
Purpose: The objective of this study was to explore the causal relationships among staff nurses¡¯ job stress factors,patient safety culture perception, and patient safety nursing activities through path analysis.

Methods: The participants,275 staff nurses with over a year of experience working at a university hospital in Seoul, completed structuredquestionnaires. The data were collected from January 5 to February 28, 2018. The data analysis included descriptivestatistics, t-test, ANOVA, Scheffe? test and Pearson correlation coefficients using the SPSS/WIN 24.0 program, andpath analysis & bootstrapping using AMOS 24.0 program.

Results: The path analyses of the hypothesized causalmodel showed a considerable explanatory power for each of the endogenous variables. About 45 percent of organizationalculture was explained by work overload, lack of knowledge/skill, inadequate reward, work environment, andcommunication. The finding in this study confirmed the mediating effect of patient safety culture perception on therelationships between job stress factors and patient safety nursing activities.

Conclusion: The proper arrangementof nursing staff, proper treatment and rewards, positive work environment, organizational culture, and smooth communication are needed to promote patient safety nursing activities.
KEYWORD
Job stress, Nurses, Nursing, Patient safety
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