Mediating effect of nurse-perceived patient safety culture on the relationship between transformational leadership behavior and nurses' safety behavior

DING Xiping; ZHANG Qiaoling; LYU Miao

doi:10.12104/j.issn.1674-4748.2024.03.002

Abstract：Objective:To analyze the relationship and interaction path between transformational leadership behavior,nurse-perceived patient safety culture,and nurses'safety behavior,in order to provide reference for relevant interventions to improve nurses'safety behavior.Methods:A total of 484 nurses were selested with a convenience sampling method from 4 hospitals in Xi'an who worked from December 2020 to May 2021 to conduct a questionnaire survey.The General Situation Questionnaire,Transformational Leadership Style Assessment Questionnaire,Patient Safety Culture Perception Questionnaire,and Safety Behavior Questionnaire were used in the survey.Then,SPSS and AMOS software were used for analysis.Results:There was a significant positive correlation betweenthe nurse-perceived transformational leadership behavior of the head nurse and the patient safety culture(r=0.7 2 4,P＜0.05),between the nurse-perceived transformational leadership behavior of the head nurse and the nurse's safety behavior(r=0.554,P＜0.05),and between nurse-perceived patient safety culture and nurses'safety behavior(r=0.653,P＜0.05).The structural equation result showed that the total effect of nurse-perceived transformational leadership behavior of head nurses on nurses'safety behaviors was 0.827,the direct effect was 0.182,and the indirect effect was 0.645.The nurse-perceived patient safety culture played a partial intermediary role in the transformational leadership behaviors of the head nurse and nurses'safety behaviors,and the intermediary effect accounts for 78.0％.Conclusions:Patient safety culture is the mediating variable between head nurses'transformational leadership behavior and nurses'safety behavior.Managers should take various measures to improve head nurses'transformational leadership behavior and nurse-perceived patient safety culture,thereby indirectly improving nurses'safe behaviors to reduce the occurrence of adverse events.