Journal List > Korean J Adult Nurs > v.27(6) > 1076367

Kim: The Mediating and Moderating Roles of Safety-specific Transformational Leadership on the Relationship between Barrier to and Intention of Reporting Medication Errors

Abstract

Purpose

This study was aimed to identify the mediating and moderating effects of safety-specific transformational leadership on the relationship between barrier to and intention of reporting medication errors.

Methods

Two hundred thirty seven nurses from seven different hospitals participated in the study. Safety-specific transformational leadership was measured by an instrument with 10 items, barrier to reporting medication errors with 16 items, and intention of reporting medication errors with 3 items. The data was collected from September to October 2012. Descriptive statistics, factor analysis, t-test, ANOVA, Pearson correlation coefficient and a hierarchial regression analysis were used.

Results

There were significant negative correlations between the subcategories of barrier to reporting medication errors and intention of reporting medication errors (r=-.16~-.27, p<.001), and a positive correlation between the intention and safety-specific transformational leadership (r=.25, p<001). Transformational leadership was a mediator between barrier to and intention of reporting medication errors.

Conclusion

Safety-specific transformational leadership mediated the relationships between barrier to and intention of reporting medication errors. Enhancing safety-specific transformational leadership of nursing unit managers is necessary to increase the intention to reporting medication errors.

Figures and Tables

Table 1

Summary of Exploratory Factor Analysis of the 16-items Barrier to Reporting Medication Errors

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Table 2

Intention of Reporting Medication Errors according to the Participants' Characteristics (N=237)

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BSN=bachelor of science in nursing; ICU=intensive care unit; ER=emergency room; Ped.=pediatric; OBGY=obstetric and gynecology.

Table 3

Correlations between the Variables (N=237)

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Table 4

Mediating Effect of Safety-specific Transformational Leadership in the Relationship between Barrier to and Intention of Reporting Medication Errors (N=237)

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Table 5

Moderating Effect of Safety-specific Transformational Leadership in the Relationship between Barrier to and Intention of Reporting Medication Errors (N=237)

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Notes

This work was supported by a Research Fund of Pukyong National University in 2015.

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