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Kim and Jeong: Patient Safety Management Activities of Clinical Nurse: A Modified Theory of Planned Behavior
Original Article

Journal of Korean Academy of Nursing Administration 2019; 25(5): 384-392.

Published online: 23 December 2019

DOI: https://doi.org/10.11111/jkana.2019.25.5.384

Patient Safety Management Activities of Clinical Nurse: A Modified Theory of Planned Behavior

Nam Yi Kim1, Sun Young Jeong2

1Department of Nursing, Gimcheon University, Korea.

2College of Nursing, Konyang University, Korea.

Corresponding author: Jeong, Sun Young. College of Nursing, Konyang University, 158 Gwanjeodong-ro, Seo-gu, Daejeon 35365, Korea. Tel: +82-42-600-6368, Fax: +82-42-600-6314, jsy7304@konyang.ac.kr

Received 7 May 2019       Revised 26 July 2019       Accepted 5 August 2019

Copyright © 2019 Korean Academy of Nursing Administration

Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to develop a structural model for patient safety management activities and to identify the influencing factors of organizational and individual dimensions that promote patient safety management activities and to suggest effective intervention plans.

Methods

A structured self-report questionnaire was used to measure organizational factor, attitude, subjective norm, perceived behavior control, and patient safety management activities. The questionnaires were distributed to 300 nurses and 275 were included in the analysis. SPSS 25.0 and AMOS 21.0 were used to analyze the model fitness, indirect effect, and direct effect of the model.

Results

The hypothetical model for patient safety management activities was appropriate. Among the 8 pathways, 6 direct pathways were significant. Organizational factor affected individual attitudes, subjective norms, and perceived behavior control. Perceived behavior control, and subjective norm affected behavioral intention. Behavioral intention affected patient safety management activities. Perceived behavior control did not affect patient safety management activities.

Conclusion

Organizations and individuals must change together to promote patient safety management activities. The organization should establish practical education and training, systems and regulations. Individuals should increase behavioral intention by strengthening perceived behavioral control and subjective norm.

Keywords: Model, structural, Nurse clinicians, Patient safety, Safety management

Figures and Tables

Figure 1

Hypothetical model of the study.

jkana-25-384-g001
Figure 2

Path diagram of the model.

jkana-25-384-g002
Table 1

General Characteristics and Descriptive Statistics of Observed Variables (N=275)

jkana-25-384-i001
Table 2

Correlations between Variable and Verification of Construct Validity

jkana-25-384-i002

OF=Organizational factor; AT=Attitude; SN=Subjective norm; PBC=Perceived behavior control; BI=Behavioral intention; PSMA=Patient safety management activities; AVE=Average variance extracted; CR=Construct reliability; *Diagonal line represents the AVE.

Table 3

Verification of the Hypothetical Model

jkana-25-384-i003

SE=Standard error; CR=Critical ratio; SMC=Squared multiple correlation; AT=Attitude; OF=Organizational factor; SN=Subjective norm; PBC=Perceived behavior control; BI=Behavioral intention; PSMA=Patient safety management activities; DF=Degrees of freedom; NFI=Normed fit index; TLI=Tucker-Lewis index; CFI=Comparative fit index; RMSEA=Root mean squared error of approximation.

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ORCID iDs

Nam Yi Kim
https://orcid.org/0000-0003-1973-7726

Sun Young Jeong
https://orcid.org/0000-0001-5931-1645

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