Journal List > J Korean Acad Nurs Adm > v.25(5) > 1142065

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



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.


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.


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.


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.

Figures and Tables

Figure 1

Hypothetical model of the study.

Figure 2

Path diagram of the model.

Table 1

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

Table 2

Correlations between Variable and Verification of Construct Validity


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


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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Nam Yi Kim

Sun Young Jeong

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