A Model of safety performance in perioperative registered nurses

Name: Chutatip Nuntawinit

Organization : Chrstian University of Thailand

ThaSH: Surgery

Classification :.NLM: WO 500

Abstract: Healthcare in the 21st century focuses on quality of care. Healthcare policy makers around the world are making patients’ safety a priority. Safety climate data can serve as a benchmark for hospitals to gauge their safety performance in advancing the patient safety agenda. However, to date there is little previous research that has investigated the mechanisms by which safety climate affects safety performance in the healthcare organization. The current study addresses these limitations by examining a conceptual framework which incorporates a range of variables that are believed to influence safety performance. The purposes of this cross - sectional descriptive study were to identify and test a model of safety performance in perioperative registered nurses. Campbell and colleagues’ Performance Theory (1993) has provided a guide for the conceptual framework of this study which illustrated the causal relationship among six variables. In particular, this study adopted a model developed by Griffin and Neal (2000), which examined perceptions of the safety climate as an antecedent of safety performance and safety knowledge and safety motivation as determinants of safety performance. Griffin and Neal differentiated between two types of safety performance: safety compliance and safety participation. In addition, this study extended on Siu, Phillips, and Leung (2004) model, incorporated personal strain as determinant, and investigated the combined influence of these variables in predicting safety performance. The research study was conducted by sending surveys questionnaires to perioperative registered nurses at seven university hospitals in Thailand. 224/240 (93.33%) of the eligible candidates responded to the survey. They were asked to answer three sets of questionnaires: 1) Personal Data Form, 2) Workplace Health and Safety Questionnaire, and 3) Personal Strain Questionnaire. Using Cronbach’s alpha criteria, reliability for this study was .89 for the Workplace Health and Safety Questionnaire and .87 for the Personal Strain Questionnaire. Validity of the instruments was confirmed by experts review. Data were analyzed using the statistical package programs for personal computer. The finding of this study revealed that safety climate had a direct positive effect on safety knowledge and safety motivation (β = .884, p < .001 and β = .456, p < .001, respectively). Safety climate had a direct negative effect on personal strain (β = -.275, p < .001) and an indirect effect on safety compliance (β = .699, p < .001) by affecting safety knowledge, safety motivation, and personal strain. Safety climate had an indirect effect on safety participation (β = .455, p < .001) by affecting safety motivation and personal strain. Safety motivation had a direct positive effect on safety compliance (β = .157, p < .01) and safety participation (β = .950, p < .001). Personal strain had a direct positive effect on safety compliance (β = .742, p < .05) and had a direct negative effect on safety participation (β = - .112, p < .05). In contrast, safety knowledge had only a direct effect on safety compliance (β = .940, p < .001). The model accounted for 29% of the variance in safety compliance, 30% of the variance in safety participation, and a substantial proportion of the variance of the mediating variables. These findings indicate that Campbell and colleagues’ Performance Theory is a useful guide for explaining and predicting the safety performance of Thai perioperative registered nurses. It also confirms the significance of safety climate as antecedent and safety knowledge, safety motivation, and personal strain as determinants of safety performance. Designing effective nursing management to enhance safety climate, safety knowledge, safety motivation, and to reduce personal strain should be further developed.

Chrstian University of Thailand. Learning Resource Center and Library

Address: Nakorn Pathom

Created: 2009

Modified: 2025-08-07

Issued: 2009-10-30

วิทยานิพนธ์/Thesis

application/pdf

CallNumber: TH WO 500 C38 2009

eng

DegreeName: Doctor of Philosophy

Level: Doctoral Degree

Descipline: Nursing Management

Grantor: มหาวิทยาลัยคริสเตียน

©copyrights Christian University of Thailand

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1	บทที่ 1.pdf	206.91 KB	28	2019-10-28 18:37:47
2	บทที่ 2.pdf	515.71 KB	22	2020-01-11 18:41:50
3	บทที่ 3.pdf	156.52 KB	18	2018-05-29 23:17:16
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7	ภาคผนวก.pdf	1.24 MB	24	2019-10-28 18:37:22
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