Relationships Between Nurses� Perceptions of Patient Safety Culture and Job Stress, Trust, Identification, and Leadership

¹Mersin University, School of Health, Department of Health Care Management
²Mersin University, Faculty of Nursing, Department of Fundamentals of Nursing
³Batman University, Sa�l�k Y�ksekokulu,Department of Nursing

Introduction: Offering a high-quality and cost-effective healthcare system that prioritises patient safety requires establishing a common patient safety culture. In this regard, stakeholders need to determine the factors that affect the perception of the patient safety culture to support a healthy and safe working environment.
Aim: The study aims to analyze the relationship between the perception of patient safety culture and job stress, organizational trust, organizational identification, and leadership. It also aims to determine the determinants of patient safety perceptions.
Method: This cross-sectional study was conducted between May 1 and October 1, 2017, with nurses working in a public hospital in a city in Turkey. The research group consists of 150 nurses. Regression, correlation, T-test, and Kruskal Wallis analyzes were performed in the study.
Results: A positive and significant relationship was found between the perception of patient safety culture and leadership, organizational identification, and organizational trust. There was a negative but significant relationship between patient safety culture perceptions and job stress. The multiple regression analysis results showed that leadership, organizational identification, and job stress were determinants of patient safety culture perceptions.
Conclusion: Hospitals should adopt management approaches that reduce the job stress of their personnel to establish and improve the patient safety culture. Furthermore, hospital management and leadership aiming to improve organizational trust and identification levels across personnel would positively contribute to the patient safety culture.

Keywords:

Hem�irelerin Hasta G�venli�i K�lt�r� Alg�s� ile �� Stresi, G�ven, �zde�le�me, Liderlik Aras�ndaki �li�kiler

¹Mersin �niversitesi, Sa�l�k Y�ksekokulu, Sa�l�k Y�netimi Anabilim Dal�
²Mersin �niversitesi, Hem�irelik Fak�ltesi, Hem�irelik Esaslar� Anabilim Dal�
³Batman �niversitesi, Sa�l�k Y�ksekokulu, Hem�irelik B�l�m�

Giri�: Hasta g�venli�ine �ncelik veren y�ksek kaliteli ve uygun maliyetli bir sa�l�k sistemi sunmak, ortak bir hasta g�venli�i k�lt�r� olu�turmay� gerektirir. Bu ba�lamda, payda�lar�n sa�l�kl� ve g�venli bir �al��ma ortam�n� desteklemek i�in hasta g�venli�i k�lt�r alg�s�n� etkileyen etmenlerin belirlenmesi gerekir.
Ama�: �al��man�n amac�, hasta g�venli�i k�lt�r� alg�s� ile i� stresi, �rg�tsel g�ven, �rg�tsel �zde�le�me ve liderlik aras�ndaki ili�kiyi incelemek ve hasta g�venli�i k�lt�r alg�s�n�n belirleyicilerini saptamakt�r.
Y�ntem: Kesitsel tipteki bu �al��ma, 1 May�s - 1 Ekim 2017 tarihleri aras�nda T�rkiye�deki bir �ehirde bir devlet hastanesinde �al��an hem�irelerle ger�ekle�tirildi. Ara�t�rma �rneklemi 150 hem�ireden olu�maktad�r. �al��mada regresyon, korelasyon, T testi ve Kruskal Wallis analizleri yap�ld�.
Bulgular: Hasta g�venli�i k�lt�r� alg�s� ile liderlik, �rg�tsel �zde�le�me ve �rg�tsel g�ven aras�nda pozitif y�nde anlaml� ili�ki bulundu ve hasta g�venli�i k�lt�r� alg�s� ile i� stresi aras�nda negatif ancak anlaml� bir ili�ki vard�. �oklu regresyon analizi sonu�lar�, liderlik, �rg�tsel �zde�le�me ve i� stresinin hasta g�venli�i k�lt�r� alg�s�n�n belirleyicileri oldu�unu g�sterdi.
Sonu�: Hastaneler, hasta g�venli�i k�lt�r�n� olu�turmak ve geli�tirmek i�in personelinin i� stresini azaltan y�netim yakla��mlar�n� benimsemelidir. Ayr�ca, personel genelinde �rg�tsel g�veni ve �rg�tsel �zde�le�me d�zeylerini geli�tirmeyi ama�layan hastane y�netimi ve liderli�i, hasta g�venli�i k�lt�r�ne olumlu katk�lar sa�layacakt�r.

Anahtar Kelimeler:

Sabahattin Teking�nd�z, Ebru Y�ld�z, Ramazan �nci. Relationships Between Nurses� Perceptions of Patient Safety Culture and Job Stress, Trust, Identification, and Leadership. Journal of Health and Nursing Management. 2021; 8(3): 344-354

Corresponding Author: Sabahattin Teking�nd�z, T�rkiye