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

• Published in: Sağlık ve Hemşirelik Yönetimi Dergisi 2021-12, Vol.8 (3), p.344-354
• Main Authors: Tekingündüz, Sabahattin, Yıldız, Ebru, İnci, Ramazan
• Format: Article
• Language: English
• Subjects: job stress; leadership; nursing; organizational identification; organizational trust; patient safety
• ISSN: 2149-018X; 2149-018X
• DOI: 10.54304/SHYD.2021.59389

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.