The Influence of Leadership Style and Cognitive Attitudes on Patient Safety Culture With Coordination as a Moderation Variable in Inpatient Nurses at Tzu Chi Hospital
DOI:
https://doi.org/10.62027/vitamedica.v2i4.182Keywords:
Leadership style, cognitive attitude, coordination, patient safety culture, nursesAbstract
This research is based on the results of initial observations which indicate that several safety incident problems will occur in the year 2022. The aim of this research is to reveal empirically the influence of leadership style and cognitive attitudes on patient safety culture with coordination as a moderator. This type of research is quantitative with a cross sectional study design. The population used is nurses who work in inpatient installations. The sampling technique is non-probability sampling, with perm = calculation of the number of samples using Slovin's formula with an error rate of 10%, so that a total sample of 64 respondents was found. The data collection technique uses a questionnaire, and the analysis method uses three box method analysis and PLS-SEM with the help of the Smart-PLS program. The results of the analysis prove that leadership style, cognitive attitude and coordination simultaneously and partially influence patient safety culture, and cognitive attitude is the most dominant variable capable of improving patient safety culture. Coordination cannot moderate the influence of leadership style on patient safety culture, but coordination can weaken the influence of cognitive attitudes on patient safety culture.
References
Ajzen, I. (2005). Attitudes, personality and behaviour. McGraw-Hill Education.
Allport, G. W. (1954). The nature of prejudice. Addison-Wesley Publishing Company.
Al-Mugheed, K., Bayraktar, N., Al-Bsheish, M., AlSyouf, A., Jarrar, M., AlBaker, W., & Aldhmadi, B. K. (2022). Patient safety attitudes among doctors and nurses: Associations with workload, adverse events, experience. Healthcare (Basel, Switzerland), 10(4). https://doi.org/10.3390/healthcare10040631
Alqattan, H., Cleland, J., & Morrison, Z. (2018). An evaluation of patient safety culture in a secondary care setting in Kuwait. Journal of Taibah University Medical Sciences, 13(3), 272–280. https://doi.org/10.1016/j.jtumed.2018.02.002
Alshammari, F., Sim, J., Lapkin, S., & McErlean, G. (2023). Registered nurses’ attitudes towards end-of-life care: A sequential explanatory mixed method study. Journal of Clinical Nursing, 32(19–20), 7162–7174. https://doi.org/10.1111/jocn.16787
Amarneh, B. H., & Al Nobani, F. (2022). The influence of physician-nurse collaboration on patient safety culture. Heliyon, 8(9), e10649. https://doi.org/10.1016/j.heliyon.2022.e10649
Ariani, K. R., & Putri, G. A. (2016). Pengaruh belanja modal dan dana alokasi umum terhadap kemandirian daerah. In Seminar Nasional dan The 3rd Call for Syariah Paper (pp. 364–369).
Benbow, W., Jordan, G., Knight, A., & White, S. (2019). A handbook for student nurses (3rd ed.). Scion Publishing.
Biresaw, H., Asfaw, N., & Zewdu, F. (2020). Knowledge and attitude of nurses towards patient safety and its associated factors. International Journal of Africa Nursing Sciences, 13, 100229. https://doi.org/10.1016/j.ijans.2020.100229
Blackwell, R. D., Miniard, P. W., & Engel, J. F. (2006). Consumer behavior. Thomson South-Western.
Buttigieg, S. C., Riva, N., Tomaselli, G., Said, E., Grech, E., & Cassar, V. (2023). PROTOCOL: Do hospital leadership styles predict patient safety indicators? A systematic review. Campbell Systematic Reviews, 19(3), e1338. https://doi.org/10.1002/cl2.1338
Donaldson, L., Ricciardi, W., Sheridan, S., & Tartaglia, R. (2020). Textbook of patient safety and clinical risk management. Springer International Publishing.
Eagly, A. H., & Chaiken, S. (1993). The psychology of attitudes. Harcourt Brace Jovanovich College Publishers.
Fayol, H. (2013). General and industrial management. Martino Publishing.
Ferdinand, A. (2014). Metode penelitian manajemen. BP Undip.
Galt, K. A., & Paschal, K. (2009). Foundations in patient safety for health professionals. Jones & Bartlett Learning.
Ghozali, I. (2018). Aplikasi analisis multivariate dengan program IBM SPSS 25 (9th ed.). Universitas Diponegoro.
Granel-Giménez, N., Palmieri, P. A., Watson-Badia, C. E., Gómez-Ibáñez, R., Leyva-Moral, J. M., & Bernabeu-Tamayo, M. D. (2022). Patient safety culture in European hospitals: A comparative mixed methods study. International Journal of Environmental Research and Public Health, 19(2). https://doi.org/10.3390/ijerph19020939
Gunawan, D., & Hariyati, R. T. S. (2019). The implementation of patient safety culture in nursing practice. Enfermeria Clinica, 29(Insc 2018), 139–145. https://doi.org/10.1016/j.enfcli.2019.05.007
Hair, J. F., Sarstedt, M., Hopkins, L., & Kuppelwieser, V. G. (2014). Partial least squares structural equation modeling (PLS-SEM): An emerging tool in business research. European Business Review, 26(2), 106–121. https://doi.org/10.1108/EBR-10-2013-0128
Hall, L. M. G., & of Health, O. M. (2005). Quality work environments for nurse and patient safety. Jones and Bartlett Publishers.
Han, Y., Kim, J.-S., & Seo, Y. (2020). Cross-sectional study on patient safety culture, patient safety competency, and adverse events. Western Journal of Nursing Research, 42(1), 32–40. https://doi.org/10.1177/0193945919838990
Harton, L., & Skemp, L. (2022). Medical-surgical nurse leaders’ experiences with safety culture: An inductive qualitative descriptive study. Journal of Nursing Management, 30(7), 2781–2790. https://doi.org/10.1111/jonm.13775
Hersey, P., & Blanchard, K. H. (1969). Management of organizational behavior: Utilizing human resources. Prentice-Hall.
Kelsey, R. (2016). Patient safety: Investigating and reporting serious clinical incidents. CRC Press.
Kotler, P., & Armstrong, G. (2017). Principles of marketing (17th ed.). Pearson.
Kreitner, R., & Kinicki, A. (2012). Organizational behavior. McGraw-Hill Education.
Kusumawati, A. S., Handiyani, H., & Rachmi, S. F. (2019). Patient safety culture and nurses’ attitude on incident reporting in Indonesia. Enfermeria Clinica, 29, 47–52. https://doi.org/10.1016/j.enfcli.2019.04.007
Kyriacou Georgiou, M., Merkouris, A., Hadjibalassi, M., Sarafis, P., & Kyprianou, T. (2021). Correlation between teamwork and patient safety in a tertiary hospital in Cyprus. Cureus, 13(11), e19244. https://doi.org/10.7759/cureus.19244
Laborde, M., Gea Velázquez, M. T., Aranaz Andrés, J. M., Ramos Forner, G., & Compañ Rosique, A. F. (2020). Analysis of the patient safety culture in a university hospital. Gaceta Sanitaria, 34(5), 500–513. https://doi.org/10.1016/j.gaceta.2018.10.004
Liukka, M., Hupli, M., & Turunen, H. (2021). Differences between professionals’ views on patient safety culture in long-term and acute care? A cross-sectional study. Leadership in Health Services, 34(4), 499–511. https://doi.org/10.1108/LHS-11-2020-0096
Lu, L., Ko, Y.-M., Chen, H.-Y., Chueh, J.-W., Chen, P.-Y., & Cooper, C. L. (2022). Influence of cognitive attitudes on patient safety culture: Moderating role of team coordination. International Journal of Environmental Research and Public Health, 19(6). https://doi.org/10.3390/ijerph19063722
Luthans, F., Luthans, B. C., & Luthans, K. W. (2021). Organizational behavior: An evidence-based approach (14th ed.). Information Age Publishing.
Marquis, B. L., & Huston, C. J. (2009). Leadership roles and management functions in nursing: Theory and application. Wolters Kluwer Health/Lippincott Williams & Wilkins.
Mathis, R. L., & Jackson, J. (2007). Human resource management. Cengage Learning.
McShane, S., & Von Glinow, M. A. (2017). Organizational behavior. McGraw-Hill Education.
Olsen, E., & Jensen, M. (2019). Leadership style influence on patient safety and the moderating role of team coordination. In Proceedings of the Conference (pp. 1836–1840). https://doi.org/10.1201/9781315374987-278
Panesar, S., Carson-Stevens, A., Salvilla, S., & Sheikh, A. (2014). Patient safety and healthcare improvement at a glance. Wiley.
Rekisso, A. D., Mengistu, Z., & Wurjine, T. H. (2022). Nurses’ attitudes towards the nursing profession and associated factors in selected public hospitals, Addis Ababa, Ethiopia, 2021: A cross-sectional study. BMC Nursing, 21(1), 21. https://doi.org/10.1186/s12912-022-00808-2
Robbins, S. P., & Judge, T. A. (2017). Organizational behavior. Pearson Education Limited.
Schein, E. H. (2010). Organizational culture and leadership. Wiley.
Schmidt, J., Gambashidze, N., Manser, T., Güß, T., Klatthaar, M., Neugebauer, F., & Hammer, A. (2021). Does interprofessional team-training affect nurses’ and physicians’ perceptions of safety culture and communication practices? Results of a pre-post survey study. BMC Health Services Research, 21(1), 341. https://doi.org/10.1186/s12913-021-06137-5
Secord, P. F., & Backman, C. W. (1964). Social psychology. McGraw-Hill.
Sekaran, U., & Bougie, R. (2016). Research methods for business: A skill-building approach (7th ed.). John Wiley & Sons.
Skoogh, A., Bååth, C., & Hall-Lord, M. L. (2022). Healthcare professionals’ perceptions of patient safety culture and teamwork in intrapartum care: A cross-sectional study. BMC Health Services Research, 22(1), 820. https://doi.org/10.1186/s12913-022-08145-5
Sten, L.-M., Ingelsson, P., Bäckström, I., & Häggström, M. (2021). The development of a measurement instrument focusing on team collaboration in patient transfer processes. International Journal of Quality and Service Sciences, 13(1), 45–62. https://doi.org/10.1108/IJQSS-04-2020-0055
Sugiyono. (2014). Metode penelitian pendidikan pendekatan kuantitatif kualitatif dan R&D. Alfabeta.
Sugiyono. (2018). Metode penelitian kuantitatif, kualitatif dan R&D. Alfabeta.
Tao, J., Yang, F., Qiu, D., & Reniers, G. (2020). Analysis of safety leadership using a science mapping approach. Process Safety and Environmental Protection, 140, 244–257. https://doi.org/10.1016/j.psep.2020.04.031
Terry, G. R. (1977). Principles of management. R. D. Irwin.
Vincent, C. (2011). Patient safety. Wiley.
Wei, S. Y., & Kuo, Y. K. (2023). The relationship among safety leadership, risk perception, safety culture, and safety performance: Military volunteer soldiers as a case study. Frontiers in Psychology, 14, 1–15. https://doi.org/10.3389/fpsyg.2023.1000331
Youngberg, B. (2010). Principles of risk management and patient safety. Jones & Bartlett Learning.
Yukl, G. A. (2019). Leadership in organizations. Pearson/Prentice Hall.
Zipperer, L. (2016). Patient safety: Perspectives on evidence, information and knowledge transfer. Taylor & Francis.
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