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Article

Patient Safety Silence and Safety Nursing Activities: Mediating Effects of Moral Sensitivity

1
Department of Nursing, Kyungnam College of Information & Technology, Busan 47011, Korea
2
College of Nursing, Kosin University, Busan 49267, Korea
3
Department of Nursing, Dong-A University Hospital, Busan 49201, Korea
4
Research Institute of Holistic Nursing Science, College of Nursing, Kosin University, Busan 49267, Korea
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(21), 11499; https://doi.org/10.3390/ijerph182111499
Received: 7 October 2021 / Revised: 29 October 2021 / Accepted: 30 October 2021 / Published: 1 November 2021
Among the factors that threaten patient safety and quality of care due to the diversification and complication of hospital environments, nurses play a pivotal role regarding patient safety in the clinical setting. This study investigates the mediating effects of moral sensitivity on the relationship between nurses’ patient safety silence and safety nursing activities and contributes to developing strategies. Nurses (n = 120) employed for at least one year in two university hospitals in Korea between 1 September and 30 October 2020 participated in the study. Data were analyzed using t-test, Pearson’s correlation coefficients, and multiple regression using the SPSS/WIN 22.0 program. Additionally, the mediating effects were analyzed using Baron and Kenny’s method and bootstrapping. Safety nursing activities were significantly negatively correlated with patient safety silence and significantly positively correlated with moral sensitivity. Patient safety silence was significantly negatively correlated with moral sensitivity. Moral sensitivity partially mediated the relationship between patient safety silence and safety nursing activities. There is a need to develop and implement individualized ethical programs that enhance moral sensitivity in nurses to promote patient safety nursing activities. View Full-Text
Keywords: patient safety; safety management; nurses; hospitals; morals patient safety; safety management; nurses; hospitals; morals
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MDPI and ACS Style

Jeong, H.-e.; Nam, K.-h.; Kim, H.-y.; Son, Y.-j. Patient Safety Silence and Safety Nursing Activities: Mediating Effects of Moral Sensitivity. Int. J. Environ. Res. Public Health 2021, 18, 11499. https://doi.org/10.3390/ijerph182111499

AMA Style

Jeong H-e, Nam K-h, Kim H-y, Son Y-j. Patient Safety Silence and Safety Nursing Activities: Mediating Effects of Moral Sensitivity. International Journal of Environmental Research and Public Health. 2021; 18(21):11499. https://doi.org/10.3390/ijerph182111499

Chicago/Turabian Style

Jeong, Hyo-eun, Keum-hee Nam, Heui-yeoung Kim, and Yu-jung Son. 2021. "Patient Safety Silence and Safety Nursing Activities: Mediating Effects of Moral Sensitivity" International Journal of Environmental Research and Public Health 18, no. 21: 11499. https://doi.org/10.3390/ijerph182111499

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