Influence from organisational factors on patient safety and safety behaviour among nurses and hospital staff

Abstract

PurposeHospital systems are expected to influence patient safety outcomes. The purpose of this study is to explore organisational factors influencing patient safety and safety behaviour among nurses and other hospital staff.Design/methodology/approachBased on a theoretical model, six dimensions were selected from the hospital survey on patient safety culture. Moreover, one standardized dimension measuring safety behaviour was included. The data were collected from 1,703 hospital workers completing a cross-sectional survey.FindingsConfirmatory factor analysis and supplementary statistics supported the use of measurement concepts applied in the study. A two-step statistical approach using structural equation modelling resulted in a satisfactory final model illustrating direct and indirect influence of the explanatory factors used.Research limitations/implicationsThe limitation of this study is the use of a cross-sectional survey design.Practical implicationsThe study illustrates how organisational factors are interconnected. The theoretical model developed and tested can be applied to improve safety behaviour and patient safety in hospital settings.Social implicationsThe social implications of this study include the social relationships within the hospital setting, illustrating how organisational factors influence both safety behaviour and perception of patient safety levels.Originality/valueA new theoretical model is developed and tested among hospital staff. The paper adds a new perspective on how organisational factors influence perceived safety outcomes in hospital settings.