領導行為、安全文化對安全績效之影響—以護理人員為例

The Effect of Leadership Behavior and Safety Culture on Safety Performance-The Case of Nurse

李憶萱(Yi-Hsuan Lee) ； 楊鎮嘉(Cheng-Chia Yang) ； 王怡舜(Yi-Shun Wang)

《輔仁管理評論》 19卷1期 (2012/01) Pp. 47-71

https://doi.org/10.29698/FJMR.201201.0003

摘要

我們提出實證的論點，推論領導行為、病人安全文化與安全績效三者的關係。本研究為橫斷性研究，共發放705份，有效問卷約363份，回收率為51.8%。以驗證性因素分析驗證量表之因素結構，構面觀察變項CR值均達顯著水準，因素負荷量皆大於0.5，顯示模式配適度良好。透過結構方程模式證實醫療產業體制型與關懷型領導行為對於建立安全文化及提升安全績效具有一定影響力。研究發現關懷型領導對安全文化有較大的正向影響，並透過安全文化雙重作用下，將有助安全績效之提升。此外，安全文化會直接影響組織在安全管理的運作與個人的安全行為，而影響個人安全行為的不僅只有安全文化，也透過安全管理的運作來督促個人安全行為。我們相信建立優質的病人安全文化需透過領導者的影響，此有助於提升組織整體的安全管理制度與個人安全行為的績效。

關鍵字

病人安全 ； 領導行為 ； 安全文化 ； 安全績效

並列摘要

This study intends to investigate the relationships among leadership behavior, patient safety culture, and safety performance. This study is a cross-sectional study. The questionnaire survey was conducted with the nursing staff. Of the 705 questionnaires 363 were completed and returned, with a response rate of 51.8%. The confirmatory factor analyses (CFA) have been used to test the validity of the constructs, while the structural equation modeling (SEM) has been used in hypotheses testing. The data analysis shows that the model has satisfactory fit, validity and reliability. Additionally, results indicate that the character of health industry leadership significantly affected safety culture and safety culture significantly impacted safety performance. Consideration leadership had significantly positive effects on safety culture, The finding also shows that consideration leadership comparing to the initiating structure leadership have greater positive effects on organizational safety culture; furthermore, through the effect of organizational safety culture, the safety performance was improved. The study suggests that safety culture have directly effect on organizational safety management and individual safety behavior. The individual safety behavior is not only influenced by safety culture, but improved by the safety management as well. Thus, we believe that excellent patient safety culture would be established through the effect of the leadership. Through the establishment of excellent patient safety culture, the organizational safety management system and individual safety behavior performance would be improved.

並列關鍵字

patient safety ； leadership style ； safety culture ； safety performance

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