医院安全氛围在护士感知工作环境及满意度间的中介效应分析OACSTPCD

Objective To explore the relationship and influence path between nurses'perceived work environment,hospital safety climate and nurses'satisfaction.Methods Using convenience sampling method,444 in-service nurses in a third-class A hospital in Chengdu City were selected as research subjects from September to November 2021,and the nurses were surveyed with the Nurses'Perceived Work Environment Questionnaire.Hospital Safety Climate Scale,and Job Satisfaction Scale,and the correlation between hospital safety climate,Nurses'perceived work environment and satisfaction were analyzed by Pearson correlation,and a path relationship model was established based on the correlation test,and a mediation effect test was conducted by Bootstrap method.Based on the results of the correlation test,a path relationship model was established,and the mediation effect test was conducted by Bootstrap method to deeply analyze the mediation effect of hospital safety atmosphere between Nurses'perceived work environment and satisfaction.Results Nurses'perceived work environment was positively correlated with satisfaction(r=0.428,P<0.01),hospital safety climate was positively correlated with Nurses'work environment(r=0.693,P<0.01),hospital safety climate was positively correlated with Nurses'satisfaction(r=0.466,P<0.01),Nurses'perceived work environment positively predicted hospital safety climate(β=0.773,P=0.003),while the positive predictive effect on satisfaction was not statistically significant(β=0.060,P=0.530).The value of the indirect effect of hospital safety climate between Nurses'perceived work environment and satisfaction was 0.414(95%CI 0.557-1.531),which accounted for 87.34%of the total effect.Conclusion Hos-pital safety climate acts as a complete mediator between Nurses'perceived work environment and satisfaction,promoting a healthy and stable nursing workforce.