J Korean Acad Nurs Adm.  2023 Jun;29(3):320-330. 10.11111/jkana.2023.29.3.320.

Mediating Effects of Health literacy on the Relationship between Patient Safety Environment and Patient Safety Participation in Inpatients

• Jang I
• Park M

• KMID: 2549368
• DOI: http://doi.org/10.11111/jkana.2023.29.3.320

Abstract

Purpose
This study aimed to verify the effect of patient safety environment (PSE) and health literacy (HL) on patient safety participation (PSP) and the mediating effect of HL.
Methods
We recruited patients who were hospitalized at a tertiary general hospital in “D” city. A total of 230 people responded to a questionnaire survey we conducted from March 15 to July 10, 2020. The collected data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson’s correlation coefficient analysis, and hierarchical regression using SPSS/WIN 26.0.
Results
PSP was found to be significantly associated with PSE (r=.29, p<.001) and HL (r=.44, p<.001). PSE and HL were found to have a significant effect on PSP (power: 23%). HL was found to have a partial mediating effect (indirect effect: 0.09, 95% CI: 0.04~0.14) between PSE and PSP.
Conclusion
The findings from this study can contribute to developing interventions for patient participation in the PSE and providing directions for offering safe and high-quality medical care to patients.

Keyword

Patient safet; Patient participation; Patient safety environment; Health literacy