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Mediating effects of patient safety perception and willingness to participate in patient safety on the relationship between health literacy and patient participation behavior among inpatients

Bibliographic Data

ID22074503
AuthorsMi Hwa Won (0000-0002-3452-7295, Wonkwang University), Sun Hwa Shin (0000-0003-4052-9542, Sahmyook University, corresponding author)
Year2024
Volume12
Pages1349891-1349891
Publication date2024-02-13
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1349891
PMID38414897
OpenAlexW4391784816
LanguageEN
Citations received1
References cited29

Introduction: In recent years, patient safety activities have shifted from being centered on healthcare providers to involving patients themselves. Health literacy of inpatients has a direct impact on patient participation behavior. Patient safety perception was also associated with willingness to participate in patient safety and patient participation behavior. Therefore, this study aimed to investigate the mediating effects of patient safety perception and willingness to participate in patient safety on the relationship between health literacy and patient participation behavior among inpatients. Methods: This cross-sectional study was conducted to confirm the relationship between study variables. A total of 262 inpatients were recruited from patients admitted to the ward of a tertiary general hospital between October and November 2023. Participants were invited to complete self-reported questionnaires that measured health literacy, patient safety perception, willingness to participate in patient safety, patient participation behavior, and demographic information. Data were analyzed using a dual mediation model applying the PROCESS macro (Model 6) with 95% bias-corrected bootstrap confidence intervals. Results: This study analyzed the direct effects of health literacy on patient safety perceptions and patient participation behavior. Health literacy indirectly affected patient participation behavior through patient safety perceptions and willingness to participate in patient safety. Regarding the relationship between health literacy and patient participation behavior, patient safety perceptions and willingness to participate in patient safety showed a significant dual mediating effect. Conclusions: This study identified the factors that promote patient participation behavior among inpatients. The mediating effect of patient safety perception on the relationship between health literacy and patient participation behavior was found to be strong. Building health literacy among inpatients ensures patient safety by increasing patient safety perceptions

Family medicine · Health care · Health literacy · Mediation · Patient participation · Patient safety · Perception · Clinical Psychology · Health Literacy and Information Accessibility · Medicine · Nursing · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare · Psychology

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    David W Baker•Journal of General Internal…•2006

  • Patients’ attitudes towards patient involvement in safety interventions

    Open Access•Rachel E Davis, Rachel Davis et al.•Health Expectations•2013

  • Development and Effectiveness of a Patient Safety Education Program for Inpatients

    Open Access•Sun Hwa Shin, Mi Jung Kim et al.•International Journal of…•2021

Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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