A serial mediation model of patient safety climate on nurses' compliance with standard precautions
The roles of infection prevention climate and attitude
Bibliographic Data
| ID | 22084682 |
|---|---|
| Authors | Wenjing Jiang (0000-0003-2218-8617, Zigong First People's Hospital), Li Cao (0000-0002-6866-4191, Zigong First People's Hospital), Qiurun Liu (Sichuan University), Ping Zhou (0000-0003-1974-4424, Zigong First People's Hospital), Zhou Ping (0000-0001-5471-5261), Anna Dai (0009-0003-7250-1234, Zigong First People's Hospital), Xiaoyu Liao (0000-0001-9851-3848, Zigong First People's Hospital), Juan Tang (0000-0002-0740-3289, Zigong First People's Hospital, corresponding author) |
| Year | 2025 |
| Volume | 13 |
| Pages | 1673026-1673026 |
| Publication date | 2025-09-18 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2025.1673026 |
| PMID | 41048304 |
| OpenAlex | W4414330439 |
| Language | EN |
| Citations received | 2 |
| References cited | 39 |
Objectives: This study tested a serial mediation model, based on Social Cognitive Theory (SCT), to explore how patient safety climate is associated with nurses' compliance via infection prevention climate (IPC) and standard precautions attitude. Methods: A cross-sectional survey was conducted among 913 registered nurses from 34 hospitals in China using validated instruments. Data were analyzed using PROCESS macro (Model 6) with 5,000 bootstrap samples, adjusting for age, gender, education, professional title, hospital level, and infection control training frequency. Results: = 0.378), indicating full mediation. This suggests that patient safety climate was not directly associated with compliance but exerted its influence entirely through infection prevention climate and attitudes, highlighting an indirect yet substantial pathway. All three indirect paths were significant: via infection prevention climate alone (βPSC → IPC → COMP = 0.138), via attitude alone (βPSC → ATT → COMP = 0.102), and via both in sequence [βPSC → IPC → ATT → COMP = 0.346, 95% CI (0.272, 0.426)], with the sequential pathway explaining 59.0% of the total indirect effect. In practical terms, attitude showed the strongest predictive power, with a standardized coefficient of βATT → COMP = 0.666, indicating a clinically meaningful impact on compliance behavior. Conclusion: Patient safety climate indirectly enhances compliance through departmental climate and individual attitudes. Interventions targeting both organizational climate and individual beliefs may strengthen compliance with standard precautions in clinical practice
Infection control · Mediation · Patient compliance · Patient safety · Psychological intervention · Safety climate · Standard precautions · Infection Control in Healthcare · Patient Safety and Medication Errors · Workplace Violence and Bullying
Social Cognitive Theory of Organizational Management
Social Foundations of Thought and Action
Health Promotion by Social Cognitive Means
The theory of planned behavior
Factors Influencing Emergency Department Nurses’ Compliance with Standard Precautions Using Multilevel Analysis
An Organizational Climate Intervention Associated With Increased Handwashing and Decreased Nosocomial Infections
A multilevel neo-institutional analysis of infection prevention and control in English hospitals
| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 2 |