Research on the mechanisms influencing medical staff voice on medical safety
This paper aims to investigate the correlation between medical staff voice and medical safety,while also exploring the untested theoretical mediation of voice quality and voice adoption,as well as the moderating impact of voice implementation conditions.Drawing from a literature review,qualitative interviews,the Job Demands-Resources model,and Social Information Processing theory,the authors present ten research hypotheses and develop a mixed model incorporating mediator and moderator variables.To validate the constructed mixed model,a random sampling method was employed to administer a questionnaire survey among medical staff from 8 tertiary hospitals in Hubei Province,yielding 415 valid responses.The questionnaire,based on existing literature and preliminary qualitative interviews,utilized a 5-point Likert scale.The internal consistency,measured by Cronbach's α,ranged from 0.8 to 0.9.Correlation and hierarchical regression analyses were conducted using SPSS 25.0 software,while hypothesis testing utilized the Process macro program.The findings revealed positive pairwise correlations among all variables in the model.Specifically,medical staff participation in voicing positively influences medical safety levels.Moreover,departmental climate and voice motivation were found to positively affect voice participation.Voice quality and adoption act as sequential mediators between voice participation and medical safety.Additionally,the conditions for voice implementation positively moderate the relationship between voice adoption and medical safety.In summary,all research hypotheses are supported,confirming the validity of the constructed research model.Hence,hospital managers should enhance the accessibility of voice participation and optimize the allocation of voice information resources through the establishment of a medical staff voice platform.Furthermore,to encourage proactive safety feedback from medical staff,implementing incentive strategies for voicing and fostering a supportive voice culture within medical institutions are recommended.
万方数据
维普
