Latent profile analysis of nurses'perception of patient safety culture and its influencing factors
Objective To understand and analyze the current status and latent profiles of clinical nurses'perception of patient safety culture,and their relationship with nurses'occupational coping self-efficacy,as well as to explore the influencing factors of different profiles.Methods From March to April 2023,the electronic questionnaire method was used to survey 261 nurses from a tertiary grade A hospital in Hunan Province.The survey included the General Information Questionnaire,the Patient Safety Culture Perception Scale,and the Occupational Coping Self-efficacy for Nurses Scale.The five dimensions of the Patient Safety Culture Perception Scale were used as manifest indicators for latent profile analysis.Multivariate Logistic regression analysis was performed with latent categories as the dependent variable and general information,along with the scores for occupational burden and relationship difficulties,as independent variables to identify the influencing factors of nurses'perceptions of patient safety culture across different categories.Results The perception of patient safety culture among the 261 nurses was heterogeneous and could be categorized into three latent groups:"low perception group,medium perception group,and high perception group".Age and relationship difficulties were predictors(P<0.05).Conclusion Patient safety culture perception can be categorized into three types.Nursing managers can take corresponding measures based on the characteristics of nurses in different categories.For nurses in the"low perception group",it is important to increase staffing levels appropriately,optimize workflows,and reduce unnecessary tasks to ensure that nurses have enough rest time,recover their energy,alleviate fatigue,and maintain the best working state.For nurses in the"medium perception group",nursing managers should encourage their participation in safety management and provide appropriate rewards for those who offer reasonable suggestions,or include them in evaluation criteria for awards,to further improve their focus on patient safety culture.Additionally,managers should address their work-related needs and provide certain support in both work and daily life to improve their job satisfaction and reduce occupational burnout.For nurses in the"high perception group",nursing managers can make a reasonable division of labor,with one person having a specialty and each department having a distinct feature.They can arrange tasks based on the abilities and specialties of different nurses to improve the nurses'work efficiency and sense of professional achievement.