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The Mediating and Moderating Roles of Safety-specific Transformational Leadership on the Relationship between Barrier to and Intention of Reporting Medication Errors
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Original Article

The Mediating and Moderating Roles of Safety-specific Transformational Leadership on the Relationship between Barrier to and Intention of Reporting Medication Errors

Myoung Soo Kim
Korean Journal of Adult Nursing 2015;27(6):673-683.
Published online: December 31, 2015

Department of Nursing, Pukyong National University, Busan, Korea.

Corresponding author: Kim, Myoung Soo. Department of Nursing, Pukyong National University, 599-1 Daeyeon 3 dong, Nam-gu, Busan 608-737, Korea. Tel: +82-51-629-5782, Fax: +82-51-629-5789, kanosa@pknu.ac.kr
• Received: September 18, 2015   • Revised: November 27, 2015   • Accepted: December 2, 2015

© 2015 Korean Society of Adult Nursing

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    This study was aimed to identify the mediating and moderating effects of safety-specific transformational leadership on the relationship between barrier to and intention of reporting medication errors.
  • Methods
    Two hundred thirty seven nurses from seven different hospitals participated in the study. Safety-specific transformational leadership was measured by an instrument with 10 items, barrier to reporting medication errors with 16 items, and intention of reporting medication errors with 3 items. The data was collected from September to October 2012. Descriptive statistics, factor analysis, t-test, ANOVA, Pearson correlation coefficient and a hierarchial regression analysis were used.
  • Results
    There were significant negative correlations between the subcategories of barrier to reporting medication errors and intention of reporting medication errors (r=-.16~-.27, p<.001), and a positive correlation between the intention and safety-specific transformational leadership (r=.25, p<001). Transformational leadership was a mediator between barrier to and intention of reporting medication errors.
  • Conclusion
    Safety-specific transformational leadership mediated the relationships between barrier to and intention of reporting medication errors. Enhancing safety-specific transformational leadership of nursing unit managers is necessary to increase the intention to reporting medication errors.
  • Key Words: Medication error; Safety; Leadership

This work was supported by a Research Fund of Pukyong National University in 2015.

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Table 1

Summary of Exploratory Factor Analysis of the 16-items Barrier to Reporting Medication Errors

kjan-27-673-i001.jpg
Table 2

Intention of Reporting Medication Errors according to the Participants' Characteristics (N=237)

kjan-27-673-i002.jpg

BSN=bachelor of science in nursing; ICU=intensive care unit; ER=emergency room; Ped.=pediatric; OBGY=obstetric and gynecology.

Table 3

Correlations between the Variables (N=237)

kjan-27-673-i003.jpg
Table 4

Mediating Effect of Safety-specific Transformational Leadership in the Relationship between Barrier to and Intention of Reporting Medication Errors (N=237)

kjan-27-673-i004.jpg
Table 5

Moderating Effect of Safety-specific Transformational Leadership in the Relationship between Barrier to and Intention of Reporting Medication Errors (N=237)

kjan-27-673-i005.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • The mediating role of moral courage in the relationship between ethical leadership and error reporting behavior among nurses in Saudi Arabia: a structural equation modeling approach
      Ebtisam A. Elhihi, Khadija Lafi Aljarary, Maha Alahmadi, Jawaher Bakor Adam, Ohud Atiah Almwualllad, Marwan S. Hawsawei, Abdulmajid Ahmad Hamza, Ibrahim Abdullatif Ibrahim
      BMC Nursing.2025;[Epub]     CrossRef
    • Nursing leadership style and error management culture: a scoping review
      Eleonora Moraca, Francesco Zaghini, Jacopo Fiorini, Alessandro Sili
      Leadership in Health Services.2024; 37(4): 526.     CrossRef
    • Factors Influencing Clinical Nurses’ Intention to Report Medication Administration Errors
      Seul Hee Lee, Eun Ji Seo
      Journal of Korean Critical Care Nursing.2021; 14(3): 62.     CrossRef
    • Discriminating Power of Organization Related Variables on Intention to Medication Error Reporting
      Myoung Soo Kim
      Journal of Health Informatics and Statistics.2016; 41(2): 155.     CrossRef

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    The Mediating and Moderating Roles of Safety-specific Transformational Leadership on the Relationship between Barrier to and Intention of Reporting Medication Errors
    Korean J Adult Nurs. 2015;27(6):673-683.   Published online December 31, 2015
    DOI: https://doi.org/10.7475/kjan.2015.27.6.673
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    Korean J Adult Nurs. 2015;27(6):673-683.   Published online December 31, 2015
    DOI: https://doi.org/10.7475/kjan.2015.27.6.673
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    The Mediating and Moderating Roles of Safety-specific Transformational Leadership on the Relationship between Barrier to and Intention of Reporting Medication Errors

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    The Mediating and Moderating Roles of Safety-specific Transformational Leadership on the Relationship between Barrier to and Intention of Reporting Medication Errors

    Summary of Exploratory Factor Analysis of the 16-items Barrier to Reporting Medication Errors

    Intention of Reporting Medication Errors according to the Participants' Characteristics (N=237)

    BSN=bachelor of science in nursing; ICU=intensive care unit; ER=emergency room; Ped.=pediatric; OBGY=obstetric and gynecology.

    Correlations between the Variables (N=237)

    Mediating Effect of Safety-specific Transformational Leadership in the Relationship between Barrier to and Intention of Reporting Medication Errors (N=237)

    Moderating Effect of Safety-specific Transformational Leadership in the Relationship between Barrier to and Intention of Reporting Medication Errors (N=237)

    Table 1 Summary of Exploratory Factor Analysis of the 16-items Barrier to Reporting Medication Errors

    Table 2 Intention of Reporting Medication Errors according to the Participants' Characteristics (N=237)

    BSN=bachelor of science in nursing; ICU=intensive care unit; ER=emergency room; Ped.=pediatric; OBGY=obstetric and gynecology.

    Table 3 Correlations between the Variables (N=237)

    Table 4 Mediating Effect of Safety-specific Transformational Leadership in the Relationship between Barrier to and Intention of Reporting Medication Errors (N=237)

    Table 5 Moderating Effect of Safety-specific Transformational Leadership in the Relationship between Barrier to and Intention of Reporting Medication Errors (N=237)

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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