Influencing of the Managerial Roles and Safety Management of Frist-line Nurse Managers on Safety Outcomes as Perceived by Professional Nurses of Operating Room in General Hospitals

Abstract

This analytical research was conducted with the objective of testing path model consistency in terms of correlations between managerial roles and safety management with regard to safety outcomes among first-line nurse managers perceived by professional operating room nurses in general hospitals and evidence-based data. The sample was 326 professional operating room nurses in general hospitals (Level S) and was calculated by using Crecy and Morgan’s formula. Research instrument quality was tested by seven qualified experts, and the questionnaires on managerial roles, safety management and safety outcomes yielded content validity indices of 0.90–0.98 with reliability from Cronbach’s Alpha Coefficients of 0.96-0.98. Data were analyzed by using descriptive statistics and path analysis of correlations between variables.

According to the findings, mean scores for the variables of managerial roles, safety management and safety outcomes were found to be high ( = 4.03, 3.86 and 4.45, respectively). The path model of correlations between managerial roles, safety management and safety outcomes was consistent with evidence based data (Chi-square = .007, df = 1, P-value = .934, chi-square/df = .007, CFI = 1.000, GFI = 1.000, AGFI = 1.000, RFI = 1.000, NFI = 1.000, TLI = 1.008, RMSEA = .000, RMR = .000). Managerial roles and safety management were able to jointly explain fluctuations of safety outcome at 20 percent (R² = .20). With regard to recommendations from the study, managers of nursing organizations and general hospitals can use this path model of correlations to plan and drive concrete policies on safety for patients who will be operated on by developing managerial roles and safety management among first-line nurse managers of the operating room in order to create positive safety outcomes for patients who had surgery.