A study of the relationships among social capital,knowledge sharing and patient safety culture

• Main Authors: Szu-Yu Chen, 陳思伃
• Other Authors: Zhao- Song Chang
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/87729009074600063753

碩士 === 高雄醫學大學 === 醫務管理暨醫療資訊學系碩士在職專班 === 102 === In recent years, various medical institutions have applied the medical team resource management (Team Resource Management, TRM) to enhance culture of patient safety for a single unit or the whole institution. Set up like a social network service, members of the medical team cooperate seamlessly, communicate effectively and share their information or knowledge generously to minimize errors in order to optimize patient safety. The subjects of this study are registered nurses. Put in a well- organized and close network, registered nurses often work with diverse professional teams and offer their plan to serve patient with care and discipline. Nevertheless, the main dimensions of social capital are network and communication. Maintaining and enhancing social capital depends critically on the ability of the nurses to communicate among each other, work effectively and fulfill their roles. Objectives：Based on social capital theory, this study aims to explore the impact of disciplined nurses and their network on sharing of knowledge and optimization of patient safety culture. Methods：The study population comprises 414 registered nurses of a regional hospital in southern Taiwan. Using questionnaires to collect data, we obtained 383 valid questionnaires, the effective rate being 92.5%. Results：First, there is a significant and positive association between social capital and knowledge sharing(p＜0.01,r=.582). Second, there is a significant and positive association between social capital and patient safety culture(p＜0.01,r=.169).Third, knowledge sharing is significantly and positively associated with patient safety culture(p＜0.01,r=.581).Fourth, the association of social capital with patient safety culture is partially moderated by knowledge sharing. Conclusions：The results of this study point out that the higher the social capital of registered nurses, the more the impact on knowledge sharing among members. knowledge sharing is significantly associated with patient safety culture in a positive manner. Therefore, this study suggests that hospital administrators should create an open, friendly, and trustworthy environment where registered nurses are willing to share their knowledge to optimize patient safety.