Safety Culture as a Mediator between Self Efficacy, Social Support, and Patient Centered Care Among Healthcare Workers
DOI:
https://doi.org/10.70062/globalhealth.v3i1.275Keywords:
Healthcare Workers, Patient Centered Care (PCC), Safety Culture, Self Efficacy, Social SupportAbstract
Patient-Centered Care (PCC) is a healthcare approach that places the patient at the center of every interaction and clinical decision-making. However, a preliminary study at Tarumajaya Hospital showed that 58% of healthcare workers had not yet optimally implemented the PCC approach. This study aimed to analyze the influence of self-efficacy and social support on the implementation of Patient-Centered Care, with safety culture as a mediating variable, at Tarumajaya Hospital. The research method used was quantitative analytic with a cross-sectional design. The study sample used a saturated sampling technique of 132 healthcare workers, consisting of doctors, nurses, and medical support staff. Data analysis used Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results showed that self-efficacy and social support had a positive and significant effect on safety culture and PCC implementation. Safety culture also had a positive and significant effect on PCC implementation. Furthermore, safety culture was shown to mediate the influence of self-efficacy and social support on PCC implementation. The coefficient of determination value indicates that the model has strong ability to explain variations in PCC.
References
Abekah-Nkrumah, G., & Nkrumah, J. (2021). Perceived work environment and patient-centered behavior: A study of selected district
hospitals in the central region of Ghana. PLoS ONE, 16(1), 1–15. https://doi.org/10.1371/journal.pone.0244726
Abu Lebda, H., Malak, M. Z., & Hamaideh, S. H. (2023). Self-awareness, empathy, and patient-centered care among critical care nurses
in Jordan. Psychology, Health & Medicine, 28(9), 2764–2775. https://doi.org/10.1080/13548506.2022.2094427
Baek, H., Han, K., Cho, H., & Ju, J. (2023). Nursing teamwork is essential in promoting patient-centered care: A cross-sectional study.
BMC Nursing, 22(1), 1–8. https://doi.org/10.1186/s12912-023-01592-3
Caplan, G. (1974). Support systems and community mental health: Lectures on concept development. Behavioral Publications.
Choi, Y. S., & Kim, S. H. (2023). The influence of professional competency, professional commitment, and nursing organizational culture
on the person-centered practice of nurses in long-term care hospitals: A cross-sectional study. Journal of Korean Gerontological
Nursing, 25(2), 116–127. https://doi.org/10.17079/jkgn.2302.07001
Cohen, S., & Hoberman, H. M. (1983). Positive events and social supports as buffers of life change stress. Journal of Applied Social Psychology,
13(2), 99–125.
Cooper, D. R., & Schindler, P. S. (2019). Business research methods. McGraw-Hill Companies, Inc.
Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2017). A primer on partial least squares structural equation modeling (PLS-SEM). SAGE
Publications.
Liana, D. (2021). A nurse practitioner who is responsible for improving hospital accreditation efforts for the maturity of the Salvation Army [Thesis,
University of Indonesia].
Liu, H., Zhang, L., Yan, J., Huang, H., Yi, Q., & Peng, L. (2023). The relationship between social support, empathy, self-efficacy, and
humanistic practice ability among clinical nurses in China: A structural equation model. Journal of Nursing Management, 2023,
Article 1378278. https://doi.org/10.1155/2023/1378278
Global Health: Journal of Health Sciences, Public Health and Pharmacy 2026 (March), vol. 3, no. 1, Hartini, et al. 17 of 17
Reason, J. (1990). Human error. Cambridge University Press. https://doi.org/10.1017/CBO9781139062367
Ruswanti, E., & Januarko, M. U. (2021). Scientific report writing guide: Attention, company credibility, two-sided advertising on the intention to buy Elang
Air aviation services. CV. Andi Offset.
Sarason, I. G., & Sarason, B. R. (1985). Social support: Theory, research and applications. Martinus Nijhoff Publishers.
https://doi.org/10.1007/978-94-009-5115-0
Schein, E. H. (2010). Organizational culture and leadership (4th ed.). Jossey-Bass.
Sugiyono. (2018). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
Wahyuni, R., Adhikara, A., & Rita, K. (2024). Influence of work environment and social support on nurse performance at Tzu Chi
Hospital with organizational culture as an intervening variable. Vitalitas Medis: Jurnal Kesehatan dan Kedokteran, 1(3), 77–90.
https://doi.org/10.62383/vimed.v1i3.331
Watson, J. (2008). Nursing: The philosophy and science of caring (Rev. ed.). University Press of Colorado.
Weiner, B. (1986). An attributional theory of motivation and emotion. Springer-Verlag. https://doi.org/10.1007/978-1-4612-4948-1
Xiao, S. (1994). The theoretical basis and research application of social support rating scale. Journal of Clinical Psychiatry, 4, 98–100.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Global Health: Journal of Health Sciences, Public Health and Pharmacy
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
