A Moderated Mediation Model of Safety-Specific Transformational Leadership and Patient Safety Culture in UAE Healthcare

HRMARS - Purpose: The purpose of the current study is to investigate the antecedents of patient safety culture. Therefore, it is studied how safety-specific transformational leadership contributes to patient safety culture through role-breadth self-efficacy. This study also examines the employees' proactive personality as a boundary condition. Methods: Data were collected from 539 healthcare workers of the United Arab Emirates in 3-time lags with an interval of 15 days each. Hayes' process macros, Model 7 in SPSS, were employed to test the moderated mediation model. Results: The moderated mediation model was supported by the study results. Safety-specific transformational leadership through role-breadth self-efficacy, with the moderation of proactive personality, leads to patient safety culture. Research implications: This study provides a comprehensive framework for healthcare organizations to develop a patient safety culture. The current study extends the proactive motivation model to the safety literature in the healthcare sector. This study opens new avenues for researchers to explore the contextual, dispositional, and motivational factors in contributing to safety culture in healthcare organizations. Practical implications: This study offers significant implications for healthcare practitioners in developing a comprehensive framework for workplace safety. They can adopt a proactive motivational model for establishing a patient safety culture where employees learn from their mistakes and are confident in reporting near misses. Originality/value: This study adds to the literature by investigating the factors contributing to the establishment of patient safety culture. This study provides noteworthy implications for healthcare researchers, leaders, doctors, nurses, and other workers. The top management of healthcare may get insights from the findings of the current study by developing a broad framework for patient safety culture through the leadership style, employees’ personality, and motivational states in the provision of safe services to the patients in healthcare.