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This study investigates how patient safety competency mediates the relationship between patient safety culture and nursing activities.

Relationship between Patient Safety Culture and Patient Safety Nursing Activities among Nurses Working at the Comprehensive Nursing Care Service Ward: The Mediating Effect of Patient Safety Competency

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Quantitative mediation analysis shows patient safety competency mediates the relationship between culture and nursing activities in nurses.

This study investigates how patient safety competency mediates the relationship between patient safety culture and nursing activities.
Quantitative mediation analysis design employed.
One hundred and fifty nurses recruited from two university hospital-affiliated wards.
Data analyzed using Spearman's correlation and regression analysis with bootstrapping method.
Patient safety culture correlated with competency (r=0.59, p<0.001) and nursing activities (r=0.43, p<0.001).
Safety competency correlated with nursing activities (r=0.50, p<0.001).
Competency mediated the relationship between culture and nursing activities (Boot 95% CI, 0.043-0.358).

Lee et al. (2026) studied this question.

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Quantitative mediation analysis shows patient safety competency mediates the relationship between culture and nursing activities in nurses.