Aim(s)To investigate spillover effects of organizational support for patient and workplace safety on safety outcomes and to examine the mediating role of safety compliance in these relationships.DesignA cross‐sectional, correlational survey design.MethodsThis study analysed data from 1255 nurses in 34 Korean hospitals. A structured questionnaire was used including items from the Hospital Survey on Patient Safety Culture and Safety Compliance scales. Data were collected between February and June 2022. We employed structural equation modelling (SEM) for analysis with a significance level set at 0.05.ResultsOrganizational support for patient and workplace safety showed direct impacts on patient and workplace safety outcomes. Findings supported our hypotheses regarding spillover effects, as organizational support for patient safety was related to enhanced workplace safety and organizational support for workplace safety was associated with improved patient safety. SEM analysis showed safety compliance's mediating role. When the distribution of serial indirect effects was examined, three out of eight indirect pathways were statistically significant.ConclusionImproving organizational support for patient safety can lead to better workplace safety outcome, and enhancing support for workplace safety can result in better patient safety outcome. Given this mutually beneficial relationship, healthcare organizations should simultaneously promote safety in both areas rather than focusing on just one.Implications for the Profession and/or Patient CareStudy results highlight the need to recognize the interconnected nature of patient and workplace safety in order to achieve better overall safety outcomes.ImpactThis study shows that organizational safety efforts for patients and workers are interconnected and mutually beneficial. The study's results have both theoretical and practical implications in demonstrating that organizational support for both patient and workplace safety plays a strong role in promoting nurses' safety compliance and improving overall safety outcomes.Reporting MethodSTROBE checklist.Patient ContributionNo patient or public contribution.

中文翻译：

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组织对患者和工作场所安全的支持对安全结果的溢出效应：安全合规性的中介作用

目的 调查患者和工作场所安全的组织支持对安全结果的溢出效应，并检验安全合规性在这些关系中的中介作用。设计横断面相关调查设计。方法本研究分析了来自 34 个国家/地区的 1255 名护士的数据。韩国医院。使用了结构化调查问卷，其中包括医院患者安全文化调查和安全合规量表中的项目。数据收集于 2022 年 2 月至 6 月期间。我们采用结构方程模型 (SEM) 进行分析，显着性水平设置为 0.05。结果对患者和工作场所安全的组织支持显示出对患者和工作场所安全结果的直接影响。研究结果支持了我们关于溢出效应的假设，因为对患者安全的组织支持与增强工作场所安全相关，而对工作场所安全的组织支持与改善患者安全相关。 SEM 分析显示了安全合规性的中介作用。当检查系列间接效应的分布时，八个间接路径中的三个具有统计显着性。结论改善对患者安全的组织支持可以带来更好的工作场所安全结果，而加强对工作场所安全的支持可以带来更好的患者安全结果。鉴于这种互惠互利的关系，医疗保健组织应同时促进两个领域的安全，而不是只关注一个领域。 对专业和/或患者护理的影响研究结果强调需要认识到患者和工作场所安全的相互关联性，以便更好地实现总体安全结果。影响这项研究表明，患者和工作人员的组织安全工作是相互关联且互利的。该研究的结果具有理论和实践意义，表明对患者和工作场所安全的组织支持在促进护士安全合规性和改善整体安全结果方面发挥着强大作用。报告方法STROBE检查表。患者贡献没有患者或公众贡献。