A serial mediation model of patient safety climate on nurses' compliance with standard precautions: the roles of infection prevention climate and attitude.

ABSTRACT:

Objectives

This study tested a serial mediation model, based on Social Cognitive Theory (SCT), to explore how patient safety climate is associated with nurses' compliance via infection prevention climate (IPC) and standard precautions attitude.

Methods

A cross-sectional survey was conducted among 913 registered nurses from 34 hospitals in China using validated instruments. Data were analyzed using PROCESS macro (Model 6) with 5,000 bootstrap samples, adjusting for age, gender, education, professional title, hospital level, and infection control training frequency.

Results

Patient safety climate had a significant total effect on compliance (βPSC → COMP(total) = 0.551, p < 0.001), but the direct effect became non-significant after including mediators (βPSC → COMP

SUBMITTER: Jiang W 

PROVIDER: S-EPMC12489939 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature