ArticleJournal of nursing management2026
Structural Model of Medication Errors in Clinical Nursing: A Structural Equation Model Based on the Ecological Systems Theory.
Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Structural Model of Medication Errors in Clinical Nursing: A Structural Equation Model Based on the Ecological Systems Theory.Journal of nursing management · 2026Article
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2 authors.
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Abstract
backgroundMedication errors remain a critical patient safety issue. Although prior research has examined individual and environmental determinants, few studies have investigated their complex interrelationships within an integrated theoretical framework, particularly in clinical nursing practice.
aimTo examine the structural relationships among the nursing work environment, communication with health professionals, fatigue, and medication errors among clinical nurses, grounded in Bronfenbrenner's ecological systems theory.
methodsA cross-sectional study was conducted involving 230 clinical nurses from four tertiary hospitals in South Korea. Data were collected using validated self-report questionnaires measuring the nursing work environment, communication with health professionals, fatigue, and medication errors. Structural equation modeling, supported by confirmatory factor analysis, was used to evaluate direct and indirect pathways and to assess overall model fit.
resultsThe proposed model demonstrated acceptable fit (χ
conclusionA supportive nursing work environment facilitates effective interprofessional communication, which in turn mitigates fatigue and reduces medication errors. Communication functions as a key mediating mechanism within this structural pathway. IMPLICATIONS FOR NURSING MANAGEMENT: To reduce medication errors, nurse managers should prioritize fostering positive work environments, implementing structured communication protocols, and establishing systematic fatigue management strategies. Such organizational initiatives may enhance communication efficiency and strengthen patient safety outcomes.
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