Frontiers in public health · 2026
The impact of team psychological safety, occupational coping efficacy, and job satisfaction on the job performance of operating room nurses: an empirical study based on structural equation modeling.
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Liu Lili, Zhang Qiuyan, Yu Lihua, Wang Bili, Chen Cui, Li Ruiyu, Cai Feng
Аннотация
BACKGROUND: The quality and efficiency of operating room nurses' work are directly related to patient safety, surgical success rates, and the overall medical quality of the hospital. In the context of a global shortage of nursing human resources, enhancing the job performance of operating room nurses is critically important. Team psychological safety, occupational coping efficacy, and job satisfaction are important factors affecting the job performance of operating room nurses. However, limited research has examined the interrelationships among these factors specifically within this specialized group. This study aims to explore the impact of team psychological safety on the job performance of operating room nurses, with a particular focus on the potential mediating roles of occupational coping efficacy and job satisfaction.
METHODS: A cross-sectional survey was conducted among operating room nurses from six general hospitals in southern China. A total of 308 questionnaires were distributed, and 303 valid responses were included in the final analysis (response rate: 98.38%). Data were collected using the Team Psychological Safety Climate Scale, Occupational Coping Self-Efficacy Scale, Job Satisfaction Scale, and Nurse Job Performance Scale. Descriptive statistics and Pearson correlation analyses were performed using SPSS 26.0, and structural equation modeling (SEM) was conducted using AMOS 25.0. Mediation effects were tested using the Bootstrap method.
RESULTS: Operating room nurses reported a high level of job performance (mean = 4.12, SD = 0.49). Team psychological safety was positively associated with occupational coping self-efficacy, job satisfaction, and job performance (r = 0.222-0.339, all P < 0.01). The structural equation model showed a good fit (χ2/df = 1.175, CFI = 0.989, RMSEA = 0.024). Team psychological safety significantly predicted job performance (β = 0.226, P < 0.01), with occupational coping self-efficacy and job satisfaction forming a significant serial mediation pathway (β = 0.247, P < 0.01).
CONCLUSION: Team psychological safety significantly enhances the job performance of operating room nurses, both directly and indirectly through occupational coping self-efficacy and job satisfaction. These findings suggest that improving the psychological safety climate within teams may be an effective strategy to boost nursing performance in high-stakes clinical environments.
METHODS: A cross-sectional survey was conducted among operating room nurses from six general hospitals in southern China. A total of 308 questionnaires were distributed, and 303 valid responses were included in the final analysis (response rate: 98.38%). Data were collected using the Team Psychological Safety Climate Scale, Occupational Coping Self-Efficacy Scale, Job Satisfaction Scale, and Nurse Job Performance Scale. Descriptive statistics and Pearson correlation analyses were performed using SPSS 26.0, and structural equation modeling (SEM) was conducted using AMOS 25.0. Mediation effects were tested using the Bootstrap method.
RESULTS: Operating room nurses reported a high level of job performance (mean = 4.12, SD = 0.49). Team psychological safety was positively associated with occupational coping self-efficacy, job satisfaction, and job performance (r = 0.222-0.339, all P < 0.01). The structural equation model showed a good fit (χ2/df = 1.175, CFI = 0.989, RMSEA = 0.024). Team psychological safety significantly predicted job performance (β = 0.226, P < 0.01), with occupational coping self-efficacy and job satisfaction forming a significant serial mediation pathway (β = 0.247, P < 0.01).
CONCLUSION: Team psychological safety significantly enhances the job performance of operating room nurses, both directly and indirectly through occupational coping self-efficacy and job satisfaction. These findings suggest that improving the psychological safety climate within teams may be an effective strategy to boost nursing performance in high-stakes clinical environments.