临床护士护理信息能力对患者安全文化认知的影响
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摘要
目的了解护理人员护理信息能力和对患者安全文化认知的现状及二者的关系,分析影响护士对患者安全文化认知的因素。方法采用一般资料问卷、护理信息能力量表和医院患者安全文化认知量表对869名护士进行调查。结果临床护士护理信息能力评分为(99.71±18.63)分;对患者安全文化认知评分为(146.23±21.38)分;护理信息能力评分及各维度评分均与护士对患者安全文化认知呈正相关(P<0.01或P<0.05);护士职称、学历和护理信息能力为患者安全文化认知的主要影响因素(P<0.01)。结论护士护理信息能力总体水平较低,护士对患者安全文化认知处于中等水平,建议护理管理者加强临床护士的护理信息能力培养,以提高护士对患者的安全文化认知水平,为改善临床护理安全提供依据。
Objective To investigate the relationship between nurses' information competency and patients' safety-culture cognition,then to analyze relevant factors.Methods A total of 869 nurses were investigated by general information questionnaire,nursing informationcompetencys scale and hospital patient safety culture cognition scale.Result The score of nurses' information competency was(99.71±18.63),the score of patients' safety-culture cognition was(146.23±21.38),and both of them were positively correlated(P<0.01 orP<0.05).Theprofessional level,education background and nursing information competencey were the main influencing factors of patients safety-culture cog-nition(P<0.01).Conclusion The level of nurses' information ability is relatively low while their cognition of patients' safety-culture is atmedium level,which suggest that nursing managers should strengthen the training of clinical nurses' information ability,to improve nurses' cognition of patients' safety-culture and the safety of clinical nursing.
Objective To investigate the relationship between nurses' information competency and patients' safety-culture cognition,then to analyze relevant factors.Methods A total of 869 nurses were investigated by general information questionnaire,nursing informationcompetencys scale and hospital patient safety culture cognition scale.Result The score of nurses' information competency was(99.71±18.63),the score of patients' safety-culture cognition was(146.23±21.38),and both of them were positively correlated(P<0.01 orP<0.05).Theprofessional level,education background and nursing information competencey were the main influencing factors of patients safety-culture cog-nition(P<0.01).Conclusion The level of nurses' information ability is relatively low while their cognition of patients' safety-culture is atmedium level,which suggest that nursing managers should strengthen the training of clinical nurses' information ability,to improve nurses' cognition of patients' safety-culture and the safety of clinical nursing.
引文
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[4]JEON E,KIM J,PARK HA,et al.Current status of nursing informatics education in korea[J].Healthcare Informatics Research,2016,22(2):142-150.DOI:10.4258/hir.2016.22.2.142.
[5]KASSAM I,NAGLE L STRUDWICK G.Informatics competencies for nurse leaders:protocol for a scoping review[J].British Medical Journal,2017,7(12):e18855.DOI:10.1136/bmjopen-2017-018855.
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[8]李漓,刘雪琴.护理人员对医院患者安全文化的评估分析[J].中华护理杂志,2009,44(4):304-307.
[9]张凡,王兰.儿科护士对患者安全文化认知现状及影响因素研究[J].护理管理杂志,2017,17(10):701-702.
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[11]JAMESON J,WALSH M E.Tools for evidence-based vascular nursing practice:achieving information literacy for lifelong learning[J].Journal of Vascular Nursing,2017,35(4):201-210.DOI:10.1016/j.jvn.2017.07.003.
[12]石贞仙,张博论,李琳,等.培训新护理时代的护理信息尖兵[J].中国护理管理,2016,16(5):696-699.DOI:10.3969/j.issn.1672-1756.2016.05.031.
[13]BLANCHET GAMEAU A,PEPIN J.Cultural safety:a concept analysis[J].Recherche Soins Infirmiers,2012(111):22-35.
[14]BOZORGZAD P,NEGARANDEH R,RAIESIFAR A,et al.Cultural safety:an evoltionary concept analysis[J].Holistic Nursing Practice,2016,30(1):33-38.DOI:10.1097/HNP.0000000000000125.
[15]田琦巍,田琦波,李香风.护士对病人安全文化的认知及影响因素研究[J].护理管理杂志,2015,15(3):156-158.
[16]BORYCKI E M,CUMMINGS E,KUSHNIRUK A W,et al.Integrating health information technology safety into nursing informatics competencies[J].Studies in Health Technology and Informatics,2017(232):222-228.
[17]JENSEN R,GUEDES EDE S,LEITE M M.Informatics competencies essential to decision making in nursing management[J].Revista Da Escola De Enfermagem,2016,50(1):112-120.DOI:10.1590/S0080-623420160000100015.
[18]MENELLS A M,HORTON-DEUTSCH S,FRIESTH B M.Improving quality and safety in graduate education using an electronic student tracking system[J].Archives of Psychiatric Nursing,2012,26(5):358-383.DOI:10.1016/j.apnu.2012.06.006.
[19]COLLINS S.Nursing informatics competencies:psychometic validation,dissemination,and maintenance of self-assessment tool for nurse leaders[J].Studies in Health Technology and Informatics,2016(225):710-712.
[20]李雪华,卢天舒.建设良性护理安全文化面临的问题与对策[J].护理管理杂志,2016,16(12):905-907.
[21]张雨晨,冯先琼,郑娥.美国信息护士认证管理进展与启示[J].中国护理管理,2015,15(3):354-357.DOI:10.3969/j.issn.1672-1756.2015.03.028.
[22]KOFFEL C,BURKE K G,MCGUINN K,et al.Integration of quality and safety education for nurses into practice:academic-practice partnership's role[J].Nurse Educator,2017,42(5):49-52.DOI:10.1097/NNE.0000000000000424.
[23]ROULEAU G,GAGNON M P,COTE J.Impacts of information and communication technoligies on nursing care:an overview of systematic reviews(protocol)[J].Systematic Reviews,2015(4):75-78.DOI:10.1186/s13643-015-0062-y.
[2]CAMPIONE J,FAMOLARO T.Promising practices for improving hospital patient safety culture[J].Joint Commission Journal on Quality and Patient Safety,2018,44(1):23-32.DOI:10.1016/j.jcjq.2017.09.001.
[3]HART M D.A Delphi study to determine baseline informatics competencies for nurse managers[J].Computers,Informatics,Nursing:CIN,2010,28(6):364-370.DOI:10.1097/NCN.0b013e3181f69d89.
[4]JEON E,KIM J,PARK HA,et al.Current status of nursing informatics education in korea[J].Healthcare Informatics Research,2016,22(2):142-150.DOI:10.4258/hir.2016.22.2.142.
[5]KASSAM I,NAGLE L STRUDWICK G.Informatics competencies for nurse leaders:protocol for a scoping review[J].British Medical Journal,2017,7(12):e18855.DOI:10.1136/bmjopen-2017-018855.
[6]CHOI J,MARTINIS J E.Nursing informatics competencies:assessment of undergraduate and graduate nursing students[J].Journal of Clinical Nursing,2013,22(13-14):1970-1976.DOI:10.1111/jocn.12188.
[7]罗红.护理信息能力量表的编制及实证研究[D].长春:吉林大学,2016.
[8]李漓,刘雪琴.护理人员对医院患者安全文化的评估分析[J].中华护理杂志,2009,44(4):304-307.
[9]张凡,王兰.儿科护士对患者安全文化认知现状及影响因素研究[J].护理管理杂志,2017,17(10):701-702.
[10]ROULEAU G,GAGNON MP,COTE J,et al.Impact of information and communication technologies on nursing care:results of an overview of systematic reviews[J].Journal of Medical Internet Research,2017,19(4):122-124.DOI:10.2196/jmir.6686.
[11]JAMESON J,WALSH M E.Tools for evidence-based vascular nursing practice:achieving information literacy for lifelong learning[J].Journal of Vascular Nursing,2017,35(4):201-210.DOI:10.1016/j.jvn.2017.07.003.
[12]石贞仙,张博论,李琳,等.培训新护理时代的护理信息尖兵[J].中国护理管理,2016,16(5):696-699.DOI:10.3969/j.issn.1672-1756.2016.05.031.
[13]BLANCHET GAMEAU A,PEPIN J.Cultural safety:a concept analysis[J].Recherche Soins Infirmiers,2012(111):22-35.
[14]BOZORGZAD P,NEGARANDEH R,RAIESIFAR A,et al.Cultural safety:an evoltionary concept analysis[J].Holistic Nursing Practice,2016,30(1):33-38.DOI:10.1097/HNP.0000000000000125.
[15]田琦巍,田琦波,李香风.护士对病人安全文化的认知及影响因素研究[J].护理管理杂志,2015,15(3):156-158.
[16]BORYCKI E M,CUMMINGS E,KUSHNIRUK A W,et al.Integrating health information technology safety into nursing informatics competencies[J].Studies in Health Technology and Informatics,2017(232):222-228.
[17]JENSEN R,GUEDES EDE S,LEITE M M.Informatics competencies essential to decision making in nursing management[J].Revista Da Escola De Enfermagem,2016,50(1):112-120.DOI:10.1590/S0080-623420160000100015.
[18]MENELLS A M,HORTON-DEUTSCH S,FRIESTH B M.Improving quality and safety in graduate education using an electronic student tracking system[J].Archives of Psychiatric Nursing,2012,26(5):358-383.DOI:10.1016/j.apnu.2012.06.006.
[19]COLLINS S.Nursing informatics competencies:psychometic validation,dissemination,and maintenance of self-assessment tool for nurse leaders[J].Studies in Health Technology and Informatics,2016(225):710-712.
[20]李雪华,卢天舒.建设良性护理安全文化面临的问题与对策[J].护理管理杂志,2016,16(12):905-907.
[21]张雨晨,冯先琼,郑娥.美国信息护士认证管理进展与启示[J].中国护理管理,2015,15(3):354-357.DOI:10.3969/j.issn.1672-1756.2015.03.028.
[22]KOFFEL C,BURKE K G,MCGUINN K,et al.Integration of quality and safety education for nurses into practice:academic-practice partnership's role[J].Nurse Educator,2017,42(5):49-52.DOI:10.1097/NNE.0000000000000424.
[23]ROULEAU G,GAGNON M P,COTE J.Impacts of information and communication technoligies on nursing care:an overview of systematic reviews(protocol)[J].Systematic Reviews,2015(4):75-78.DOI:10.1186/s13643-015-0062-y.
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