血透室护士对医院安全氛围认知情况调查研究
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  • 英文篇名:A survey on nurses' cognition for hospital safety climate at hemodialysis department
  • 作者:曾维艳 ; 胡秀英 ; 周艳
  • 英文作者:ZENG Wei-yan;HU Xiu-ying;ZHOU Yan;West China Hospital,Sichuan University;Pengzhou People's Hospital;
  • 关键词:血透室 ; 护士 ; 医院安全氛围
  • 英文关键词:Hemodialysis department;;Nurses;;Hospital safety climate
  • 中文刊名:YYLC
  • 英文刊名:Practical Journal of Clinical Medicine
  • 机构:四川大学华西医院;四川省彭州市人民医院;
  • 出版日期:2019-05-01
  • 出版单位:实用医院临床杂志
  • 年:2019
  • 期:v.16
  • 基金:国家自然科学基金资助项目(编号:71871147);; 四川省科技厅科研基金资助项目(编号:2018SZ0404)
  • 语种:中文;
  • 页:YYLC201903017
  • 页数:3
  • CN:03
  • ISSN:51-1669/R
  • 分类号:64-66
摘要
目的调查县级公立医院血透室护士对安全氛围的认知情况,为开展安全管理提供参考。方法采用自行设计的一般资料和中文版葛森医院安全氛围量表(C-HSCS)对7家县级医血透室护士112人进行问卷调查。结果血透室护士对医院安全氛围认知得分为(1. 28±0. 36)分,总体正向率为75. 00%。5个维度正向率均大于50. 00%,由高到低依次为冲突与沟通、反馈与培训、管理支持、清洁度与整洁度、安全工作的阻碍。不同的学历和职称结构安全氛围认知得分有统计学意义(P<0. 05)。学历的清洁度与整洁度、反馈与培训、冲突与沟通认知得分差异有统计学意义(P <0. 05);不同职称的清洁度与整洁度、冲突与沟通认知得分差异有统计学意义(P <0. 05)。结论血透室护士对医院安全氛围认知整体偏正向。血透室护理人力配置应注意学历和职称,加强工作环境管理和标准防护配置,更好地促进血透室安全氛围。
        Objective To investigate the status of nurses' cognition on hospital safety climate at hemodialysis department in county public hospitals in order to provide reference for hospital safety management. Methods A total of 112 nurses in hemodialysis department of 7 county public hospitals were surveyed using a self-made demographic questionnaire and the Chinese version of Gershon Hospital Safety Climate Scale( C-HSCS). Results The average total score of emergency nurses' cognition on hospital safety climate was 1. 28 ± 0. 36 and the total positive rate was 75. 00%. The positive rates of 5 dimensions were greater than 50. 00%. The positive rates from high to low were conflict and communication,feedback and training,management support,cleanness and tidiness,and security block.The education and professional title of nurses also significantly influenced nurses' cognition on hospital safety climate( P <0. 05).The education of nurses significantly influenced nurses' cognition on cleanness and tidiness,feedback and training,and conflict and communication( P < 0. 05).The professional title of nurses significantly influenced nurses' cognition on cleanness and tidiness,and conflict and communication( P < 0. 05).Conclusion Hemodialysis department nurses' cognition on hospital safety climate is prone to be positive totally. Administrators in hemodialysis department should allocate the education and professional title reasonably and strengthen the working environment management and the standard protection configuration to better promote the development of hemodialysis department safety climate.
引文
[1]Gershon R,Karkashian CJ,Murphy L,et al. Hospital safety climate and its relationship with safe work practices and workplace exposure incidents[J]. American Journal of Infection Control,2000,28(3):211-221.
    [2]Gershon RRM,Qureshi KA,Monika P,et al.Non-hospital based registered nurses and the risk of bloodborne pathogen exposure[J]. Industrial Health,2007,45(5):695-704.
    [3]Smith DR,Muto T,Sairenchi T,et al.Hospital safety climate,psychosocial risk factors and needlestick injuries in Japan[J]. Industrial Health,2010,48(1):85-95.
    [4]徐娜.医院安全氛围对护士锐器伤的影响研究[D].山西医科大学,2013.
    [5]徐娜,张培莉,王斌全,等.护士对血源性职业暴露相关的医院安全氛围认知的调查研究[J].护理学杂志,2013,28(5):8-10.
    [6]朱六英.血透室危险因素对医护人员健康的影响及防护措施[J].内蒙古中医药,2011,30(11):170-171.
    [7]张晓华,郭颖超,房婧,等.血液透析科护士职业危害及防护措施探讨[J].中国卫生产业,2017,14(5):134-135.
    [8]Gershon R,Flanagan PA,Karkashian C,et al. Health care workers'experience with postexposure management of bloodborne pathogen exposures:a pilot study.[J]. American Journal of Infection Control,2000,28(6):421-428.
    [9] Edwards JRD,Davey J,Armstrong K. Returning to the roots of culture:A review and re-conceptualisation of safety culture[J].Safety Science,2013,55(6):70-80.
    [10]孙爱华,肖倩.临床护士职业安全氛围感知与安全态度现状及其相关性研究[J].护理管理杂志,2017,17(1):12-13.
    [11]李亚琴,叶磊,胡秀英.急诊科护士对医院安全氛围认知的调查[J].护理学杂志,2017,32(1):54-56.

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