护理人员安全行为及其影响因素调查
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摘要
目的了解临床护理人员安全行为现状,并分析影响因素。方法采用医务人员患者安全行为量表对420名护士进行调查。结果护士安全依从性行为均分为(5.69±0.36)分,安全参与性行为均分(5.44±0.61)分。回归分析显示,职称、从事本专业时间、学历是安全依从性行为的影响因素,从事本专业时间、学历是安全参与性行为的影响因素(P<0.05,P<0.01)。结论安全依从性行为得分高于安全参与性行为得分。护理管理者应着重提高护士安全参与性行为,尤其是不良事件上报和患者安全相关学习培训的参与度。亦要根据护士的职称、从事本专业时间和学历等情况分别培养和使用,以提高其安全行为,保证患者安全。
Objective To describe the level of patient safety behaviors among clinical nursing staff and to analyze the influencing factors. Methods A total of 420 nurses were investigated with the Patient Safety Behavior Scale in Medical Staff. Results The score of safety compliance behavior was 5.69±0.36, and that of safety involvement behavior was 5.44±0.61. Multiple linear regression analysis showed that professional title, work length and education level were predictors of safety compliance behavior; and work length and education level were predictors of safety involvement behavior(P<0.05,P<0.01). Conclusion Nurses′ safety compliance behavior was better than safety involvement behavior. Nursing managers should focus on improving nurses′ safety involvement behavior, especially on the involvement of adverse event reporting and patient safety related education. It is also necessary to cultivate and use nurses by considering their professional title, work length and educational background, thus to enhance their safety behaviors and guarantee patient safety.
Objective To describe the level of patient safety behaviors among clinical nursing staff and to analyze the influencing factors. Methods A total of 420 nurses were investigated with the Patient Safety Behavior Scale in Medical Staff. Results The score of safety compliance behavior was 5.69±0.36, and that of safety involvement behavior was 5.44±0.61. Multiple linear regression analysis showed that professional title, work length and education level were predictors of safety compliance behavior; and work length and education level were predictors of safety involvement behavior(P<0.05,P<0.01). Conclusion Nurses′ safety compliance behavior was better than safety involvement behavior. Nursing managers should focus on improving nurses′ safety involvement behavior, especially on the involvement of adverse event reporting and patient safety related education. It is also necessary to cultivate and use nurses by considering their professional title, work length and educational background, thus to enhance their safety behaviors and guarantee patient safety.
引文
[1] Taylor N, Parveen S, Robins V, et al.Development and initial validation of the Influences on Patient Safety Behaviours Questionnaire[J].Implement Sci,2013,29(8):81.
[2] 王冰寒,颜巧元,朱琴.住院患者参与用药安全行为量表的研制及信效度检验[J].中华护理杂志,2017,52(3):377-380.
[3] 唐萍,肖明朝,任洪艳.医务人员患者安全行为量表的建立和测试[J].重庆医学,2016,45(5):614-616.
[4] Agnew C, Flin R, Mearns K.Patient safety climate and worker safety behaviours in acute hospitals in Scotland[J].J Safety Res,2013,45:95-101.
[5] 任洪艳,唐萍,肖明朝.重庆市护理人员患者安全行为及其影响因素[J].现代预防医学,2014,41(16):2974-2977.
[6] 吴清,叶旭春,李晓芳,等.临床护士感知患者参与患者安全现状分析[J].护理学杂志,2016,31(15):45-48.
[7] Reis C T, Paiva S G, Sousa P.The patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions[J].Int J Qual Health Care, 2018.doi:10.1093/intqhc/mzy080.
[8] 李伦兰,胡少华,刘安琪,等.安徽省某三甲医院护理人员对患者安全文化认知的调查研究[J].中国护理管理,2014,14(7):740-744.
[9] 马琳琳.中文版患者安全护理评价量表的开发与应用[D].哈尔滨:黑龙江中医药大学,2013.
[10] 毛秋云,祁芬,赵伯莲,等.临床护士不良事件风险感知调查及影响因素分析[J].中华全科医学,2016,14(10):1769-1771.
[11] 田敏,刘峰,陶俊荣,等.影响患者安全的护理组织因素及其权重分析[J].中华护理杂志,2014,49(6):696-699.
[12] Ammouri A A, Tailakh A K, Muliira J K, et al.Patient safety culture among nurses[J].Int Nurs Rev,2015,62(1):102-110.
[13] Alquwez N, Cruz J P, Almoghairi A M, et al.Nurses′perceptions of patient safety culture in three hospitals in Saudi Arabia[J].J Nurs Scholarsh,2018,50(4):422-431.
[2] 王冰寒,颜巧元,朱琴.住院患者参与用药安全行为量表的研制及信效度检验[J].中华护理杂志,2017,52(3):377-380.
[3] 唐萍,肖明朝,任洪艳.医务人员患者安全行为量表的建立和测试[J].重庆医学,2016,45(5):614-616.
[4] Agnew C, Flin R, Mearns K.Patient safety climate and worker safety behaviours in acute hospitals in Scotland[J].J Safety Res,2013,45:95-101.
[5] 任洪艳,唐萍,肖明朝.重庆市护理人员患者安全行为及其影响因素[J].现代预防医学,2014,41(16):2974-2977.
[6] 吴清,叶旭春,李晓芳,等.临床护士感知患者参与患者安全现状分析[J].护理学杂志,2016,31(15):45-48.
[7] Reis C T, Paiva S G, Sousa P.The patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions[J].Int J Qual Health Care, 2018.doi:10.1093/intqhc/mzy080.
[8] 李伦兰,胡少华,刘安琪,等.安徽省某三甲医院护理人员对患者安全文化认知的调查研究[J].中国护理管理,2014,14(7):740-744.
[9] 马琳琳.中文版患者安全护理评价量表的开发与应用[D].哈尔滨:黑龙江中医药大学,2013.
[10] 毛秋云,祁芬,赵伯莲,等.临床护士不良事件风险感知调查及影响因素分析[J].中华全科医学,2016,14(10):1769-1771.
[11] 田敏,刘峰,陶俊荣,等.影响患者安全的护理组织因素及其权重分析[J].中华护理杂志,2014,49(6):696-699.
[12] Ammouri A A, Tailakh A K, Muliira J K, et al.Patient safety culture among nurses[J].Int Nurs Rev,2015,62(1):102-110.
[13] Alquwez N, Cruz J P, Almoghairi A M, et al.Nurses′perceptions of patient safety culture in three hospitals in Saudi Arabia[J].J Nurs Scholarsh,2018,50(4):422-431.