实习对本科护生患者安全知识影响的调查研究

Inl uence of Internship on Nursing Students' Knowledge of Patient Safety: A Questionnaire Survey

目的调查本科护生实习前后的患者安全知识、态度和技能现状,为更好地开展护生患者安全教育提供依据。方法以皖南医学院护理学院实习前后本科护生为研究对象,进行"患者安全知识、态度、技能"问卷的匿名调查。采用EpiData 3.0软件录入数据,SPSS 17.0软件进行统计分析。结果实习前共发放问卷451份,收回有效问卷435份(96.45%)。实习后共发放问卷418份,收回有效问卷412份(98.56%)。与实习前相比,实习后女护生"医疗差错相关知识"和"医疗差错发生后我应该怎么做"两个维度的得分显著增高(P<0.000),"医疗差错发生后的情感"(P=0.002)和"有关患者安全你的意向/打算"得分显著降低(P=0.006);而男护生仅在"医疗差错发生后我应该怎么做"方面得分显著增高(P=0.046)。结论实习能显著提升护生的患者安全知识,减轻护生发生医疗差错后的负面情感反应。

ObjectiveTo investigate and analyze the knowledge, skills and attitudes of nursing students to patient safety before and after internship so as to provide evidence for implementation of patient safety curriculum in nursing students. MethodsUndergraduate nursing students before and after internship in nursing school of Wannan Medical College were recruited. The questionnaire method was performed to investigate the knowledge, attitudes and skills of patient safety before and after the internship. The data were input using EpiData 3.0 software and were analyzed by SPSS 13.0. ResultsA total of 451 questionnaires were distributed before the internship and of which 435 nursing students completed the survey （96.45%）, 418 questionnaires were distributed after the internship, of which 412 （98.56%） nursing students completed the survey. There were significant higher scores in female nursing students after the internship in the items of ‘Knowledge about medical errors’ and ‘What am I supposed to do when medical errors occur’ （P=0.000 and 0.000, respectively）, while lower scores of the items of ‘Feelings about making errors’ and ‘Your intentions regarding patient safety’ （P=0.002 and 0.006, respectively）. Only the score of the item ‘What am I supposed to do when medical errors occur’ was significantly higher in male nursing students after the internship （P=0.046）. ConclusionThe internship is useful for improving experiencing practice, knowledge on patient safety, reduce the negative feelings about making errors.