肿瘤科护士护理不良事件报告意向及影响因素的调查

Investigation on the intention and influences of reporting adverse events in oncology nursing

目的：调查肿瘤科护士护理不良事件报告意向,探讨肿瘤科护士护理不良事件报告意向的影响因素.方法：选取396名在岗的肿瘤科临床护士.采用护理不良事件报告意向问卷和报告障碍问卷调查临床护士不良事件上报的意向及其他影响因素.结果：肿瘤科护士报告意向问卷的得分范围为3～15,报告障碍问卷的得分范围为25～80,护理不良事件报告意向与年龄、工作年限及报告障碍中的惩罚文化和报告意义有关（P＜0.05）.结论：护理不良事件报告意向随着护理不良事件的严重程度的加重而增高,护士更倾向于采取上报上级主管的报告方式.年龄较高和工作年限较长的护士护理不良事件的报告意向相对较高,同时医院的惩罚文化和护士感受的报告意义均会影响护士护理不良事件报告意向.医院应尽快深化非惩罚文化理念,明确报告意义,提高护士的报告意向.

Objective： To investigate the reporting intention of nursing adverse events among oncology nurses and its influencing factors.Methods： 396 on-post oncology clinical nurses were investigated by the modified questionnaires of reporting intention of adverse nursing events and influence factor. Results： The questionnaires about the report＇s intention score was in the range of 3~15, and the obstacles score was in the range of 25~80. The reporting intention were influenced by nurse age, working experience, punitive culture and report significance（P〈0.05）. Conclusion： The larger adverse events, the reporting intention of nurses is stronger, and the most common way of reporting is to report to higher authorities. Elder and practised nurses are apt to report adverse events. Moreover, the reporting intention can also be influenced by the punitive culture and nurses＇ perceptibility. Therefore, it＇s better to enhance nurses＇ perceptibility of non-punitive culture and make more people know the significance of reporting adverse events.