低年资护士不良事件报告态度的调查及原因分析

Attitudes toward Reporting Adverse Events among Low-seniority Nurses and the Related Factors

目的探讨低年资护士不良事件报告的态度及影响因素。方法于2013年10月-12月应用不良事件上报态度调查问卷,随机对某三级甲等医院的200名低年资护士进行集中调查,将各种因素与不良事件上报态度进行相关性比较。应用Epidata软件对问卷数据进行录入及管理,并用SPSS 17.0统计软件对收集到的数据进行相关性分析。结果 76%的低年资护士见过或者涉及到不良事件,不良事件报告率达74.3%。低年资护士不良事件上报态度调查的平均得分为(48.5±7.2)分;与其他因素相比,年龄与不良事件报告态度的相关性最好(r=0.20,P=0.01),并具有统计学意义(P<0.05)。结论护士对不良事件报告意愿总体偏低,年龄是影响不良事件报告认知与态度的重要因素。建立非惩罚性的医院安全文化以及高效的护理不良事件报告系统有利于不断提升护理服务质量。

Objective To explore low-seniority nurses＇ attitudes regarding adverse events reporting. Methods A total of 200 low-seniority nurses were investigated with the Chinese version of Reporting of Clinical Adverse Events Scale from October to December 2013. Epidata software was used to collect and manage data and SPSS 17.0 software was applied to analyze the collected data. Results The nurses who once witnessed or experienced adverse events accounted for 76%, of whom 74.3% reported adverse events. The mean score of reporting of clinical adverse events among low-seniority nurses was 48.5±7.2. Age was positively associated with the global scores of reporting of clinical adverse events, when compared with other variables （r=0.20, P=0.01）. Conclusions Overall, low-seniority nurses＇ attitudes toward reporting adverse events are negative. Age is positively associated with attitudes toward reporting adverse events. Therefore, a non-punitive culture should be established and an efficient reporting system is good to enhance the quality of care.