ICU护士结构性授权与病人安全文化的相关性分析

Correlation between Structure Empowerment and Patient Safety Culture in ICU Nurses

目的了解ICU护士结构性授权和病人安全文化的现状,并分析两者之间的相关性。方法采用工作授能条件量表和病人安全文化调查问卷,对大连市5家三级甲等综合医院360名ICU护士进行调查。采用Pearson相关性检验进行数据分析。结果 ICU护士结构性授权总分(18.33±3.04)分,得分最高维度是非正式授权(3.37±0.66)分,得分最低维度是信息授权(2.71±0.83)分。ICU护士对病人安全文化的同意率为68.9%,得分为(45.66±7.69)分。ICU护士结构性授权总分与病人安全文化总分呈正相关(r=0.526,P=0.000)。结论 ICU护士结构性授权和病人安全文化水平处中等,尚待改进,护理管理者应予以重视,并采取针对性措施提高ICU护士的结构性授权,提升其病人安全文化水平,从而改善危重症病人护理服务质量。

Objective To understand the status and the correlation between structure empowerment and patient safety culture in ICU nurses. Methods Hospital Survey on Patient Safety Culture instrument（HSOPSC） and Condition of Work Effectiveness Questionnaire（CWEQ-II） were used to survey 360 ICU nurses in five third-level first-class hospitals in Dalian. Results The total score of structure empowerment was 18.33±3.04, and the highest score was from the dimension of informal empowerment of 3.37 ±0.66,and lowest score from information empowerment of 2.71±0.83. The mean rate of positive response on patient safety culture dimensions in ICU nurses was 68.9%, with the total score of 45.66±7.69. There was a positive correlation between structure empowerment and patient safety culture（r=0.526, P=0.000）. Conclusion Structure empowerment and patient safety culture of ICU nurses still need to be improved. Nursing managers should take effective measures to promote ICU nurses ＇ level of structure empowerment and patient safety culture, then improve the quality of intensive care.