某三级甲等医院儿科护士患者安全文化认知现状研究

Pediatric nurses＇ knowledge of patients＇ safety culture in a class Ⅲ grade A hospital

目的 了解儿科护士对医院患者安全文化知晓现状,探讨影响儿科护士安全文化的因素,为提高患者安全提供一定的依据.方法 采用方便抽样,于2016年7—9月应用中文版的医院患者安全文化调查问卷测评某三级甲等儿童医院886名儿科护士的医院患者安全文化认知现状.结果 74.1%的护士对所在科室患儿安全评价为＂很好＂或＂好＂.积极反应率＞75%的优势区域为＂对错误的反馈和沟通＂,＂科室内团队合作＂与＂组织学习和持续改进＂;积极反应率低于50%的待改进区域为＂人力配置＂与＂不良事件报告频率＂.多元线性回归分析结果显示,影响儿科护士医院患者安全文化的因素主要是年龄和平均拖班时间,2个变量共同解释了总变异的10.8%.结论 护士对医院患者安全文化认知水平较好,但部分领域仍是管理者今后努力的重点,对于影响安全文化认知的因素应给予积极有针对性的干预.

Objective To explore pediatric nurses＇ perceptions about patients＇ safety culture and identify the factors that affect patients＇ safety culture so as to provide evidences for improving patients＇ safety. Methods A cross-sectional study with convenience sampling was performed on 886 pediatric nurses working in a children＇s hospital from July 2016 to September 2016. Patients＇ safety culture was assessed using the Chinese version of the Hospital Survey on Patient Safety Culture.Results 74.1% of nurses evaluated patients＇ safety grade as either ＇very good＇ or ＇good＇. The advantage areas with positive responsive rates higher than 75% were described as follows ＂feedback and communication about error＂, ＂teamwork within units＂ and ＂organizational learning and continuous improvement＂. Areas need to be improved with positive responsive rates lower than 50% included ＂staffing＂ and ＂frequency of events reported＂. Multiple linear regression analysis indicated that ages and overtime work of nurses were main factors that affected nurses＇ knowledge of patients＇ safety culture. The two factors explained 10.8% of total variation.Conclusions Nurses in the children＇s hospital has an overall high level of knowledge to patients＇ safety culture. However, several aspects need to be improved. It is necessary to provide positive interventions to factors that affect knowledge of safety culture.