用药环境对护士用药不安全行为的影响

The impact of medication environment on nurses' unsafe medication behaviors

目的 :分析用药环境与护士用药不安全行为的关系,为护士安全用药管理提供科学依据。方法 :采用一般资料调查表、护士用药不安全行为量表、护士用药环境感知量表,对哈尔滨市5所三级甲等医院1 012名临床护士进行问卷调查。结果:护士用药不安全行为检出率为74.3%,护士用药不安全行为量表总分中位数为8分(得分率为8.0%),护士用药环境感知量表总分为(134.96±16.28)分(得分率84.3%)。多元回归分析显示,护士自身、用药相关人员、制度及监管、职称是护士用药不安全行为的影响因素,可解释总体变异的26.9%。结论 :护士用药不安全行为现状仍有待进一步改善,护理管理者应积极改善护士用药环境,以减少用药不安全行为的发生。

Objective：To explore the relationship between medication environment and nurses＇ unsafe medication behaviors,and to provide scientific basis for nurses＇ safe medication management.Methods：Totally 1 012 clinical nurses from 5 tertiary hospitals in Harbin were investigated,using demographic questionnaire,Nurses Unsafe Medication Behaviors Scale,and Nurse Perceived Medication Environment Scale.Results：Nurses＇ unsafe medication behavior detection rate was 74.3% and the median score of nurses＇ unsafe medication behavior was 8.The mean score of nursing perceived medication environment was 134.96±16.28.Multiple regression analysis showed that nurses themselves,medication related personnel,system and supervision,professional title were the influencing factors of nurses＇ unsafe medication behavior,which could explain 26.9% of the total variance.Conclusion：The current status of nurses＇ unsafe medication behavior should be further improved and nursing managers should actively improve the nurses＇ medication environment in order to reduce the occurrence of nurses＇ unsafe medication behavior.