ICU护士护理不良事件上报态度现况及其影响因素分析

The analysis of current status and influencing factors of critical care nurses attitude to nursingadverse events reporting

目的研究ICU护士对护理不良事件上报态度的现况及其影响因素，为护理管理者对不良事件的管理提供参考。方法使用临床不良事件报告研究量表（RoCAES）中文版，对三级甲等医院200名ICU护士进行问卷调查。结果ICU护士对护理不良事件上报态度总分为（62．33±8．43）分。4个维度得分由低到高依次为上报的目的（2．02±0．74）分、上报的环境（2．13±0．78）分、上报的影响（2．59±0．76）分、上报的标准（2．92±0．75）分。护理岗位、是否经历过护理不良事件、工作年限是ICU护士对不良事件上报态度的影响因素（P〈0．05）。结论ICU护士对护理不良事件上报态度处于中等水平，总体上偏向于消极，有待于进一步提高。护理管理者要进一步改进护理安全管理措施，以期提高护理不良事件上报率，保证患者安全，提升护理质量。

Objective To investigate the current status and influencing factors of critical care nurses＇ attitude of nursing adverse events reporting, so as to provide the reference for the management of nursing adverse events. Methods The Reporting of Clinical Adverse Effects Scale （RoCAES） was used to investigate 200 ICU nurses in a tertiary hospitals in Sichuan Province. Results The total score of critical care nurses＇attitude of nursing adverse events reporting was （62.33 ± 8.43） points. The scores of 4 dimensions from low to high in order were the reporting purpose （2.02± 0.74） points, the reporting environment （2.13±0.78） points, the reporting influence （2.59±0.76） points and the reporting standard（2.92±0.75） points. Nursing jobs, the adverse events experience and work experience influenced nurses＇ attitude of nursing adverse events reporting（P〈0.05）. Conclusions Nurses＇ attitude of nursing adverse events reporting in ICU was at the medium level, the overall results biased in favor of the negative, and it needed to he further improved. Nurse managers should take further measures to improve nursing safety management to improve the rate of reported adverse events in nursing, ensure the patients＇safety and improve the quality of nursing care.