护士对患者安全文化认知与其职业成长的相关性研究

Correlation between cognition of safety culture on patients and career growth of nurse

目的调查护士对患者安全文化认知和职业成长的现状,并分析二者的相关性。方法2019年5—6月,采用一般资料调查表、医院患者安全文化测评量表(HSOPSC)、职业成长量表(CGS)对天津市3所三级甲等医院的500名护士进行调查。本研究共发放问卷500份,有效问卷465份,有效回收率为93%。结果不同年龄、学历、婚姻状况、职称、职务、工龄和人事关系护士对患者安全文化认知总分及职业成长总分比较,差异有统计学意义(P<0.05)。护士对患者安全文化认知总分为(162.74±11.20)分,职业成长总分为(54.25±6.18)分,且患者安全文化总分与职业成长总分呈正相关(r=0.570,P<0.01)。除对患者安全的总体感觉与职业目标进展得分、晋升速度,人员配置与职业成长各维度得分外,其他各维度均呈正相关(r>0,P<0.01)。多元回归分析显示,护士学历、职称、职务是护士职业成长的主要影响因素(P<0.05);控制一般资料后,科室间协作、组织学习与持续改进、沟通开放程度、科室内合作、对错误的非惩罚性反应和对患者安全的管理支持是影响护士职业成长的因素(P<0.05),可解释护士职业成长变异的39.3%。结论护士对患者安全文化认知对其职业成长有正性影响作用,管理者应强化安全文化建设,采取有效的措施提高护士对患者安全文化的认知水平,以促进其职业成长。

Objective To investigate the status of awareness of safety culture on patients and career growth of nurse,and to analyze the correlation between them.Methods From May to June 2019,a survey of 500 nurses in three third-class A-level hospitals in Tianjin was conducted using the general data questionnaire,the hospital patient safety culture assessment scale(HSOPSC)and the career growth scale(CGS).In this study,a total of 500 questionnaires were distributed,465 valid questionnaires,and the effective recovery rate was 93%.Results Compared the total scores of safety culture awareness and career growth of nurses with different ages,educational backgrounds,marital status,titles,positions,seniority and personnel relations,and the differences were statistically significant(P<0.05).The total score of nurses for the safety culture on patient was(162.74±11.20)points,and the professional growth score was(54.25±6.18)points,while the total score of safety culture on patients was positively correlated with the total score of career growth(r=0.570,P<0.01).Except for the overall feelings of patient safety and scores of career goal progress scores,promotion spead,while staffing and career growth,all other dimensions were positively correlated(r>0,P<0.01).Multiple regression analysis showed that nurses′academic qualifications,titles,and positions were the main factors affecting nurses′career growth(P<0.05);after controlling general data,inter-department collaboration,organizational learning and continuous improvement,openness of communication,intra-department cooperation,and errors,the non-punitive response and the management support for patient safety were the factors that affected the career growth of nurses(P<0.05),which can explain 39.3%of the variation in nurse career growth.Conclusion The awareness of safety culture on patients of nurses has a positive effect on their professional growth.The manager should strengthen the safety culture construction and take effective measures to improve the awareness of safety culture on patients of nurses to promote their professional growth.