儿科护士用药接近失误报告障碍现状及影响因素分析

Status quo and influencing factors of medication near-miss reporting barriers for pediatric nurses

目的调查儿科护士用药接近失误报告障碍的现状,并分析其影响因素。方法采用多阶段整群抽样法于2020年7—10月选取河南省13所医院的临床儿科护士为研究对象。采用一般情况调查表、医院安全氛围调查问卷、用药接近失误报告障碍量表、护士长多元领导风格量表、患者安全胜任力护理人员自评量表进行调查,并分析影响儿科护士用药接近失误报告障碍的相关因素。共发放问卷1104份,回收有效问卷1070份,有效回收率为96.92%。结果1070名儿科护士用药接近失误主动上报的上报率为14.42%,用药接近失误报告障碍量表得分为(98.1±21.46)分。医院安全氛围调查问卷总分为(77.36±12.97)分,护士长变革型领导风格量表得分为(74.4±15.89)分,患者安全胜任力护理人员自评量表得分为(107.81±2.59)分。多重线性回归分析结果显示,学历、入职年限、职称、婚姻情况、领导风格、患者安全胜任力和医院安全氛围是儿科护士用药接近失误报告障碍的主要影响因素(P<0.05)。结论儿科护士用药接近失误报告障碍普遍存在,受学历、入职年限、领导风格、医院安全氛围等因素影响。护理管理者应加强儿科护士对用药接近失误报告的认知,实施变革型领导风格、提高患者安全胜任力和医院安全氛围,促进患儿用药安全。

Objective To investigate the current situation of medication near-miss reporting barriers for pediatric nurses for pediatric nurses and analyze its influencing factors.Methods Using a multi-stage cluster sampling method,clinical pediatric nurses from 13 hospitals of Henan Province were selected as research objects from July to October 2020.General situation questionnaire,Hospital Safety Atmosphere Questionnaire,Medication Near-miss Reporting Barriers Scale,Multiple Leadership Style of Head Nurse Scale and Patient Safety Competency Nursing Staff Self-rating Scale were used for investigation,and related factors affecting medication near-miss reporting barriers for pediatric nurses were analyzed.A total of 1104 questionnaires were distributed and 1070 were effectively returned,with the effective recovery rate of 96.92%.Results The reporting rate of 1070 pediatric nurses who actively reported medication near-miss reporting barriers was 14.42%,and the score of Medication Near-miss Reporting Barriers Scale was(98.1±21.46).The total scores of Hospital Safety Atmosphere Questionnaire was(77.36±12.97),score of Multiple Leadership Style of Head Nurse Scale was(74.4±15.89),and score of Patient Safety Competency Nursing Staff Self-rating Scale was(107.81±2.59).The results of multiple linear regression analysis showed that educational background,entry length,job title,marital status,leadership style,patient safety competence,and hospital safety atmosphere were the main influencing factors of medication near-miss reporting barriers for pediatric nurses(P<0.05).Conclusions The medication near-miss reporting barriers for pediatric nurses are common,which are influenced by educational background,years of employment,leadership style,hospital safety atmosphere and other factors.Nursing managers should strengthen pediatric nurses'awareness of medication near-miss reporting,implement transformational leadership style and improve patient safety competence and hospital safety atmosphere,so as to promote drug use safety of children.