临床护士用药安全能力现状及影响因素的路径分析

Path analysis of the clinical nurses′medication safety competence and its influencing factors

目的了解临床护士的用药安全能力现状及其作用路径,为临床护士安全用药管理与培训提供参考。方法采用方便抽样方法选取282名临床护士为调查对象,采用一般资料调查表、护士组织支持感量表、用药安全能力量表、护士用药环境感知量表、患者安全文化测评问卷进行调查。结果临床护士的用药安全能力得分为155.00(144.00,179.00)分;临床护士用药安全能力得分与组织支持感得分、患者安全文化感知得分及用药环境感知得分呈正相关(均P<0.05);结构方程模型结果显示,患者安全文化感知和用药环境感知在组织支持感与用药安全能力间起完全中介效应。结论临床护士的用药安全能力为中等偏上水平,应重视组织层面对临床护士的支持,营造和谐的患者安全文化氛围以及支持性的用药环境,以提升其用药安全能力。

Objective To understand the current status and influencing factors of clinical nurses′medication safety ability and the acting paths between them,providing reference for the management and training of clinical nurses′medication safety.Methods A total of 282 clinical nurses were selected by convenient sampling method and investigated using a general information questionnaire,the Nurses′Sense of Organizational Support Scale,the Medication Safety Competence Scale,the Nurses′Medication Environment Perception Scale,and the Patient Safety Culture Assessment Scale.Results The score of clinical nurses′medication safety competence was 155.00(144.00,179.00);The score of clinical nurses′medication safety competence were positively correlated with the scores of organizational support,patient safety culture perception and medication environment perception(all P<0.05);the results of structural equation model showed that patient safety culture perception and medication environment perception played a completely intermediary effect between organizational support and medication safety competence.Conclusion The medication safety competence of clinical nurses is at a medium to high level.Attention should be paid to enhancing organizational support for clinical nurses,creating harmonious patient safety culture atmosphere and supportive medication environment,so as to improve their medication safety competence.