带教老师与实习生护理风险认知现状调查

Status investigation of the nursing risk cognition of teachers and interns

目的探索带教老师与实习生对护理风险的认知现状,进一步分析影响护理风险认知的原因,为护理风险教育及培训提供依据。方法采用自行设计、编制的护理风险认知评估表,于2023年2月1日至3月31日期间,调查宁波市第二医院62名临床带教老师、86名实习生对护理风险的认知程度。结果带教老师中,本科学历、主管护师、带教时间>20年组护理风险认知得分高于其他学历、职称及带教时间组,差异有统计学意义(P<0.05);不同年龄组、不同工作时间组的护理风险认知得分相比较,差异无统计学意义(P>0.05)。实习生中,男生组得分高于女生组,>20岁组得分≤20岁组,本科组得分高于大专组,差异有统计学意义(P<0.05)。30.23%的实习生和17.74%的带教老师知晓法律知识;53.49%的实习生和90.32%的带教老师知晓护理不良事件制度内容;40.70%的实习生和17.74%的带教老师在医院工作中有安全感。结论带教老师、实习生护理风险认知水平均偏低,带教老师对护理规章制度的认知得分高于实习生,实习生在法律意识、工作安全感的认知得分高于带教老师,对风险管理的知晓率均较低,护理管理部门应加强带教老师对护理风险认知、识别及处理能力的培训,院校需加强护理风险教育。

Objective To explore and analyze the status and reasons of nursing risk cognition in teachers and interns in order to provide a basis for nursing risk education and training.Methods A self-designed and prepared assessment form of nursing risk was applied,62 clinical teachers and 86 interns were investigated by testing awareness of nursing risk among in Ningbo No.2 Hospital from February 1 to March 31,2023.Results In the teachers group,scores of bachelor degree,chief nurse and teaching time over 20 years were higher than other educations,professional titles and teaching years group,and the differences were statistically significant(P<0.05).No significant differences were showed in different age group and work time group(P>0.05).In the interns group,the male interns scored higher than female interns,and the score of the group over 20 years was higher than 20 years and below,bachelor degree was higher than college level,and the differences were statistically significant(P<0.05).30.23%of interns and 17.74%of teachers understood knowledge of medical law.53.49%of interns and 90.32%of teachers understood the content of nursing adverse event system.40.70%of interns and 17.74%of teachers had a sense of security in hospital work.Conclusion Nursing risk cognitive levels in teachers and interns are relatively low.Score of teachers'cognition of nursing rules and regulations is higher than that of interns.Scores of cognition of medical law and work security in interns are higher than those of clinical teachers.Awareness of risk management is poor in both groups.The nursing administrators in hospitals and colleges should improve the training on cognition,identification and processing ability of nursing risks.