国内外护士患者安全胜任力现状与教育需求研究进展

Research Progress on Status of Nurse Patient Safety Competence and Educational Needs at Home and Abroad

患者安全(patientsafety,PS)是医疗质量的核心,是全球卫生保健领域的焦点问题。患者安全事件给患者造成不同程度伤害,给社会造成沉重的医疗负担,影响医患关系。全球卫生保健领域积极寻找解决患者安全问题的方法,促进质量持续改进。护理人员在质量与安全问题中具有重要作用,护士的患者安全胜任力是预防医疗伤害及改善患者结局的主要内容之一。患者安全问题在国外的临床护理实践及护理教育中均被高度重视,护士患者安全胜任力测量工具仍不健全,需要进一步开发和修订。我国在护理专业教育各个阶段尚未形成系统的患者安全教育策略。卫生管理部门及机构应与教育机构密切配合,分析护士患者安全胜任力及继续教育需求,将患者安全问题纳入护理学专业在校教育及继续教育阶段的教育计划,做好医教协同,保障患者安全。

Patient safety(PS)is the core of health care quality and is a focus of the global health care field.Patient safety incidents cause varying degrees of harm to patients,bring heavy medical burden to the society,and affect the doctor-patient relationship.The global health care community actively seeks ways to address patient safety issues and promote continuous quality improvement.Nurses play an important role in quality and safety.The competence of nurses in patient safety is one of the main contents in preventing medical injury and improving patient outcome.Patient safety has been highly valued in clinical nursing practice and nursing education abroad.The measuring tools for nurse patient safety competency are still not perfect and need to be further developed and revised.A systematic patient safety education strategy has not yet been formed in each stage of nursing professional education in our country.Health management departments and institutions should cooperate closely with educational institutions to analyze the competence and continuing education needs of nurses for patient safety,and incorporate patient safety issues into the education plans of nursing majors in school education and continuing education,so as to coordinate medical education and ensure patient safety.