医务人员安全氛围感知与病人安全通报意愿的相关性研究——以自尊为调节变量

A Correlation Study between the Perception of Safety Atmosphere among Medical Staff and the Willingness of Patients to Report Safety

目的探讨医务人员在工作场所中感知到的安全氛围对病人安全通报意愿的影响,加入自尊调节变量进一步探讨影响病人安全通报的意愿。方法以使用病人安全通报系统的临床医务人员为对象,依据科室抽调进行横断面研究,以SPSS 18.0为统计软件进行多元回归分析。结果医务人员安全氛围感知与病人安全通报意愿有显著影响;医务人员的自尊对安全氛围感知及病人安全通报意愿有负相关影响。结论医务人员在良好的安全氛围感知下乐于进行安全通报,但高自尊的医务人员不愿意进行安全通报。管理者可通过培训、流程再造及经验分享等方式提升医疗质量,将医院、员工与病人之间的医疗照护紧密结合,以促进病人安全,提高医疗救治水平。

Objective:To explore the impact of perceived safety atmosphere by healthcare workers in the workplace on patient safety notification willingness,and further explore the influence of self-esteem moderating variables on patient safety notification willingness.Method:A cross-sectional study was conducted on the clinical staff using the patient safety notification system,and SPSS 18.0 was used as statistical software for multiple regression analysis.Result:The perceived safety atmosphere of medical staff and the willingness of patients to report safety had significant effects.The self-esteem of medical staff had a negative correlation with the perception of safety atmosphere and patients’willingness to report safety.Conclusion:Medical staff were willing to report safety under a good perception of safety atmosphere,but medical staff with high self-esteem were unwilling to report safety.Managers can improve medical quality through training,process reengineering and experience sharing,and closely integrate medical care between hospitals,employees and patients to promote patient safety and improve medical treatment level.