护士给药接近失误报告障碍的调查与分析

Investigation on the status and influencing factors of medication near-miss reporting barriers of nurses

目的调查分析护士给药接近失误报告障碍的现状,并分析其影响因素。方法于2023月10月采用分层抽样方法,应用一般情况调查表、护士给药接近失误报告障碍量表和护士组织氛围感知量表对285例临床护士进行调查分析。结果护士用药接近失误报告障碍总均分为(3.80±0.51)分(量表总均分1~6分,分值越高表明报告障碍越严重);护士组织氛围感知的总均分为(3.16±0.45)分(量表总均分为1~4分,分值越高表明护士感知到的组织氛围越好)。护士用药接近失误报告障碍总均分在工作年限、职称、职务方面的差异具有统计学意义(P<0.05)。相关分析显示,护士给药接近失误报告障碍与护士组织氛围感知总均分及其各维度均呈负相关关系(r=-0.558,P<0.01)。多元线性回归分析显示,工作年限、职称、职务和组织氛围感知是护士用药接近失误报告障碍的主要影响因素。结论护士给药接近失误报告障碍和临床护士组织氛围感知均处于中等偏上水平。护士给药接近失误报告障碍受工作年限、职称、职务和科室组织氛围的影响,良好的科室组织氛围能降低护士给药接近失误报告障碍。

Objective To investigate and analyze the status of medication near-miss reporting barriers of nurses,and analyze its influencing factors.Methods In October,2023,285 clinical nurses were investigated and analyzed by stratified cluster sampling method with the general situation questionnaire,the reporting disorder scale of nurses′drug approach error and the scale of nurses′organizational climate perception.Results The total mean score of nurse medication near-miss reporting barriers was(3.80±0.51)(The average score of the scale is 1 to 6 points,the higher the score indicates the more serious the reporting disorder),and the total mean score of nurses′organizational climate perception was(3.16±0.45)(The scale is divided into 1 to 4 points,the higher the score,the better the organizational atmosphere perceived by nurses).There were statistically significant differences in the total average score of nurses′medication near-miss reporting barriers in terms of working years,professional title and position(P<0.05).Correlation analysis showed that there was a negative correlation between the nurses′medication near-miss reporting barriers and the total score of organizational climate perception of nurses and its various dimensions(r=-0.558,P<0.01).Multiple linear regression analysis showed that working years,job title,position,nurses′organizational climate perception were the main influencing factors of nurses′medication access error reporting disorder.Conclusion The medication near-miss reporting barriers and the organizational climate perception of nurses are above medium level.The medication near-miss reporting barriers of nurses are affected by working years,professional title,position,and organizational atmosphere,so good organizational atmosphere of the department can reduce the reporting barriers of near-miss in drug administration by nurses.