护理硕士专业学位研究生质量与安全能力现状及影响因素研究

Current status of quality and safety competency among master of nursing specialist students and its influencing factors

目的调查护理硕士专业学位研究生质量与安全能力现状,并分析其影响因素。方法2023年3月—10月,采用便利抽样法,抽取来自7个地区的667名护理硕士专业学位研究生作为调查对象,采用一般资料调查表、中文版护理硕士研究生质量与安全能力临床评估量表对其进行调查。结果共回收有效问卷639份,有效问卷回收率为95.8%。639名护理硕士专业学位研究生质量与安全能力总得分为(101.75±19.61)分;质量改进与安全维度条目均分最低,为(2.78±0.67)分,以患者为中心的护理维度条目均分最高,为(3.15±0.79)分。多元线性逐步回归分析显示,性别、年级、是否目睹他人发生过接近失误或护理差错、是否亲身经历过接近失误、是否接受过不良事件上报培训、是否认为有必要开展跨专业质量与安全教育、学院系统化质量与安全教育时长、医院系统化质量与安全培训时长是影响护理硕士专业学位研究生质量与安全能力的因素(P<0.05),共解释护理硕士专业学位研究生质量与安全能力水平53.8%的变异度。结论护理硕士专业学位研究生质量与安全能力处于中等水平(>量表中位分85分),且受多种因素影响。应针对护理硕士专业学位研究生开展规范化、系统化的质量与安全教育或培训,通过科学设置教育或培训时长,注重院校教育和临床实践之间的衔接,以提升护理硕士专业学位研究生质量与安全能力。

Objective To investigate the current status of quality and safety competency among master of nursing specialist students and analyze its influencing factors.Methods From March 2023 to October 2023,a convenient sampling method was used to select 667 master of nursing specialist students from seven regions as survey participants.A general information questionnaire and the Chinese version of Quality and Safety Framed Clinical Evaluation for Nurse Practitioner Students Scale were used for the survey.Results A total of 639 valid questionnaires were collected,with an effective response rate of 95.8%.The overall score for quality and safety competency among the 639 master of nursing specialist students was(101.75±19.61)points.The lowest average score for the quality improvement dimension was(2.78±0.67)points,while the highest average score for the patient-centered care dimension was(3.15±0.79)points.Multiple linear regression analysis showed that gender,grade level,witnessing near-misses or nursing errors by others,personal experience with near-misses,participation in training on reporting adverse events,perceived necessity of cross-professional quality and safety education,duration of quality and safety education in the college,and duration of hospital quality and safety training were factors that influenced the quality and safety competency of master of nursing specialist students(P<0.05),which explained 53.8%of the total variation.Conclusion The quality and safety competency of master of nursing specialist students is at a moderate level and influenced by various factors.Standardized education on nursing quality and safety should be provided and the connection between college and clinical teaching content should be focused on to enhance their quality and safety competency.