护士给药中断事件发生现状及其影响因素分析

Status Quo of Interruption during Medication Administration of Nurses and Its Influencing Factors

目的调查临床护士给药中断事件发生现状并分析其影响因素,为改善护理服务质量提供依据。方法2024年3-4月,便利抽样法选取北京市某三级甲等综合性医院临床护士125名为研究对象,采用中文版工作场所中断测量量表、中文版护士用药安全能力量表等对其进行调查,并分析给药中断事件发生的影响因素。结果有85.6%(107/125)的护士在给药过程中意识到中断事件的发生。多元线性回归分析结果显示,护士用药安全能力、学历、给药中断事件了解程度是护士给药中断事件发生的负向影响因素,任务负荷指数是护士给药中断事件发生的正向影响因素,该模型可解释给药中断事件24.3%的变异。结论护士给药中断事件发生频率处于中高水平,护理管理者应关注并识别给药中断事件的影响因素,制定个性化的干预措施,减少给药中断事件的发生。

Objective To investigate the status quo of interruption during medicine administration among clinical nurses and to analyze the influencing factors,in order to provide evidence for the improvement of nursing service.Methods Convenience sampling was used to investigate 125 clinical nurses from a tertiary A hospital in Beijing from March to April 2024.Workplace interruption scale(Chinese version),medication safety competence scale for nurses(Chinese version),etc.were used to analyze the influencing factors.Results A total of 125 valid questionnaires were collected.85.6%nurses were aware of interruption during medication administration.Multiple linear regression analysis results showed that the nurses’competence of medication safety,their education and understanding level were the negative influencing factors of these interruption,while task load index was a positive factor.The model could explain 24.3% variations during the course.Conclusions Interruption during nurses’medication administration occurs frequently.Administrators should focus on and identify its influencing factors and make individualized interventions.