ICU护士患者安全文化认知水平现状及其影响因素研究

The current status of the patient safety culture in intensive care unit nurses and influencing factors

目的 了解ICU护士对患者安全文化的认知现状,并分析其影响因素.方法 采用一般资料调查表、患者安全文化调查问卷、护理不良事件报告障碍问卷、工作授能条件量表,对大连市6家综合性医院373名ICU护士进行调查.结果 ICU护士患者安全文化各维度积极反应率均值为68.08％,其中科室内团队合作的积极反应率最高(89.95％),人员配置的积极反应率最低(35.53％).多元回归分析显示,报告意义、惩罚性文化、正式授权、机会授权、资源授权、急诊ICU科室对ICU护士患者安全文化有显著影响(P＜0.05).结论 ICU护士患者安全文化平均积极反应率总体呈中等水平,仍有待进一步提升;护理管理者应结合影响因素,合理制订干预措施,提高ICU护士患者安全文化水平,增强安全文化意识,进而提升危重症护理服务质量.

Objective To investigate the current status of cognitive level of patient safety culture in intensive care unit (ICU) nurses and analyze the influencing factors.Methods Totally 373 ICU nurses were investigated with the general information questionnaire,the Hospital Survey on Patient Safety Culture instrument (HSOPSC),the Report Barriers Questionnaire and the Condition of Work Effectiveness Questionnaire (CWEQ-Ⅱ).Results The mean rate of positive response on safety culture dimensions was 68.08％ in ICU nurses,Organizational learning-continuous improvement was the safety culture dimension with the highest positive response(89.95％),the lowest positive response was staffing(35.53％).Multiple regression analysis showed that the meaning of report,punitive culture,resources,opportunity,formal empowerment and ICU department were influencing factors of patient safety culture (P ＜ 0.05).Conclusions The level of patient safety culture in ICU nurses was medium,it remains a further improvement.Nursing managers should take targeted measures according to the influencing factors to enhance the cognitive level of patient safety culture in ICU nurses,strengthen the consciousness of safety culture,and improve the quality of intensive care.