Patient Safety Attitudes, Skills, Knowledge and Barriers Related to Reporting Medical Errors by Nursing Students

Introduction: Health care system structure is prone to human error. Medical errors are one of the major challenges that health systems in all countries are grappling with to minimize and reduce the damage caused by them. The aim of this study was to assess the Patient Safety Attitudes, Skills, Knowledge and Barriers Related to Reporting Medical Errors by Nursing Students in Ilam, Iran. Methods: A cross-sectional mixed method was conducted to this study. Sampling was conducted by census of all students entering nursing criteria in Ilam in 2016. A number of 140 students participated in this study. The tool used in this study was created by Schnall et al. that measures knowledge, attitudes and skills related to medical errors reporting. Data were analyzed with t test, regression and correlation coefficients and descriptive statistical methods. Results: The results showed that nursing students had a positive attitude with respect to the reporting of medical errors (p = 0.01). They also have the low knowledge to medical errors and reporting them. There were significant differences in all groups and subgroups of knowledge, attitude, and skills (except creating of safety culture subgroup) between the two group’s students. Moreover, the main reason for not reporting was the lack of knowledge and fear of punishment. Conclusions: The results of this study help those who involve in the health care system to improve patient safety and improve the process of reporting medical errors by nursing students’ participation in the process of reporting error, while improving knowledge and attitudes through nursing education with the effective educational models. As a result, there is a need to educate students on reporting systems.

低年资护士职业偏差行为现状及影响因素研究

目的调查低年资护士职业偏差行为现状,分析其影响因素。方法采用职业偏差行为量表、给药失误报告障碍量表及护士道德勇气量表对368名低年资在岗护士进行问卷调查。结果低年资护士职业偏差行为得分(27.19±7.14)分;多元线性回归分析结果显示,给药失误报告障碍、道德勇气和护龄是低年资护士职业偏差行为的影响因素(P<0.05,P<0.01)。结论低年资护士职业偏差行为尚处于低水平,护理管理者应针对主要影响因素加以干预,以进一步降低低年资护士职业偏差行为程度。

护士给药接近失误报告障碍的影响因素分析

目的探讨领导-成员交换关系、差错管理氛围在变革型领导对护士给药接近失误报告障碍影响机制中的多重中介作用。方法采用便利抽样方法,应用一般资料调查表、变革型领导量表、领导-成员交换关系量表、差错管理氛围量表、给药接近失误报告障碍量表对唐山市4所三级甲等医院的877名护士进行问卷调查,构建并检验链式中介模型。结果变革型领导对给药接近失误报告障碍的间接效应成立,总的间接效应值为0.126。领导-成员交换关系和差错管理氛围在变革型领导与给药接近失误报告障碍中的链式中介效应为0.011,占总间接效应的8.73%。结论领导-成员交换关系、差错管理氛围在变革型领导与给药接近失误报告障碍间的多重中介作用成立。护理管理者在工作中应重视塑造自身的变革型领导风格,改善与护士之间的关系,营造积极的差错管理氛围,降低护士给药接近失误报告障碍。