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34家医院急诊科护士的患者安全态度认知现状及影响因素分析

Analysis on the Status Quo and Influencing Factors of Nurses’ Patient Safety Attitude Cognition in Emergency Department of 34 Hospitals

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【作者】 孔淑贞屈莉孔德玲杨惠云高媚杨希文

【Author】 KONG Shuzhen;QU Li;KONG Deling;YANG Huiyun;GAO Mei;YANG Xiwen;Department of Dermatology, the Second Affiliated Hospital of Xi’an Jiaotong University;Department of Rheumatology, the Second Affiliated Hospital of Xi’an Jiaotong University;Department of Nursing,the Second Affiliated Hospital of Xi’an Jiaotong University;Department of Urology, the Second Affiliated Hospital of Xi’an Jiaotong University;Department of Operation, the Second Affiliated Hospital of Xi’an Jiaotong University;

【机构】 西安交通大学第二附属医院皮肤病院西安交通大学第二附属医院风湿免疫科西安交通大学第二附属医院护理部西安交通大学第二附属医院泌尿外科西安交通大学第二附属医院手术室

【摘要】 为了解急诊科护士的患者安全态度认知现状及相关影响因素,采用修订版的中文版安全态度调查问卷对来自34家医院746名急诊护士进行问卷调查。结果显示急诊科护士的患者安全态度得分总均分为(3.98±0.40)分,处于中等偏上水平,其中团队合作维度条目均分为(4.14±0.85)分,安全氛围得分为(3.85±0.81)分,管理感知得分为(3.90±0.81)分,工作满意度(3.91±0.85)分,工作条件均分(3.86±1.06)分,压力感知(3.89±0.59)分;多元线性回归分析显示工龄、医院等级是急诊科护士患者安全态度的影响因素(P<0.05)。提示管理者应将患者安全文化纳入急诊护士的培训和管理中,特别应加强对低年资护士的安全文化教育;二级医院还应着重加强对急诊护士的团队合作培训,改善急诊科护士工作环境,以减少护理工作中不安全行为的发生,保障患者安全。

【Abstract】 To understand the current status of emergency nurses’ patient safety attitude cognition and its influencing factors, 746 emergency nurses from 34 hospitals were investigated with the revised Chinese version of the safety attitude questionnaire. The results showed that the total mean score of patient safety attitude of emergency nurses was(3.98±0.40) points, which was above the middle level. Among them, the mean scores of team cooperation, safety atmosphere, management perception, work satisfaction, working condition, and stress perception were(4.14±0.85) points,(3.85±0.81) points,(3.90±0.81) points,(3.91±0.85) points,(3.86±1.06) points, and(3.89±0.59) points, respectively. Multiple linear regression analysis showed that length of service and grade of hospital were the influencing factors of emergency nurses’ patient safety attitude(P<0.05). It is suggested that the managers should incorporate patient safety culture into the training and management of emergency nurses, especially strengthen the safety culture education for junior nurses; the secondary hospital should also focus on enhancing team cooperation training for emergency nurses and improving the working environment of them, so as to reduce unsafe behaviors in nursing work and ensure patients’ safety.

【基金】 陕西省重点研发项目“基于CSM模型分析银屑病患者治疗依从性相关影响因素及干预策略研究”(2019SF-210);西安交通大学第二附属医院院科研基金“ICU患者早期活动现状及医护人员对ICU患者早期活动的知识、态度、行为及相关阻碍因素感知的横断面调查研究”(YJ<HL>201422)
  • 【文献出处】 中国医学伦理学 ,Chinese Medical Ethics , 编辑部邮箱 ,2023年04期
  • 【分类号】R47
  • 【下载频次】67
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