护士对血源性职业暴露相关医院安全氛围的认同感调查

发布时间：2018-01-24 19:07

本文关键词： 护士医院安全氛围血源性职业暴露　出处：《上海交通大学学报(医学版)》2014年06期 　论文类型：期刊论文

【摘要】：目的调查护理人员对血源性职业暴露相关医院安全氛围的认同感,分析主要影响因素。方法采用自行设计的一般资料问卷和中文版医院安全氛围量表(C-HSCS)对768名临床护士进行调查,从管理支持、安全工作的阻碍、反馈和培训、工作场所的清洁度和整洁度、安全管理中的冲突和沟通等5个维度对医院安全氛围现况进行调查,分析主要影响因素。结果 C-HSCS量表的总体信度为0.92,护士对医院安全氛围认同度的总体均分为4.00±0.56;得分最低的2个维度分别是安全工作的阻碍(2.85±1.04)和工作场所的清洁度和整洁度(3.55±1.08),其中单条目得分最低的是工作任务不繁重和护士配备充足(2.51±1.21和2.64±1.25)。不同年龄、护龄、科室及职称的护理人员对医院安全氛围认同度的差异有统计学意义(P0.05或P0.01)。结论护士对医院安全氛围认同感较好,构建医院安全氛围的重点应转向合理配置人力资源及构建良好职业环境方面;在医院安全氛围的塑造中,应当充分发挥青年护士乐观积极的优势,鼓励具有一定工作经验的护士充分共同审视安全隐患;急危重症科室是医院血源性职业暴露管理的重点。
[Abstract]:Objective to investigate the sense of recognition of nursing staff on the safety atmosphere in hospitals associated with hematogenous occupational exposure. Methods 768 clinical nurses were investigated by self-designed general information questionnaire and C-HSCS. The status of hospital safety atmosphere was investigated in five dimensions, such as the hindrance of safety work, feedback and training, cleanliness and cleanliness of workplace, conflict and communication in safety management. Results the overall reliability of C-HSCS was 0.92, and nurses' recognition of hospital safety atmosphere was 4.00 卤0.56; The lowest scores were 2.85 卤1.04 for safety work and 3.55 卤1.08 for cleanliness and cleanliness of workplace. The lowest score of single entry was not onerous work task and adequate nurses (2.51 卤1.21 and 2.64 卤1.25). There was significant difference in the degree of recognition of hospital safety atmosphere between the nurses of departments and professional titles. Conclusion Nurses have a good sense of identity to the hospital safety atmosphere (P0.05) or P0.01.Conclusion Nurses have a good sense of identity to hospital safety atmosphere. The emphasis of constructing hospital safety atmosphere should be shifted to the rational allocation of human resources and the construction of a good occupational environment. In the shaping of hospital safety atmosphere, we should give full play to the positive and optimistic advantages of young nurses, and encourage nurses with certain working experience to fully examine the hidden dangers of safety. The department of acute and critical diseases is the key point of blood-derived occupational exposure management in hospitals.
【作者单位】：上海交通大学医学院附属仁济医院护理部;上海交通大学护理学院;上海交通大学医学院附属仁济医院感染科;
【分类号】：R47
【正文快照】： 血源性职业暴露是指医务人员在从事诊疗、护理等工作过程中意外被具有传染性的血液、体液污染的针头及其他锐器刺破皮肤而导致的暴露,是医院护理人员职业暴露中较为危险的一种。美国Gershon等[1,2]率先将“安全氛围”引入护士职业安全的研究领域,并研制了葛森医院安全氛围量表

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