昆明市三级甲等医院护士对患者安全文化评价的研究

发布时间：2018-03-01 09:09

本文关键词： 患者安全患者安全文化护士医院管理　出处：《中华护理杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的调查昆明市三级甲等医院护士对患者安全文化的评价及不同特征的护士对患者安全文化评分的影响。方法 2015年7月—2016年1月,采用方便抽样法,使用美国联邦卫生保健研究和质量署研发的医院患者安全文化问卷,对昆明市7所三级甲等医院的2 629名护士进行横断面调查。结果患者安全文化的优势维度(积极同意率75%)为:"组织学习与持续改进"(86.60%)"科室内部的团队合作"(83.34%)和"错误的反馈和交流"(75.98%);劣势维度(积极同意率50%)为"差错的非惩罚性反应"(23.74%)"人员配置"(33.71%)和"医院各部门之间的协作"(49.45%)。不同学历、职称和每周工作时间的护士对患者安全文化部分条目评价的比较,差异存在统计学意义(P0.05)。结论营造非惩罚性上报文化,合理安排人员配置和工作时间,发挥高学历、高职称护理人员在患者安全文化建设中的作用,是提高患者安全文化的重要举措。
[Abstract]:Objective to investigate the evaluation of patient safety culture by nurses in Grade 3A Hospital of Kunming City and the influence of nurses with different characteristics on the score of patient safety culture. Methods from July 2015 to January 2016, convenient sampling method was used. Using the hospital patient safety culture questionnaire developed by the federal health care research and quality agency, A cross-sectional survey was conducted among 2 629 nurses in 7 Grade 3A hospitals in Kunming. Results the dominant dimensions of patient safety culture (positive consent rate 75) were as follows: "organizational learning and continuous improvement" (86.60), "teamwork within the department" (83.34) and " The wrong feedback and communication "75.98"; the inferiority dimension (positive consent rate 50) is "non-punitive response to errors" (23.7410) "staffing" (33.71) and "collaboration among various departments in the hospital" (49.45%). There were significant differences in the evaluation of patients' safety culture between nurses with professional titles and working hours per week (P 0.05). Conclusion A non-punitive reporting culture should be established, staffing and working hours should be reasonably arranged, and high academic qualifications should be brought into full play. The role of senior nurses in the construction of patient safety culture is an important measure to improve patient safety culture.
【作者单位】：上海交通大学护理学院;昆明医科大学护理学院;昆明市第一人民医院;
【基金】：云南省应用基础研究基金资助项目(2013FZ070)
【分类号】：R47

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