影响儿科护士不良事件主动上报的因素分析  

Influencing factors for pediatric nurses＇ reporting of adverse events

作　　者：陈建军[1] 段林[1] 于果[1] 

机构地区：[1]北京大学第一医院儿科,100034

出　　处：《中国实用护理杂志（中旬版）》2010年第8期54-56,共3页Chinese Journal of Practical Nursing

摘　　要：目的 探讨影响北京市三甲医院儿科护士主动上报不良事件的因素.方法 从北京市设有儿科病房的三甲医院中随机抽出10所,根据各医院的儿科护士数量进行配额抽样,采用自设问卷的方式进行调查.结果 护士对不良事件的认知程度随着事件严重程度的增加而增加,上报的可能性与不良事件认知程度呈正相关;上报与职称相关,而与文化程度、护龄、职务、既往经历等无关;担心同事关系和担心不良后果是对护士上报不良事件影响最大的因素.结论 加强护士对不良事件认知的培训,同时从根源上改变医院的惩罚性文化并配合具体制度的改变是消除上报阻碍因素的主要措施.Objective To identify the influencing factors for pediatric nurses＇ reporting of adverse events at 3A hospitals in Beijing. Methods Adopting the random sampling of ten 3A hospitals with pediatric wards in Beijing and conducting an questionnaire survey of some nurses in those hospitals. Results The possibility of adverse events reporting increased with the awareness of adverse events which was related with their severity. Except for title, educational background, length of service, position and past experiences were not associated with the barriers. The major perceived barrier was fear of colleague relationship brokenup and some other undesirable consequences. Conclusions Better training of awareness of adverse events and changes of the punitive culture by the roots as well as some regulation or policy were the major solutions to improve incident reporting.

关 键 词：儿科护士 不良事件 上报 影响因素 

分 类 号：R969.3[医药卫生—药理学]