广州市三级甲等综合医院护士对病人安全文化现状的认知调查  

Nurses' attitude towards patient safety culture in 3A-level general hospitals in Guangzhou

作　　者：向家艮[1] 刘可[2] 尤黎明[2] 张利峰[2] 

机构地区：[1]广州中医药大学护理学院,广州市510006 [2]中山大学护理学院,广州市510008

出　　处：《护理管理杂志》2012年第6期392-394,共3页Journal of Nursing Administration

基　　金：全国卫生职业教育研究发展基金重点项目(09-ZD06);美国中华医学基金会项目(CMB#08-889)

摘　　要：目的调查广州市三级甲等综合医院病人安全文化的现状。方法采用病人安全文化的医院调查问卷,对广州市7所三级甲等综合医院进行病人安全文化测评。结果病人安全文化正性应答率较高的维度为"组织学习与持续改进"(90.04%)与"科室内团队合作"(87.22%)。而有待改进的领域有"人员配置"(24.40%)、"对差错的非惩罚性反应"(32.56%)、"沟通的公开性"(40.47%)以及"事件报告频率"(44.59%)。多元回归分析显示,工作年限、是否知晓差错报告系统和对差错报告系统的评价是护士评价病人安全文化的主要影响因素(P﹤0.01或P﹤0.05)。结论广州市三级甲等综合医院在人员配置、对错误的非惩罚性反应、沟通的公开性等方面有待改进。各医院应加强对差错报告系统的完善,并鼓励更多护士为病人安全管理建言献策。Objective To investigate nurses＇attitude towards patient safety culture in 3A - level general hospitals in Guangzhou. Methods The Hospital Survey on Patient Safety Culture was adopted to assess patient safety culture in seven 3A - level general hospitals in Guangzhou. Results The positive response rate （PRR） in teamwork within units and organizational learning - continuous improvement were 87.22% and 90.04% , respectively. There were some areas with room for improvement, including staffing （ PRR = 24.40% ）, non - punitive response to errors （ PRR = 32.56% ）, communication openness （ PRR = 40.47 % ） and frequency of events reported （PRR = 44.59 % ）. Multiple regression analysis revealed that the work experience, whether knew event report system and the evaluation of error reporting system were the main influence factors for nurses ＂s attitude towards patient safety culture （P 〈 0.01 or P 〈 0.05）. Conclusion Improvement should be made in staffing, non -punitive response to errors and communication openness in 3A -level general hospitals in Guangzhou. Hospitals should improve their adverse event reporting system, and encourage more nurses to give adviees for patient safety.

关 键 词：病人 安全文化 护土 

分 类 号：C931.2[经济管理—管理学]