某儿童医院护士对病人安全文化的现状评估  

A survey on nurses' attitude toward patient safety culture in a children's hospital

作　　者：张玉侠[1] 张艳红[2] 王慧美[3] 

机构地区：[1]复旦大学附属儿科医院护理部,上海市201102 [2]复旦大学附属儿科医院手术室,上海市201102 [3]复旦大学附属儿科医院心血管科,上海市201102

出　　处：《中国护理管理》2013年第4期77-81,共5页Chinese Nursing Management

摘　　要：目的:从护士角度了解病人安全文化现状,为病人安全文化改进提供依据。方法:采用便利抽样,运用医院病人安全文化调查表对上海某儿童医院280名护士进行调查。结果:有超过半数(63.6%)的护士对所在科室患儿安全评价为"优秀"(17.1%)或"很好"(46.4%)。病人安全文化的认知同意率较高的维度依次为:科内团结合作(93.4%)、组织学习与持续改进(91.9%)、对错误的反馈与沟通(80.0%)。同意率较低的维度包括:对错误的非惩罚性反应(29.0%)、科室间协作(51.7%)、对病人安全的总体感觉(53.1%),这些为待改进的主要领域。不同科室护士对于病人安全文化的评估结果有统计学差异。结论:该院有着积极的患儿安全文化,但部分领域仍须改进。Objective： To understand nurses＇ attitude toward patient safety culture. Methods： With convenience sampling, a total of 283 nurses were surveyed using hospital patient safety culture questionnaire in a children＇s hospital in Shanghai. Results： 63.6% nurses gave their work unit a patient safety grade of＇excellent＇ （17.1%） or ＇very good＇ （46.4%）. The three dimensions with the best scores were teamwork within units （93.4%）, organizational learning and continuous improvement （91.9%） and feedback and communication about error （80.0%）. The three dimensions with the least scores were non-punitive reaction about error （29.0%）, inter-department collaboration （51.7%）, and the overall feeling of the patient safety （53.1%）.Age, length of work and work units influenced nurses＇ recognition and attitude toward patient safety culture. Conclusion： The children＇s hospital has a positive safety culture, but improvements are still needed in some areas.

关 键 词：护士 安全文化 组织管理 

分 类 号：R47[医药卫生—护理学]