重庆市护理人员患者安全行为及其影响因素  

Patient safety behavior and the influencing factors among nursing care professionals in Chongqing

作　　者：任洪艳[1] 唐萍[2] 肖明朝[3] 

机构地区：[1]重庆医科大学附属第一医院泌尿外科,重庆400016 [2]重庆医科大学附属第一医院心内科,重庆400016 [3]重庆医科大学附属第一医院院办公室,重庆400016

出　　处：《现代预防医学》2014年第16期2974-2976,3007,共4页Modern Preventive Medicine

基　　金：重庆市卫生局资助项目(2010-2-052)

摘　　要：目的探讨重庆市护理人员患者安全行为水平及安全文化、个人特质对其影响。方法采用方便抽样,以安全行为、安全文化及一般情况问卷对重庆市1 448名护士进行调查。结果重庆市护士患者依从性行为(3.50±0.67)分,优于参与性行为(3.00±0.64)分;患者安全文化与安全参与性和依从性行为的相关系数分别为0.443和0.440;分层回归分析显示参与性行为的有效预测因素是安全文化和职称、医院等级(负性)、工作年限;依从性行为的有效预测因素是安全文化和管理者、监护室工作。结论重庆市护士患者安全性行为有待改善;重视安全文化的影响以及高职称者、ICU等人员的示范作用,对改善安全行为有重要意义。Objective The study aimed to assess the level of patient safety behavior among nursing care professionals in Chongqing and to investigate its influence on safety culture and individual traits. Methods 1448 nurses in Chongqing were selected by convenience sampling and surveyed for their safety behavior, safety culture, and general information. Results The nurses in Chongqing had better patient compliance behavior （3.50 ± 0.67） than participation behavior （3.00 ± 0.64）. The correlation coefficients between patient safety culture and safety participation and compliance behaviors were 0.443 and 0.440, respectively. Hierarchical regression analysis showed that the valid prediction factors for participation behavior were safety culture, professional tide, hospital level （negative）, and work year limit, and that the valid prediction factors for compliance behavior were safety culture, administrator, and works at intensive care unit （ICU）. Conclusion There is room for improvement in patient safety behavior of the nurses in Chongqing. Emphasizing the influence of safety culture and the demonstration effect of staffs with high professional title and those who work at the ICU are of great importance for the improvement of safety behaviors.

关 键 词：医疗质量 护士 患者安全行为 患者安全文化 

分 类 号：R192[医药卫生—卫生事业管理]