湖南省护理人员对护理不良事件报告认知及影响因素研究  

Awareness of report of nursing-related adverse events and its influential factors among nursing staff in Hunan Province, China

作　　者：高红梅[1] 谌静[2] 钟平[1] 李映兰[1] 杨土保[3] 

机构地区：[1]中南大学湘雅医院护理部,湖南长沙410008 [2]中南大学湘雅医院儿科,湖南长沙410008 [3]中南大学公共卫生学院,湖南长沙410008

出　　处：《中国现代医学杂志》2014年第23期101-106,共6页China Journal of Modern Medicine

基　　金：国家临床重点专科护理建设项目经费资助(No:2011-872)

摘　　要：目的 1了解湖南省三级甲等综合医院护理人员对护理不良事件报告认知的现状。2分析影响护理人员对护理不良事件报告认知的相关因素,并提出对策与建议,为提高护理人员对护理不良事件报告的认知水平、改善其行为提供参考依据。方法该研究采用文献查阅法、专家咨询法,形成自制调查问卷。采用多阶段随机抽样的方法,对2012年6月~2012年9月湖南省4所三级甲等综合医院在岗的临床护理人员对护理不良事件报告认知进行调查。结果收集1 184份护理人员的有效问卷进行数据分析,结果显示护理人员对护理不良事件报告认知的整体知晓率为83.21%,总得分为（31.54±4.35）,说明整体认知较高。该研究发现不同年龄、科室、学历、地区是影响护理人员对护理不良事件报告认知的因素。结论护理人员对护理不良事件报告的整体认知是正向的,仍有待进一步提高。不同年龄、科室、学历、地区的护理人员在报告认知维度上有差异,高年资、高学历的护理人员对护理不良事件报告认知程度最高,经济发达、优势医疗资源集中地区的护理人员对护理不良事件认知程度更高。[Objective ] To investigate the current awareness of report of nursing-related adverse events a- mong the nursing staff in upper first-class general hospitals in Hunan Province, China, and analyze the influ- ential factors for the awareness of report of nursing-related adverse events among nursing staff, and to propose related measures and suggestions and provide reference for improving the awareness of report of nursing-relat- ed adverse events among nursing staff and their response to nursing-related adverse events. [Methods] A self-designed questionnaire was made by literature review and expert consultation. A questionnaire survey was conducted among clinical nurses selected from 4 upper first-class general hospitals in Hunan by multistage random sampling from June to September 2012 to investigate their awareness of report of nursing-related ad- verse events. [Results] Completed questionnaires were collected from 1 184 nurses for data analysis. Among the surveyed nursing staff, 83.21% were aware of report of nursing-related adverse events, with a total score of （31.54 ± 4.35）, which suggested a high overall awareness rate. Age, department, educational background, and region were influential factors for the awareness of report of nursing-related adverse events among nursing staff. [Conclusion] The nursing staff have a good general awareness of report of nursing-related adverse events, but further improvement is still needed. The awareness of report of nursing-related adverse events varies among the nursing staff depending on the age, department, educational background, and region： the se- nior nurses with high educational background have the highest awareness of report of nursing-related adverse events, and the nurses in the developed region with concentrated high-quality medical resources have rela- tively high awareness.

关 键 词：护理不良事件 报告认知 影响因素 患者安全 

分 类 号：R47[医药卫生—护理学]