护士向患者及家属披露给药错误经历及看法的质性研究  

A qualitative study on the discloser of nursing medical errors to patient and family members

作　　者：董凤齐[1] 王艳晖[1] 郑瑞双[1] 

机构地区：[1]天津医科大学肿瘤医院,天津300060

出　　处：《天津护理》2016年第3期192-195,共4页Tianjin Journal of Nursing

摘　　要：目的:了解护士向患者及家属披露给药错误的经历及看法,探讨阻碍披露给药错误的原因,为更好的解决临床护理工作中的给药错误事件提供依据。方法:采用半结构式访谈提纲对19名在临床工作的注册护士进行质性访谈,采用Colaizzi方法分析资料。结果:护士发生给药错误后心理压力显著,向患者及家属披露给药错误时存在矛盾心理;护士披露给药错误的临床实践较复杂,但披露结果尚好。阻碍护士披露给药错误的因素包括:缺乏科学认识、缺乏沟通技巧,害怕承担责任,害怕失去患者信任,医疗纠纷的负面影响及缺乏有效支持。结论:护士向患者及家属披露给药错误程度较差,护理管理者应加强护士医疗法律规范认识,开设沟通培训课程,为护士营造宽松工作氛围,并完善护理不良事件管理制度,保障护士及患者的合法权益。Objective To analyze the nurses＊ experiences of disclosure of medication errors to patients and family members and to explorethe restriction factors for disclosure in order to provide evidences to solve medication errors in clinical nursing work. Methods： 19 registerednurses were interviewed face to face with a semi-structured outline. The data was analyzed by Colaizzi. Results： There was a disclosuregap between nursed perspective and clinical practice. Disclosing error to the patients and family members was better than anticipation, butthe practice was complex and nurses took great psychological pressure. Nurses identified a number of barriers to disclosure error that includelack of scientific review, communicating skills and effective support, be afraid of taking responsibility and losing trust, the negative effect ofmedical disputes was also against disclosure. Conclusion： Our study suggest that nursing administrations should pay more attention tonurses＇ recognition with medical law, and provide effective communication training courses to nurses in relation to discloser, establish aprofessional team, improve nursing management system and provide emotional support to nurses.

关 键 词：护士 患者 给药错误 质性研究 不良事件 

分 类 号：R192.6[医药卫生—卫生事业管理]