南昌市二、三级医院护理人员对患者安全文化认知现状的调查  

Survey on cognitive status quo of nursing staffs on patients safety culture in second-class and tertiary hospitals of Nanchang City

作　　者：张晶晶[1] 钱霞[2] 陈园[3] 黄国富[3] 刘燕[4] 章萍[4] 史影珊 熊锋宝[5] 

机构地区：[1]南昌大学公共卫生学院,江西南昌330029 [2]南昌大学第三附属医院科教科,江西南昌330008 [3]南昌大学第三附属医院医院办公室,江西南昌330008 [4]南昌大学第三附属医院护理部,江西南昌330008 [5]南昌大学第三附属医院消化科,江西南昌330008

出　　处：《重庆医学》2017年第12期1659-1662,1665,共5页Chongqing medicine

摘　　要：目的调查南昌市二、三级医院护理人员对患者安全文化认知的现状以及影响因素,为患者安全管理及研究提供依据。方法采用便利-整群抽样的方法,抽取南昌市7家医院(4家二级医院、3家三级医院)全部护理人员作为研究对象,采用多元回归方法分析南昌市二、三级医院患者安全文化的影响因素。结果二级医院护理人员对患者安全文化认识的优势区域为科室内团队合作、管理者促进安全的期望行动、组织学习与持续改进、对错误的反馈与沟通,待改进区域为沟通的公开性、人员配置、对错误的非惩罚性反应;三级医院的优势区与二级医院相同,待改进区域有科室间协作、人员配置、对错误的非惩罚性反应。结论南昌市7所医院的护理人员对患者安全文化认知处于较高水平,但是仍然存在不足,部分领域需要持续改进。Objective To investigate the current situation of nursing staffs in second-class and tertiary hospitals of Nanchang City and influencing factors in order to provide a basis for the management and research of patients safety.Methods The convenience cluster sampling method was adopted to extract the whole nursing staffs from 7hospitals（4second-class hospitals and 3tertiary hospitals）in Nanchang City as the research subjects.Then the multiple regression method was adopted to analyze the influencing factors of patients safety culture in the second-class and tertiary hospitals of Nanchang City.Results The advantage fields of cognition of the nursing staffs in the second-class hospitals on the patients safety culture were the intra-department teamwork,expectation actions of managers for promoting safety,organizational learning and continuous improvement,feedback and communication of mistakes,while the fields needing to be improved were the communication openness,personnel allocation,non-penalty reactions on mistakes;the advantage fields in the tertiary hospitals were same to those in the second-class hospitals,and the fields needing to be improved included the inter-department cooperation,personnel allocation,non-penalty reactions on mistakes.ConclusionThe cognition of nursing staffs in 7hospitals of Nanchang City on the patients safety culture is in a higher level,but insufficiency still exists,partial fields need to be continuously improved.

关 键 词：护理人员 患者安全 安全文化 

分 类 号：R47[医药卫生—护理学]