昆山市二级医院护士对患者安全文化感知现状及影响因素研究  

A survey on cognitive status quo of nursing staffs on patient safety culture in second-class hospitals of Kunshan

作　　者：胡建霞 毛琴[1] 王秀霞 HU Jianxia;MAO Qin;WANG Xiuxia(Chest Pain Center,Kunshan No.4 People's Hospital,Kunshan,Jiangsu,215331;Department of Nursing,Suzhou Guangji Hospital,Suzhou,Jiangsu,215137)

机构地区：[1]江苏省昆山市第四人民医院胸痛中心,江苏昆山215331 [2]江苏省苏州市广济医院护理部,江苏苏州215137

出　　处：《中西医结合护理（中英文）》2018年第5期95-99,共5页Journal of Clinical Nursing in Practice

摘　　要：目的分析昆山市二级医院护理人员患者安全文化现状及影响因素,为医院管理层提升患者安全文化提供参考。方法采用患者安全文化感知问卷对昆山市6所二级医院和2家社区卫生服务中心的护理人员进行调查。结果共发问卷550份,回收536份,剔除无效问卷16份,有效回收520份(94.55%)。昆山市二级综合医院护士对患者安全文化感知评价处于中等水平,对团队氛围和单位安全氛围正向应答率较高,对工作的满意、管理的感受和对压力的认知正向应答率较低。多元回归分析显示,性别(t=-27.317,P<0.001)、年龄(t=29.193,P<0.001)、职称(t=14.729,P<0.001)、月收入(t=-3.866,P=0.009)、工作科室(t=52.121,P=0.004)、工作年限(t=9.728,P=0.003)、本部门工作时间(t=-6.344,P<0.001)是主要影响因素。结论昆山市二级医院的护理人员对患者安全文化感知部分领域得分较低,对工作的满意度和对医院管理的感受2个方面亟待改进。Objective To investigate the current situation of nursing staffs on patients safety culture in second-class hospitals of Kunshan,and to analysis the influencing factors in order to provide reference for the management and research on patients safety.Methods By using the quantitative research methods,the convenience sampling method was performed to collect nurses from 8 second-class hospitals of Kunshan.Results There were 520 questionnaires valid for the final analysis.Nurses had a medium level of cognitive on patient safety culture,with a high rate of positive response in safety climate of working place,and with a low rate of positive response in working satisfactory,sense of management and cognition to pressure.Multiple regression analysis showed that gender(t=-27.317,P<0.001),age(t=29.193,P<0.001),job title(t=14.729,P<0.001),monthly income(t=-3.866,P=0.009),working place(t=52.121,P=0.004),working year(t=9.728,P=0.003),working year in current clinical department(t=-6.344,P<0.001)were main influential factors of cognition on patient safety culture.Conclusion Findings showed a relatively low level of cognitive in some parts of patient safety culture.More efforts should be paid on the job satisfaction and the feelings about hospital management among nurses from second-class hospitals in Kunshan.

关 键 词：护理人员 患者安全 安全文化 护理管理 

分 类 号：R192.6[医药卫生—卫生事业管理]