医院临床护理人员对患者安全文化认知情况调查与分析  

Investigation and analysis on the cognition of clinical nursing staff for safety culture of patients in a third-grade obstetrics and gynecology hospital

作　　者：刘冰[1] 高宇[1] 张金燕[1] 李咏[1] LIU Bing;GAO Yu;ZHANG Jin-yan(Department of Gynecology,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China.)

机构地区：[1]首都医科大学附属北京妇产医院妇科,北京100026

出　　处：《中国医学装备》2018年第12期149-154,共6页China Medical Equipment

基　　金：首都医科大学附属北京妇产医院中青年学科骨干培养专项(FCYY201401)"妇产科医务人员对患者安全文化认知现状调查及相关因素影响"

摘　　要：目的:分析医院临床护士对患者安全文化认知现状及影响因素,为持续改善患者安全提供依据。方法:选取医院16个科室中的434名护士,应用安全态度问卷(SAQ)对其进行患者安全文化现状评价问卷调查,从护士的团队氛围、单位安全氛围、工作满意度、压力认知、管理感受、工作状况及1个非维度共7个维度64个条目,比较临床护士的患者安全文化态度及其机构相关患者安全文化现状。结果:不同学历护士压力认知和管理感受、不同科室护士团队氛围和工作满意度、压力认知、工作状况以及不同工作年限护士管理感受比较差异有统计学意义(F=4.330,F=4.705,F=4.065,F=3.993,F=4.917,F=5.828,F=3.982;P<0.05)。不同学历、不同技术职称、不同任职方式和不同工作年限护士主动上报不良事件报告率比较差异均有统计学意义(精确卡方检验,P<0.05)。13个条目积极反应率>75%为患者安全优势领域,11个条目积极反应率<50%为待改进领域,其中,团队氛围维度积极反应率最高为94.93%,压力认知维度积极反应率最低为14.75%。结论:医院患者安全文化水平处于中上等,仍有需改进部分。影响患者安全文化的个人因素有护士的学历、科室、任职方式和工作年限。Objective:To understand the status and influence factors of cognition about safety culture of patients of clinical nurses in hospital so as to provide basis for continuous improvement of patients safety.Methods:A total of 434 nurses were selected,and the safety attitude questionnaire(SAQ)was applied to investigate them about safety culture status of patients.And from 7 dimensionalities(64 items)included group atmosphere,safety atmosphere of unit,work satisfaction,press cognition,management feeling,work situation and 1 non-dimensionality of nurses to compare their attitude for safety culture of patients and relevant safety culture status of unit for patients.Results:The differences of press cognition and management feeling among nurses with different education background,of group atmosphere and work satisfaction,press cognition and work situation among different departments,of management feeling among nurses with different working years were significant(F=4.330,F=4.705,F=4.065,F=3.993,F=4.917,F=5.828,F=3.982,P<0.05).And the differences of initiative report rate for adverse events among nurses with different education background,among nurses with different technical tittles,among nurses with different officeholding ways,among nurses with different working years were significant(P<0.05).And if active responding rates of 13 items were higher than 75%,they were advantageous fields of patients safety,and if active responding rates of 11 items were higher than 50%,these fields were should be improved.Among these fields,the active responding rates of group atmosphere was the highest(75%),and the active responding rates of press cognition was the lowest(14.75%).Conclusion:The level of safety culture of patients is better than or equal to middle level,and it still need be improved.And the personal factors that affect the safety culture of patients included the education background,department,officeholding ways and working years of patients.

关 键 词：患者安全 安全文化 影响因素 护理人员 不良事件 

分 类 号：R197.39[医药卫生—卫生事业管理]