Patient safety culture and handoff evaluation of nurses in small and medium-sized hospitals  

中小型医院护士对患者安全文化认知及交接班评价的调查研究

作　　者：Jung Hee Kim Jung Lim Lee Eun Man Kim 

机构地区：[1]Department of Nursing Science,Shinsung University,Chungnam,South Korea [2]Department of Nursing,Daejeon University,Daejeon,South Korea [3]Department of Nursing Science,Sun Moon University,Chungnam,South Korea

出　　处：《International Journal of Nursing Sciences》2021年第1期58-64,I0004,共8页国际护理科学（英文）

基　　金：supported by the National Research Foundation of Korea(NRF-2019R1I1A3A01059093)。

摘　　要：Objectives:This study was conducted to investigate the current status of handoffs,perception of patient safety culture,and degrees of handoff evaluation in small and medium-sized hospitals and identified factors that make a difference in handoff evaluation.Methods:This is a descriptive study.425 nurses who work at small and medium-sized hospitals in South Korea were included in our study.They completed a set of self-reporting questionnaires that evaluated demographic data,handoff-related characteristics,perception of patient safety culture,and handoff evaluation.Results:Results showed that the overall score of awareness of a patient safety culture was 3.65±0.45,the level was moderate.The score of handoff evaluation was 5.24±0.85.Most nurses experienced errors in handoff and most nurses had no guidelines and checklist in the ward.Handoff evaluation differed significantly according to the level of education,work patterns,duration of hospital employment,handoff method,degree of satisfaction with the current handoff method,errors occurring at the time of handoff,handoff guidelines,and appropriateness of handoff education time(P<0.05).Conclusion:For handoff improvement,guidelines and standards should be established.It is necessary to develop a structured handoff education system.And formal handoff education should be implemented to spread knowledge uniformly.目的调查中小型医院护士交接班的现状、对患者安全文化的认知、对交接班评价的水平,并探讨影响交接班评价的因素。方法选取在韩国中小型医院工作的425名护士为研究对象。调查采用自我评估问卷,包括一般资料问卷、交接班相关特征(Handoff-related Characteristics)、患者安全调查问卷(Patient Safety Survey Questionnaire)和交接班评价量表(Handover Evaluation Scale)。结果护士对患者安全文化的认知水平得分为(3.65±0.45)分,处于中等水平。护士对交接班评价得分为(5.24±0.85)分。大多数护士所在病房没有交接班指南和核查表,在交接班时会出现疏漏。护士对交接班的评价结果受以下因素影响:学历、排班形式、工作年限、交接班方式、对现阶段交接班的满意度、交接时是否出现疏漏、有无交接班指南、交接班教育时间的适当性(P<0.05)。结论为了改进交接班现状,应制订相关制度和标准。有必要开发结构化的交接班教育系统,开展正规的交接班教育,传播统一的交接班知识。

关 键 词：Evaluation studies HANDOFF Hospital nursing staff Patient safety 

分 类 号：R197.323[医药卫生—卫生事业管理]