新入职护士对患者安全文化认知与教育的现况研究  

Current situation of the cognition and education in patient safety culture among the new recruited nurses:a cross-sectional study

作　　者：熊伟昕[1] 胡丽茎[2] 郭少静 马延召 成守珍[2] Xiong Weixin;Hu Lijing;Guo Shaojing;Ma Yanzhao;Cheng Shouzhen(Department of Gastrointestinal Surgery,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou,510080,China;Department of Nursing,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou,510080,China)

机构地区：[1]中山大学附属第一医院胃肠外科,广东广州510080 [2]中山大学附属第一医院护理部,广东广州510080

出　　处：《现代临床护理》2022年第2期19-24,共6页Modern Clinical Nursing

摘　　要：目的探讨新入职护士对患者安全文化的认知与教育现状,为新入职护士规范化安全培训提供理论依据和实践指导。方法采用现况研究方法,通过便利抽样,选取2021年7月广州市某三级甲等综合医院新入职的172名护士作为研究对象,采用医院患者安全文化调查表(hospital survey of patient safety culture,HSOPSC)与安全教育调查表对新入职护士进行调查。结果共167名新入职护士完成研究。患者安全文化认知的整体积极反应率为73.16%,待改进维度包括“事件报告频率”(22.09%)、“对错误的非惩罚性反应”(48.05%);重点本科院校毕业的新入职护士其患者安全文化认知得分较普通本科院校毕业者高,每周工作时长≤40h者较每周工作时长>40h者安全文化认知得分高(均P<0.05)。新入职护士安全教育知晓率为62.35%,敏感条目的规范率为96.78%,不知晓医疗质量安全不良事件非惩罚上报制度者占比28.14%,既往发生过安全隐患事件者占比24.55%。结论新入职护士患者安全文化认知处于中上水平,安全教育知晓率处于中等水平,存在不良事件上报方面的认知误区,应针对性地进行培训和管理。Objective To investigate the cognition and education in patient safety culture among the new recruited nurses and provide a theoretical basis and practical guidance for the improvement of standardised safety training of the new recruited nurses.Methods With the cross-sectional study and convenience sampling,a total of 172 new recruited nurses in a general hospital in Guangzhou were enrolled in the study based on the Chinese version of Hospital Survey of Patient Safety Culture(HSOPS)and a safety education questionnaire.Results A total of 167 new recruited nurses had accomplished the survey.The overall positive response rate in the cognition of safety culture was 73.16%and the dimensions to be further improved were the“incident reporting frequency”(22.09%)and the“non-punitive response to errors”(48.05%).The score of the nurses graduated from major universities was significantly higher than those from other general universities(P<0.05)and the score of the nurses who had worked less than or equal to 40 hours per week was significantly higher than those who worked over 40 hours per week(P<0.05).Overall,the awareness rate of safety education among the nurses was 62.35%,the standard rate of sensitive items was 96.78%,the proportion of the nurses who were not aware of the non-penalty reporting system for medical quality and safety adverse events was 28.14%,and 24.55%of them had experienced adverse events.Conclusions The new recruited nurses are generally at a medium level of cognition on“patient safety culture”and a medium level in the education of safety awareness.Misunderstanding exists regarding the report of adverse event.This study has identified that the targeted training and management are therefore required.

关 键 词：新入职护士 患者安全文化 认知 教育 现况研究 

分 类 号：R47[医药卫生—护理学]