护士不良事件报告障碍认同度现状及影响因素分析  

Status quo and influencing factors of nurses'recognition of adverse event reporting barrier

作　　者：贾敬波 任怡[2] 徐彩玲[3] 金奕[4] Jia Jingbo;Ren Yi;Xu Cailing;Jin Yi(School of Nursing,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Nursing Department,Tianjin Haihe Hospital,Tianjin 300350,China;Gastroenterology Department,Tianjin Haihe Hospital,Tianjin 300350,China;Nursing Department,Tianjin Huanhu Hospital,Tianjin 300350,China)

机构地区：[1]天津中医药大学护理学院,天津301617 [2]天津市海河医院护理部,天津300350 [3]天津市海河医院消化内科,天津300350 [4]天津市环湖医院护理部,天津300350

出　　处：《中华现代护理杂志》2022年第35期4892-4895,共4页Chinese Journal of Modern Nursing

摘　　要：目的了解护理人员护理不良事件报告障碍认同度的现状并分析其影响因素。方法采用便利抽样法,于2021年9—10月选取天津市73家二、三级医疗机构的2347名护理人员为研究对象,采用一般资料、不良事件报告障碍问卷、患者安全文化测评问卷进行问卷调查,通过单因素分析、Spearman相关性分析、多重线性回归分析探讨影响护理人员报告障碍认同度的因素。结果本研究收回问卷2347份,有效问卷2335份。2335名护理人员的报告障碍问卷总分为77.0(69.0,86.0)分,安全文化态度总分为104.0(99.0,110.0)分。Spearman相关性分析显示,护理人员的报告障碍认同度总分与安全文化态度总分呈负相关(r=-0.328,P<0.01)。多重线性回归分析结果显示,单位是否有激励机制、不良事件上报形式、工作岗位、护理人员安全文化态度是报告障碍认同度的影响因素(P<0.05),共解释13.1%的变异。结论激励机制、不良事件上报形式、工作岗位、护理人员安全文化态度是报告障碍认同度的影响因素,护理管理者应采取积极的措施,创建非惩罚性文化,优化不良事件上报系统,强化不良事件上报培训,提高护理人员报告障碍因素的认同度,从而提高护理不良事件的上报率。Objective To explore the status quo of nurses'recognition of nursing adverse event reporting barrier and analyze its influencing factors.Methods From September to October 2021,2347 nurses from 73 Class II and Class II medical institutions in Tianjin were selected as research subjects by convenience sampling.Questionnaire survey was conducted with the General Information Questionnaire,Adverse Event Reporting Barrier Scale and Patient Safety Culture Assessing Scale.Through univariate analysis,Spearman correlation analysis and multiple linear regression analysis,the factors influencing nurses'recognition of reporting barrier were explored.Results A total of 2347 questionnaires were collected and 2335 valid ones were collected.Among 2335 nurses,the total score of the Adverse Event Reporting Barrier Scale was 77.0(69.0,86.0),and the total score of safety culture attitude was 104.0(99.0,110.0).Spearman correlation analysis showed that there was a negative correlation between the total score of nurses'recognition of reporting barriers and the total score of safety culture attitude,and the difference was statistically significant(r=-0.328,P<0.01).Multiple linear regression analysis showed that the motivation mechanism,reporting form of adverse events,job position,and safety culture attitude of nurses were the influencing factors of the recognition of reporting barriers,with a statistical difference(P<0.05),which explained 13.1%of the variation.Conclusions Motivation mechanism,reporting form of adverse events,job position,safety culture attitude of nurses are the influencing factors of recognition of reporting barriers.Nursing managers should take positive measures to create a non-punitive culture,optimize the adverse event reporting system,strengthen the training of adverse event reporting,and improve the recognition of nurses in reporting barriers,so as to increase the reporting rate of nursing adverse events.

关 键 词：护士 不良事件 报告障碍 安全文化 影响因素 

分 类 号：R47[医药卫生—护理学]