急诊科护士系统思考能力与安全行为的交叉滞后分析  

Cross-lagged analysis of system thinking ability and safety behavior among nurses in Emergency Department

作　　者：郭娜[1] 石彩晓 李冬梅[3] 张军君 范琳琳[5] Guo Na;Shi Caixiao;Li Dongmei;Zhang Junjun;Fan Linlin(Emergency Department,Children's Hospital Affiliated of Zhengzhou University&Henan Children's Hospital&Zhengzhou Children's Hospital,Zhengzhou 450018,China;Nursing Department,Children's Hospital Affiliated of Zhengzhou University&Henan Children's Hospital&Zhengzhou Children's Hospital,Zhengzhou 450018,China;School of Nursing and Health,Zhengzhou University,Zhengzhou 450000,China;Emergency Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Emergency Department,Women and Infants Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院急诊科,郑州450018 [2]郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院护理部,郑州450018 [3]郑州大学护理与健康学院,郑州450000 [4]郑州大学第一附属医院急诊科,郑州450000 [5]郑州市妇幼保健院急诊科,郑州450000

出　　处：《中华现代护理杂志》2023年第26期3557-3561,共5页Chinese Journal of Modern Nursing

基　　金：2020年河南省医学教育研究项目(Wjlx2020145)。

摘　　要：目的探讨急诊科护士系统思考能力与安全行为之间的关系。方法采用便利抽样法,于2021年8月—2022年2月选取3所三级医院的380名急诊科护士为调查对象,采用系统思考量表、护士安全行为问卷进行3轮问卷调查,每轮间隔3个月,每轮测量时间分别标记为T1、T2、T3。使用AMOS 23.0软件进行交叉滞后分析,探究急诊科护士系统思考能力与安全行为之间的关系。本研究3轮问卷调查均参与的急诊科护士257名。结果交叉滞后分析结果显示,T1系统思考能力能够预测T2安全行为和T2系统思考能力(β=0.26、0.58,P<0.01);T1安全行为能够预测T2安全行为和T2系统思考能力(β=0.54、0.17,P<0.01);T2系统思考能力能够预测T3安全行为和T3系统思考能力(β=0.31、0.59,P<0.01);T2安全行为能够预测T3安全行为(β=0.48,P<0.01),但不能预测T3系统思考能力(β=0.04,P>0.05)。结论急诊科护士系统思考能力与安全行为相互影响,且关系呈动态发展,应加强急诊科护士系统思考能力的培养来提高急诊科护士的安全行为。Objective To explore the correlation between system thinking ability and safety behavior of nurses in Emergency Department.Methods From August 2021 to February 2022,convenience sampling was used to select nurses in Emergency Department from three ClassⅢhospitals as the survey subject.Three rounds of questionnaire surveys were conducted using the Systems Thinking Scale and the Nurse Safety Behavior Questionnaire,with a 3-month interval among each round.The measurement time for each round was marked as T1,T2,and T3,respectively.AMOS 23.0 software was used for cross-lagged analysis to explore the correlation between Emergency Department nurses'system thinking ability and safety behavior.A total of 257 nurses in Emergency Department participated in the three rounds of questionnaire surveys.Results The results of cross-lagged analysis showed that T1 system thinking ability could predict T2 safety behavior and T2 system thinking ability(β=0.26,0.58,P<0.01).T1 safety behavior could predict T2 safety behavior and T2 system thinking ability(β=0.54,0.17,P<0.01).T2 system thinking ability could predict T3 safety behavior and T3 system thinking ability(β=0.31,0.59,P<0.01).T2 safety behavior could predict T3 safety behavior(β=0.48,P<0.01),but it could not predict T3 system thinking ability(β=0.04,P>0.05).Conclusions The system thinking ability and safety behavior of nurses in Emergency Department interact with each other,and the correlation develops dynamically.We should strengthen the cultivation of system thinking ability among nurses in Emergency Department to improve their safe behavior.

关 键 词：急诊科 护士 系统思考能力 安全行为 交叉滞后分析 

分 类 号：R47[医药卫生—护理学]