手术室护士风险预警能力现状及影响因素分析  

Analysis on status and influencing factors of risk warning ability of operating room nurses

作　　者：王波[1] 符霞[1] 林敏[1] 吕丛海 尹春芳 WANG Bo;FU Xia;LIN Min;LYU Conghai;YIN Chunfang(Operating Room,Haikou People's Hospital,Haikou Hainan,570208,China)

机构地区：[1]海口市人民医院手术室,海南海口570208

出　　处：《职业与健康》2023年第20期2781-2784,2788,共5页Occupation and Health

基　　金：海南省卫生健康行业科研项目(21A200328);海南省自然科学基金高层次人才项目(821RC1143)。

摘　　要：目的 了解手术室护士风险预警能力的现状,并分析其影响因素。方法 于2021年9—12月,采用一般资料调查表、手术室护士风险预警能力量表、护士道德勇气量表及差错反感文化量表对海南省三级甲等医院的手术室护士进行调查,并对数据进行分析。结果 手术室护士的风险预警能力得分为(88.25±9.19)分,道德勇气得分为(72.49±8.24)分,差错反感文化得分为(20.46±6.04)分。手术室护士的风险预警能力与其道德勇气间呈正相关(r=0.573,P<0.01),与其差错反感文化间呈负相关(r=-0.534,P<0.01)。影响手术室护士风险预警能力得分的主要因素有护士道德勇气、差错反感文化、职务、工作年限(β=-0.247~0.387,均P<0.05),可解释其得分变异的46.8%。结论 手术室护士风险预警能力处于中等水平。护理管理者可从护士道德勇气、差错反感文化等层面出发,并重点关注职务较低、工作年限较短的护士,进一步加强手术室护理人员的风险预警能力。Objective To understand the status quo of risk warning ability of operating room nurses and analyze its influencing factors. Methods From September to December 2021,the general data questionnaire,the risk warning ability scale,the moral courage scale and the error aversion culture scale were used to investigate the operating room nurses in the grade-A tertiary hospitals in Hainan Province,and the data were analyzed. Results The score of risk warning ability of operating room nurses was(88.25±9.19)points,the moral courage score was(72.49±8.24)points,and the error aversion culture score was(20.46±6.04)points.There was a positive correlation between risk warning ability and moral courage of operating room nurses(r=0.573,P<0.01). There was a negative correlation between risk warning ability and error aversion culture(r=-0.534,P<0.01). The main factors influencing the score of risk warning ability of operating room nurses were moral courage,error aversion culture,position and nursing age of nurses in operating room(β=-0.247-0.387,all P<0.05),which could explain 46.8% of its variation. Conclusions The risk warning ability of operating room nurses is at medium level. The nursing managers can start from the aspects of moral courage and error aversion culture of nurses,and focus on the nurses with lower posts and shorter nursing experience,so as to further strengthen the risk warning ability of operating room nursing staff.

关 键 词：手术室护士 手术室风险 风险预警能力 道德勇气 差错反感文化 

分 类 号：R192.6[医药卫生—卫生事业管理]