蚌埠市新入职护士护理风险认知现状的调查研究  

Investigation on the current situation of nursing riskcognition among newly hired nurses in Bengbu city

作　　者：于桦[1] 王飞[1] 谢世群 YU Hua;WANG Fei;XIE Shiqun(Department of Nursing,The Third People′s Hospital of Bengbu,Bengbu Anhui 233000,China)

机构地区：[1]安徽省蚌埠市第三人民医院护理部,233000

出　　处：《蚌埠医学院学报》2024年第3期410-414,共5页Journal of Bengbu Medical College

摘　　要：目的:调查新入职护士护理风险认知的现状,探索其影响因素,为新入职护士毕业前教育和入职后教育提供参考依据。方法:采用问卷调查法,对蚌埠市市属二级以上医疗机构2021年9-11月入职一周内的342名护理人员风险认知情况进行调查。结果:护理风险认知总分为(50.17±9.57)分,4个维度得分由高到低分别为医护法律知识、职业防护知识、护理风险管理知识、护理规章制度。各维度中风险认知优势的条目是“病人的知情同意权、三查七对制度的内容、什么时候洗手、戴手套、常见护理风险事件有哪些”。认知薄弱的条目是“护理工作中潜在的法律问题、病历书写正确及修正方法、哪些是传染性的病原体、护理风险事件的处理方法”。单因素分析结果显示:就读护理专业的起始学历、护理专业毕业学历、实习医院的级别对新入职护士护理风险认知影响有统计学意义(P<0.01);多元线性回归结果显示:仅有护理专业毕业学历是影响护理风险认知的因素(β=3.704,P<0.01)。结论:新入职护士的护理风险认知水平处于高位,但仍有很大的提升空间。针对新入职护士风险认知的薄弱区域,需要护理院校、实习医院、入职医院共同努力,关注新入职护士的学历层次,有的放矢做好护理后备人才的风险教育,逐步完善护理人才的风险教育体系,真正贯彻三全育人理念,培养出合格的护理人才,保障病人安全。Objective:To investigate the current situation of nursing risk cognition among newly hired nurses,explore its influencing factors,and provide references for pre-graduation and post-entry education of newly hired nurses.Methods:A questionnaire survey was conducted to investigate the risk cognition of 342 nursing staffs hired within one week from September to November 2021 in medical institutions at or above secondary level in Bengbu city.Results:The total score of nursing risk cognition was(50.17±9.57)points,and the four dimensions scored from high to low were medical legal knowledge,occupational protection knowledge,nursing risk management knowledge,and nursing rules and regulations.The advantageous entries of risk cognition in each dimension were"patient′s informed consent,content of the three checks and seven pairs system,when to wash hands and wear gloves,and what were common nursing risk events".The weak entries of risk cognition were"potential legal problems in care work,correct writing and revising medical records,what were infectious pathogens,and the handling of care risk events".The results of univariate analysis showed that the starting education degree of nursing major,graduation degree of nursing major,and level of internship hospital had statistically significant impacts on the nursing risk cognition of newly hired nurses(P<0.01).The results of multiple linear regression analysis showed that the graduation degree of nursing major was the main factor affecting nursing risk cognition(β=3.704,P<0.01).Conclusions:The nursing risk cognition level of newly hired nurses is high,but it still needs to improve.To deal with the weak areas of risk cognition in newly hired nurses,it needs nursing colleges,internship hospitals,and hiring hospitals to work together,pay attention to education level of newly hired nurses,targetedly do well in risk education of nursing reserve talents,gradually improve the risk education system of nursing talents,truly implement the three-wide education concept,so as to cultivate

关 键 词：新入职护士 护理风险认知 风险教育 病人安全 

分 类 号：R474[医药卫生—护理学] G642[医药卫生—临床医学]