医护人员建言对医疗安全的影响机制研究  

Research on the mechanisms influencing medical staff voice on medical safety

作　　者：王颖[1,2] 谢科范[1] 蒋梦瑶[2] 杜玫洁 鲁志卉 黄子菁 WANG Ying;XIE Kefan;JIANG Mengyao;DU Meijie;LU Zhihui;HUANG Zijing(School of Management,Wuhan University of Technology,Wuhan 430070,China;Department of Nursing,Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]武汉理工大学管理学院,武汉430070 [2]华中科技大学同济医学院附属同济医院护理部,武汉430030

出　　处：《安全与环境学报》2024年第9期3532-3540,共9页Journal of Safety and Environment

摘　　要：为探究医护人员建言对医疗安全的影响机制,分析其建言行为带来的结果,通过文献分析和质性访谈,结合工作要求-资源模型和社会信息加工处理理论,构建一个含有中介变量和调节变量的混合模型。运用便利抽样法对湖北省8家三级甲等综合医院的医护人员进行问卷调查,共获得415份有效样本数据,使用Process宏程序就医护人员建言对医疗安全的影响机制的相关假设进行了实证检验。结果显示:医护人员建言参与能够正向影响医疗安全水平,科室氛围和建言激励对建言参与有正向影响效应,建言质量和建言采用在建言参与和医疗安全之间起链式中介作用,建言实施条件正向调节建言采用与医疗安全之间关系。研究为在医院安全管理工作中能充分了解医护人员建言行为对医疗安全的影响,及时采取针对性干预措施提供了理论参考。This paper aims to investigate the correlation between medical staff voice and medical safety,while also exploring the untested theoretical mediation of voice quality and voice adoption,as well as the moderating impact of voice implementation conditions.Drawing from a literature review,qualitative interviews,the Job Demands-Resources model,and Social Information Processing theory,the authors present ten research hypotheses and develop a mixed model incorporating mediator and moderator variables.To validate the constructed mixed model,a random sampling method was employed to administer a questionnaire survey among medical staff from 8 tertiary hospitals in Hubei Province,yielding 415 valid responses.The questionnaire,based on existing literature and preliminary qualitative interviews,utilized a 5-point Likert scale.The internal consistency,measured by Cronbach'sα,ranged from 0.8 to 0.9.Correlation and hierarchical regression analyses were conducted using SPSS 25.0 software,while hypothesis testing utilized the Process macro program.The findings revealed positive pairwise correlations among all variables in the model.Specifically,medical staff participation in voicing positively influences medical safety levels.Moreover,departmental climate and voice motivation were found to positively affect voice participation.Voice quality and adoption act as sequential mediators between voice participation and medical safety.Additionally,the conditions for voice implementation positively moderate the relationship between voice adoption and medical safety.In summary,all research hypotheses are supported,confirming the validity of the constructed research model.Hence,hospital managers should enhance the accessibility of voice participation and optimize the allocation of voice information resources through the establishment of a medical staff voice platform.Furthermore,to encourage proactive safety feedback from medical staff,implementing incentive strategies for voicing and fostering a supportive voice culture within medical ins

关 键 词：安全社会科学 建言行为 医护人员 医疗安全 中介效应 

分 类 号：X923[环境科学与工程—安全科学]