摘要
目的了解四川省三级医院急诊护士对患者安全文化的感知现状。方法采用便利抽样方法，运用一般资料表、医院患者安全文化调查表，对四川省6所三级医院210名急诊护士进行问卷调查。结果68．1％的急诊护士对所在科室的患者安全文化总体感知较好；组织学习与持续改进（74．27％）、对患者安全的管理支持（72．70％）、管理者促进安全的期望与行动（78．10％）维度正性应答率〉70％，为优势领域；对错误的非惩罚性反应（19．67％）、人员配置（41．08％）维度正性应答率〈50％，为待改进领域。不同急诊工作年限、学历、职称，在患者安全文化部分条目正性应答率上存在差异（P〈0．05）。结论四川省三级医院急诊护士的患者安全文化有待改善，尤其是在不良事件上报制度、人员配置方面；对低年资、学历与职称较低的护士，应重点加强安全培训。
Objective To explore nurses＇ perceptions of patient safety culture in emergency departments at tertiary hospitals in Sichuan province. Methods By convenient sampling method, a total of 210 emergency nurses from 6 tertiary hospitals in Sichuan province were investigated with a general data questionnaire and a hospital survey on patient safety scale. Results 68.10% of the emergency nurses had positive perceptions of patient safety culture, as evidenced by the following indicators. The organization learning and continuous improvement （74. 27% ）, hospital management support for patient safety （72. 70% ）, supervisor/manager expectations and actions promoting safety （78. 10% ）, were the safety culture areas with higher percentage of positive response. Areas of non-punitive response to errors （19. 67% ）, staffing （41.08%） had the lowest percentage of positive response. There were significant differences between such groups as years of working, education background and job title. Conclusions Patient safety culture should be improved in the emergency departments of the tertiary hospitals in Sichuan province, especially in the adverse events reporting system and staffing problem. Safety training deserves greater attention in nurses with less working experience, education background or job title in emergency departments.
出处
《中华医院管理杂志》
CSCD
北大核心
2017年第11期851-855,共5页
Chinese Journal of Hospital Administration
关键词
四川省
急诊
护士
患者安全文化
调查
Sichuan province
Emergency department
Nurse
Patient safety culture
Survey
