CAJ | 학술논문

目的：探讨护理不良事件报告障碍与医院病人安全文化的相关性。方法：采用护理不良事件报告障碍问卷及医院护理人员病人安全文化调查表对来自于安徽省内69家医院的217名护士长进行问卷调查。结果：护理不良事件报告障碍总均分为（2.48±0.39)分，医院病人安全文化总均分为（3.36±0.54)分，护理不良事件报告障碍总均分与医院病人安全文化总均分的相关系数为-0.277（P<0.01）。结论：医院病人安全文化稍高于中等水平，护理不良事件报告障碍主要体现在惩罚性文化方面。两者之间呈显著负相关。在护理管理过程中，应构建非惩罚性不良事件报告系统，注重培养安全护理的信念和态度，关注职业压力的产生对于患者安全的影响，达到促使其形成安全护理行为的目的。
목적：탐토호리불량사건보고장애여의원병인안전문화적상관성。방법：채용호리불량사건보고장애문권급의원호리인원병인안전문화조사표대래자우안휘성내69가의원적217명호사장진행문권조사。결과：호리불량사건보고장애총균분위（2.48±0.39)분，의원병인안전문화총균분위（3.36±0.54)분，호리불량사건보고장애총균분여의원병인안전문화총균분적상관계수위-0.277（P<0.01）。결론：의원병인안전문화초고우중등수평，호리불량사건보고장애주요체현재징벌성문화방면。량자지간정현저부상관。재호리관리과정중，응구건비징벌성불량사건보고계통，주중배양안전호리적신념화태도，관주직업압력적산생대우환자안전적영향，체도촉사기형성안전호리행위적목적。
Objective: To explore the relationship between the report barrier of nursing adverse event and patient safety culture. Methods: Totally 217 head nurses from 69 hospitals in Anhui province were investigated using the Report Barriers Questionnaire and Patient Safety Culture Assessing Scale. Results: The mean scores of the report barriers of nursing adverse event and patient safety culture were 2.48±0.39 and 3.36±0.54, respectively. They were negatively correlated with each other (r=-0.277,P<0.01). Conclusion: The level of patient safety culture is higher than the average level. Barriers of nursing adverse events report mainly relfected in punitive culture. There is a low to medium negative correlation between the report status of nursing adverse event and patient safety culture. A non-punitive reporting system for nursing adverse events should be constructed in nursing management. We should cultivated the beliefs and attitudes of nursing safety and pay more attention to the inlfuence of occupational stress to patient safety to enhance the formation of safety nursing behavior.