解放军护理杂志
解放軍護理雜誌
해방군호리잡지
NURSING JOURNAL OF CHINESE PEOPLE'S LIBERATION ARMY
2014年
20期
5-8
,共4页
无惩罚%不良事件%护士%上报意愿%主动%质量%安全
無懲罰%不良事件%護士%上報意願%主動%質量%安全
무징벌%불량사건%호사%상보의원%주동%질량%안전
unpunished%adverse events%nurse%report%intention%voluntary%quality%security
目的：了解护士无惩罚制度下护理不良事件的上报意愿及原因。方法2013年8－10月，采取便利抽样的方法，以成都市某三级甲等综合性医院有护士执业证书、工作2年以上的临床护士为调查对象，采用自行设计的问卷进行调查，包括无惩罚制度下护士主动上报护理不良事件的意愿及阻碍护士上报不良事件的因素。结果（1）当不良事件可以隐瞒时、不能隐瞒时及介于两者之间时，有上报意愿人员的比例分别为4．65％、95．41％和35．27％；（2）阻碍护士上报不良事件前5位的因素是未对上报者和事件当事人保密、上报过程过于复杂、责备文化、无惩罚制度的实质没有充分体现、害怕承担责任；（3）不同职务及工龄护士的上报意愿差异有统计学意义（P＜0．05）。结论无惩罚制度下，护士上报不良事件的意愿仍较低，且不同职务及工龄护士的上报意愿有差异；而众多因素可阻碍护士上报不良事件。
目的：瞭解護士無懲罰製度下護理不良事件的上報意願及原因。方法2013年8－10月，採取便利抽樣的方法，以成都市某三級甲等綜閤性醫院有護士執業證書、工作2年以上的臨床護士為調查對象，採用自行設計的問捲進行調查，包括無懲罰製度下護士主動上報護理不良事件的意願及阻礙護士上報不良事件的因素。結果（1）噹不良事件可以隱瞞時、不能隱瞞時及介于兩者之間時，有上報意願人員的比例分彆為4．65％、95．41％和35．27％；（2）阻礙護士上報不良事件前5位的因素是未對上報者和事件噹事人保密、上報過程過于複雜、責備文化、無懲罰製度的實質沒有充分體現、害怕承擔責任；（3）不同職務及工齡護士的上報意願差異有統計學意義（P＜0．05）。結論無懲罰製度下，護士上報不良事件的意願仍較低，且不同職務及工齡護士的上報意願有差異；而衆多因素可阻礙護士上報不良事件。
목적：료해호사무징벌제도하호리불량사건적상보의원급원인。방법2013년8－10월，채취편리추양적방법，이성도시모삼급갑등종합성의원유호사집업증서、공작2년이상적림상호사위조사대상，채용자행설계적문권진행조사，포괄무징벌제도하호사주동상보호리불량사건적의원급조애호사상보불량사건적인소。결과（1）당불량사건가이은만시、불능은만시급개우량자지간시，유상보의원인원적비례분별위4．65％、95．41％화35．27％；（2）조애호사상보불량사건전5위적인소시미대상보자화사건당사인보밀、상보과정과우복잡、책비문화、무징벌제도적실질몰유충분체현、해파승담책임；（3）불동직무급공령호사적상보의원차이유통계학의의（P＜0．05）。결론무징벌제도하，호사상보불량사건적의원잉교저，차불동직무급공령호사적상보의원유차이；이음다인소가조애호사상보불량사건。
Objective To investigate the nurses’intention of adverse events report under no punishment policy and its influence factors.Methods By convenience sampling,clinical nurses with more than 2 years of working experience in Class III Grade I hospital and with nurse license were selected and investi-gated by using self-designed questionnaire including nurses’intention of adverse events report under no punishment policy questionnaire and influencing factors of unwillingness of adverse events report even under no punishment policy.Results ① In the situation that adverse events can be concealed,only 4 .6 5% of nurses in this situation tended to report;In the situation that adverse events cannot be concealed,9 5 .4 1% tended to report;Except for the situation that can be concealed and cannot be concealed,the total report rate was 3 5 .2 7%.②The top five factors impeding nurses to report adverse events were:without confidentiality to the reporter and party;the procedure to report adverse events were too complicated;blame culture;the essence of unpunished report system were not fully embodied;afraid to take responsibility.③There were statically significance of report intention between nurses with different job titles and working years (P<0.05).Conclusion The nurses had a low intention to report adverse events even under no punishment policy,and there were statistically significance of report intention between nurses with different job titles and working years and many factors could impeding nurses to report adverse event.
