CAJ | 학술논문

目的调查护士的患者安全文化认知水平及其影响因素,为制定改善护士的患者安全文化的措施提供实证依据.方法采用医院护士的患者安全文化调查问卷对某省6所三级甲等综合医院的1 866名护士进行调查,并分析其影响因素.结果护士对患者安全文化的认知总均分为(3.57±0.42),各维度分别为团队氛围(4.20±0.61)分、安全氛围(3.72±0.50)分、工作满意(3.61±0.83)分、管理认知(3.44±0.89)分、压力认知(2.31±0.69)分.不同学历、职称护士安全氛围维度得分差异均无统计学意义(P＞0.05)；不同年龄护士安全氛围、工作满意、管理认知、压力认知维度得分比较差异有统计学意义(F分别为3.964,4.808,2.831,5.652；P＜0.05)；不同学历护士压力认知得分差异有统计学意义(F =11.341,P＜0.01)；不同职务护士在安全氛围、压力认知维度及总分差异均有统计学意义(P＜0.05)；不同职称护士工作满意、管理认知、压力认知维度得分认知差异有统计学意义(P＜0.05)；不同护龄护士安全氛围、压力认知维度得分差异有统计学意义(P＜0.05)；不同科室护士在患者安全文化认知总分及各维度得分差异均有统计学意义(P＜0.01).认知多元回归分析显示,技术职称和职务是护士对患者安全文化认知的主要影响因素.结论医院在加强患者安全文化建设时要考虑不同职称、职务护士的感受,采取针对性地培训与管理.
목적 조사호사적환자안전문화인지수평급기영향인소,위제정개선호사적환자안전문화적조시제공실증의거.방법 채용의원호사적환자안전문화조사문권대모성6소삼급갑등종합의원적1 866명호사진행조사,병분석기영향인소.결과 호사대환자안전문화적인지총균분위(3.57±0.42),각유도분별위단대분위(4.20±0.61)분、안전분위(3.72±0.50)분、공작만의(3.61±0.83)분、관리인지(3.44±0.89)분、압력인지(2.31±0.69)분.불동학력、직칭호사안전분위유도득분차이균무통계학의의(P＞0.05)；불동년령호사안전분위、공작만의、관리인지、압력인지유도득분비교차이유통계학의의(F분별위3.964,4.808,2.831,5.652；P＜0.05)；불동학력호사압력인지득분차이유통계학의의(F =11.341,P＜0.01)；불동직무호사재안전분위、압력인지유도급총분차이균유통계학의의(P＜0.05)；불동직칭호사공작만의、관리인지、압력인지유도득분인지차이유통계학의의(P＜0.05)；불동호령호사안전분위、압력인지유도득분차이유통계학의의(P＜0.05)；불동과실호사재환자안전문화인지총분급각유도득분차이균유통계학의의(P＜0.01).인지다원회귀분석현시,기술직칭화직무시호사대환자안전문화인지적주요영향인소.결론 의원재가강환자안전문화건설시요고필불동직칭、직무호사적감수,채취침대성지배훈여관리.
Objective To investigate nurses' perception of patient safety culture and relevant factors in 3A-grade general hospitals,so as to provide an empirical evidence for the developmental measures to improve patient safety culture.Methods Clinical Nurses Questionnaire about Patient Safety Culture Assessment Scale was used to survey 1 866 nurses in six 3A-grade general hospitals.Results Nurses' perception score of patient safety culture was (3.57 ± 0.42).Five factors in descending order according to the questionnaire score were teamwork climate(4.20 ± 0.61),safety climate (3.72 ± 0.50),job satisfaction (3.61 ± 0.83),perception of management(3.44 ±0.89) and stress perception(2.31 ±0.69).No significant difference was found in score of the safety climate among nurses with different education background and titles (P ＞ 0.05).Different ages nurses had significantly different scores of safety climate,job satisfaction,perception of management,and stress perception (F =3.964,4.808,2.831,5.652,respectively ;P ＜ 0.05).And significant difference was found in the stress perception score among nurses with different education background(F =11.341,P ＜ 0.01).So,there were statistically significant difference in nurses' perception of patient safety culture among different age,education background,technical title,position,service years and department (P ＜ 0.05).Multiple linear regression analysis with nurses' perceptions of patient safety culture showed that technical title and position entered into the regression equation.Conclusions Technical title and position are the influence factors of nurses' perception of patient safety culture.It is necessary to consider the perception of different technical title and position of nurses into the targeted training and management,when nursing administrators improving their patient safety culture in hospital.