CAJ | 학술논문

目的探讨湖南省三级甲等医院护士不良事件报告现状及其影响因素,为制订促进护士自愿报告不良事件的措施提供依据.方法采用医院护士的患者安全文化感知调查问卷和护士对不良件报告的认知调查问卷对湖南省6所三级甲等医院1 866名护士进行调查.结果护士的不良事件主动自愿报告率为24.71％；不同年龄、学历、职务、职称、护龄、任职方式、科室的护士不良事件报告率差异具有统计学意义(P＜0.05).护士不良事件报告的影响因素的Logistic回归分析(α入 =0.05,α出=0.10),进入回归方程的有:护士对患者安全文化的感知、护士对不良事件报告的认知和技术职称(OR值分别为177.004,1.813,1.533,R2=0.554,P＜0.01).结论护士对护理不良事件主动自愿报告率低,随着年龄、护龄、学历、职称、护龄的增长,护理不良事件报告率提高,护士长的不良事件报告率高于普通护士,正式在编护士不良事件报告率较非正式在编护士高,门诊护士护理不良事件报告率最高,ICU、急诊科、妇产科报告率低；护士对患者安全文化的感知、护士对不良事件报告的认知和技术职称是护士的不良事件报告的影响因素.
목적 탐토호남성삼급갑등의원호사불량사건보고현상급기영향인소,위제정촉진호사자원보고불량사건적조시제공의거.방법 채용의원호사적환자안전문화감지조사문권화호사대불량건보고적인지조사문권대호남성6소삼급갑등의원1 866명호사진행조사.결과 호사적불량사건주동자원보고솔위24.71％；불동년령、학력、직무、직칭、호령、임직방식、과실적호사불량사건보고솔차이구유통계학의의(P＜0.05).호사불량사건보고적영향인소적Logistic회귀분석(α입 =0.05,α출=0.10),진입회귀방정적유:호사대환자안전문화적감지、호사대불량사건보고적인지화기술직칭(OR치분별위177.004,1.813,1.533,R2=0.554,P＜0.01).결론 호사대호리불량사건주동자원보고솔저,수착년령、호령、학력、직칭、호령적증장,호리불량사건보고솔제고,호사장적불량사건보고솔고우보통호사,정식재편호사불량사건보고솔교비정식재편호사고,문진호사호리불량사건보고솔최고,ICU、급진과、부산과보고솔저；호사대환자안전문화적감지、호사대불량사건보고적인지화기술직칭시호사적불량사건보고적영향인소.
Objective To investigate the nursing adverse events reporting status and their influence factors of nurses in 3A-grade general hospitals,so as to provide evidence for the developmental measures to improve nursing adverse events reporting.Methods The questionnaires of Patient Safety Culture Assessment Scale about Clinical Nurses and Nurses' Cognitive of Adverse Event Reporting were used to survey 1 866 nurses from six 3A-grade general hospitals in Hunan Province.Results The rate of nurses reported voluntarily adverse events was 24.71％.There were statistically significant in different groups divided by age,educational background,position,professional title,service years,type of recruitment and department(P ＜ 0.05).Logistic regression analysis showed that nurses' perception of patient safety culture,the cognition of nursing adverse event report and nurses' professional title entered into the regression equation with the values OR were 177.004,1.813,1.533,R2 =0.554,P ＜ 0.01.Conclusions The rate of nurses reported voluntarily adverse events is low.With the age growing,the service years lengthening,the position heightening,educational background and professional title raising,the rate of nursing adverse events reporting is upgrade.The rate of nursing adverse events reporting of head nurse is significantly higher than general nurses,formal recruitment nurse is higher than no formal.The rate of nursing adverse events reporting of outpatient department nurse is the highest,and ICU,emergency department,gynecology and obstetrics department nurse is significantly lower than that of others.Nurses' perception of patient safety culture,the cognition of nursing adverse event reporting and professional titles are the main influence factors of nursing adverse events reporting.