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[1]董嘉慧杜力周想玲谢鑫华李静甄永祺王芳.基于社会生态系统理论的医护人员为患者安全建言提升策略研究[J].中国卫生质量管理,2025,32(09):16-21.[doi:10.13912/j.cnki.chqm.2025.32.9.04]
　DONG Jiahui,DU Li,ZHOU Xiangling.Research on Strategies for Enhancing Healthcare Professionals’ Speaking Up for Patient Safety under the Social Ecosystem Theory[J].Chinese Health Quality Management,2025,32(09):16-21.[doi:10.13912/j.cnki.chqm.2025.32.9.04]

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基于社会生态系统理论的医护人员为患者安全建言提升策略研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年09期页码: 16-21 栏目: 特别关注出版日期: 2025-09-15

Title:: Research on Strategies for Enhancing Healthcare Professionals’ Speaking Up for Patient Safety under the Social Ecosystem Theory

作者:: 董嘉慧杜力周想玲谢鑫华李静甄永祺王芳; 南京中医药大学护理学院

Author(s):: DONG Jiahui; DU Li; ZHOU Xiangling; School of Nursing, Nanjing University of Chinese Medicine

关键词:: 医护人员; 为患者安全建言; 社会生态系统理论; 有效沟通

Keywords:: Healthcare Professionals; Speaking Up for Patient Safety; Social Ecosystem Theory; Effective Communication

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2025.32.9.04

文献标志码:: A

摘要:: 目的阐释医护人员为患者安全建言概念内涵，基于社会生态系统理论梳理其影响因素，针对性提出管理策略，为医院完善为患者安全建言行为方案提供参考。方法文献回顾法。结果医护人员为患者安全建言行为由微观、中观、宏观因素交互作用。微观因素包括个人特征、职业素养和心理状态；中观因素包括团队特征和领导风格；宏观因素包括管理制度、安全文化和社会文化。结论医院管理者需结合临床实际，从个体层面、团队和领导层面以及组织和文化层面为医护人员安全建言行为提供支持，促进医护人员在工作中积极主动为患者安全发声，从而提高医院整体安全管理水平，切实保障患者安全。

Abstract:: ObjectiveTo elaborate on the concept of healthcare professionals’ speaking up for patient safety, analyze its influencing factors based on social ecosystem theory, and propose targeted management strategies to provide references for hospitals to develop comprehensive management plans for patient safety voice behavior.MethodsA literature review method was employed.ResultsHealthcare professionals’ voice behavior for patient safety is shaped by the interaction of micro-level, meso-level, and macro-level factors. Micro-level factors include individual characteristics, professional competence, and psychological states; meso-level factors encompass team characteristics and leadership styles; macro-level factors involve management systems, safety culture, and societal culture.Conclusion Hospital administrators should, in consideration of clinical realities, provide support for healthcare professionals’ safety voice behavior at the individual, team/leadership, and organizational/cultural levels. This approach aims to encourage healthcare professionals to actively voice concerns for patient safety in their work, thereby enhancing the overall safety management levels of hospitals and effectively ensuring patient safety.

参考文献/References:

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更新日期/Last Update: 2025-09-15