[1]汪春惠 严莉 唐益东.护士执业环境对护理人为差错的影响研究[J].中国卫生质量管理,2019,26(02):066-70.[doi:10.13912/j.cnki.chqm.2019.26.2.20]
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护士执业环境对护理人为差错的影响研究
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第26卷
期数:
2019年02期
页码:
066-70
栏目:
护理质量
出版日期:
2019-03-28

文章信息/Info

作者:
汪春惠 严莉 唐益东
重庆三峡医药高等专科学校
关键词:
护士执业环境人为差错影响因素分析患者安全护理质量
Keywords:
Nurses' Practicing Environment Human Errors Influencing Factors Analysis Patient SafetyNursing Quality
DOI:
10.13912/j.cnki.chqm.2019.26.2.20
摘要:
目的调查护士执业环境与护理人为差错的现状,并探讨护士执业环境对人为差错的影响。方法采用护士执业环境测评量表和护理人为差错量表对重庆市万州区所有医院的护士进行问卷普查。结果共调查医院77所,被调查护士3 442名。护士执业环境得分88.54±11.51;护理人为差错得分1.65±0.51;护士执业环境各维度及总体得分与护理人为差错各维度及总体得分均显著负相关(Pearson's r=-0.658~-0.286,P<0.05);多重线性回归分析显示,控制人口学变量后,执业环境的6个维度均是人为差错的重要影响因素(P<0.05)。结论管理者应采取有效措施改善护士执业环境,尤其是“优质护理服务基础”“薪酬待遇和社会地位”“参与医院事务”,从而减少护理人为差错,保障患者安全。
Abstract:
ObjectiveTo investigate the current situation of nurses' practice environment and human errors, and explore the effects of nurses' practice environment on human errors.MethodsA questionnaire survey was conducted among nurses in all hospitals in Wanzhou District of Chongqing City using the Nurses' Practice Environmental Assessment Scale and the Nursing Human Error Scale.ResultsA total of 77 hospitals and 3 442 nurses were investigated. The nurses' practice environment score was 88.54±11.51; the nursing human error score was 1.65±0.51; the nurses' practice environment dimensions and overall scores were significantly negatively correlated with the nursing human error dimensions and overall scores (Pearson's r=-0.658~-0.286, P<0.05). Multiple linear regression showed that after controlling for demographic variables, the six dimensions of the practice environment were important factors influencing human error (P<0.05).Conclusion Managers should take effective measures to improve the nurses' practice environment, especially the “quality care service foundation”, “remuneration and social status” and “participation in hospital affairs”, thus reducing the human error of nursing and ensuring patient safety.

参考文献/References:

[1]国家卫生健康委员会办公厅.国卫办医发[2018]5号 关于进一步加强患者安全管理工作的通知[EB/OL]. (2018-04-12).http://www.nhc.gov.cn/yzygj/s7658/201804/00a8be2958e144e5a1439faf995ba98 2.shtml.12).http://www.nhc.gov.cn/yzygj/s7658/201804/00a8be2958e144e5a1439faf995ba98 2.shtml.

更新日期/Last Update: 2019-03-28