ISSN 1672-9234 CN 11-5289/R
主管:中国科学技术协会 主办:中华护理学会
出版:中华护理杂志社
收录:中国科学引文数据库(CSCD)来源期刊
   中国期刊全文数据库
   中国核心期刊(遴选)数据库
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中华护理教育 ›› 2019, Vol. 16 ›› Issue (11): 859-862.

• 继续教育 • 上一篇    下一篇

重庆市新入职护士患者安全文化的调查研究

陈琪琦 牟绍玉 杨蓉 杨焱平 陈琰晗   

  1. 重庆医科大学护理学院
  • 出版日期:2019-11-20 发布日期:2020-01-06

The patient safety culture of new nurses in Chongqing

CHEN Qi-qi,MOU Shao-yu,YANG Rong,YANG Yan-ping,CHEN Yan-han   

  • Online:2019-11-20 Published:2020-01-06

摘要: 目的 了解重庆市新入职护士的患者安全文化现状,为完善新入职护士的患者安全文化教育提供依据。方法 采用一般资料调查表及医院患者安全文化评估问卷, 对重庆市18所三级甲等综合医院的新入职护士进行问卷调查。 结果 共调查了825名新入职护士,医院患者安全文化的积极反应率为65.9%,其优势领域为组织学习与持续改进(82.8%)、科室内合作(82.0%)、管理者支持患者安全(80.2%)、管理者促进安全的期望与行动(77.4%);劣势领域为差错的非惩罚性原则(43.3%)及护理不良事件报告频率(42.3%)。 18所医院的患者安全文化积极反应率为58.0%~81.8%。 新入职护士的患者安全培训情况及加班情况对培训基地患者安全文化积极反应率有影响(P<0.05)。 结论 重庆市三级甲等综合医院新入职护士对所在医院的患者安全文化整体评价较好,但在非惩罚性原则及护理不良事件报告和人员配置方面需要改进,不同医院的患者安全文化存在差距,应加强新入职护士的患者安全文化培训。

关键词: 问卷调查, 病人安全, 新入职护士

Abstract: Objective To understand the current status of patient safety culture of new nurses in Chongqing.Methods The new nurses from 18 hospitals of Chongqing were investigated by general information questionnaire and the Hospital Patient Safety Culture Evaluation Questionnaire. Results A total of 825 new nurses were investi-gated. The positive response rate of patient safety culture was 65.9%. The advantage dimensions included organiza-tional learning and continuous improvement (82.8%),teamwork within units (82.0%),manager support for patient safety (80.2%),and supervisor/manager expectations and actions promoting patient safety (77.4%). The disadvantage dimensions were non-punitive responses to errors(43.3%) and frequency of event reported(42.3%). The positive re-sponse rates of patient safety culture in 18 hospitals were from 58.0% to 81.8%.Patient safety culture training of new nurses and overtime work had an impact on the positive response rates of patient safety culture (P<0.05).Conclusion The new nurses in Chongqing have a good level of the patient safety culture in their hospitals. How-ever,the non-punitive responses to errors and frequency of event reported need to be improved. There are gaps in the safety culture of patients in different hospitals.The construction of the safety culture of patients in training of new nurses should be strengthened.

Key words: Questionnaires, Patient Safety, New nursesc