目的 了解护士感知的差错反感文化和建言行为的现状,探讨二者之间的相关性,为促使护士积极建言提供依据。方法 2018年3月—7月,采用便利抽样法对郑州市某3所三级甲等医院的327名临床护士应用差错反感文化量表和建言行为量表进行调查。结果 护士的差错反感文化得分为（2.81±0.63）分,建言行为得分为（3.84±0.67）分,差错反感文化与建言行为呈负相关（r=-0.240,P<0.001）,差错反感文化是护士建言行为的影响因素（P<0.05）。结论 护士差错反感文化感知越低,建言行为表现越突出。护理管理者应合理处理临床差错事故,降低护士差错反感文化,从而激发护士建言的积极性。

Objective To investigate the status of perceived error aversion culture and voice behavior of nurses,and to explore the correlation between them.Methods From March to July 2018,the convenience sampling method was used to conduct a questionnaire survey on 327 clinical nurses in a tertiary hospital in Zhengzhou City using the Error Aversion Culture Scale and Voice Behavior Scale.Results The mean score of error aversion culture was（2.81±0.63）,and the mean score of voice behavior was（3.84 ±0.67）. Educational background,years of work and error aversion culture were the influencing factors of nurses’ voice behavior（P<0.05）.Conclusion The lower the perception of nurses’ error aversion culture,the more prominent the voice behavior. Nursing managers should deal with clinical errors reasonably and reduce nurses’ perception of error aversion cultural,so as to stimulate nurses’ enthusiasm to make suggestions.