摘要
目的了解某老年友善医院护士对患者安全文化认知的现状,并分析护士对患者安全文化认知的影响因素,旨在为制订护理安全管理措施提供依据。方法2019年7月对某老年友善医院26个临床护理单元的360名临床在职护士采用患者安全文化认知测评量表及护士心理契约量表进行调查,采用单因素分析、相关分析和多重线性回归分析护士对患者安全文化认知的影响因素。结果护士对患者安全文化认知总分为(173.74±16.04)分;护士对患者安全文化认知总分与心理契约总分及各维度得分之间均呈正相关(P<0.01)。多重线性回归分析结果显示,医院团队责任和医院发展责任是护士对患者安全文化认知得分的影响因素。结论护士对患者安全文化认知总体较好,护士心理契约中医院责任方面还有很大提升空间,尤其是医院团队责任和发展责任,管理者应从医院管理支持团队行为及提供发展保障等方面着手,提高护士心理契约水平,从而进一步提升护士对患者安全文化认知水平,促进护士形成积极的患者安全意识及行为。
Objective To understand the status quo of patient safety cultural cognition among nurses in a senior friendly hospital,and analyze the influencing factors of their patient safety cultural cognition,in order to provide a basis for formulating nursing safety management measures.Methods Totally 360 clinical in-service nurses from 26 nursing units in a senior friendly hospital were investigated with the Hospital Survey on Patient Safety Culture(HSOPSC)and the Nurse Psychological Contract Scale.Single factor analysis,correlation analysis and multiple linear regression analysis were used to analyze the influencing factors of their patient safety cultural cognition.Results The total score of nurses'patient safety cultural cognition was(173.74±16.04),which was positively correlated with the total score of psychological contract and the scores of its various dimensions(P<0.01).Multiple linear regression analysis showed that the hospital's team responsibility and development responsibility were the influencing factors for the scores of nurses'patient safety cultural cognition.Conclusions Generally,nurses have a good understanding of patient safety culture.There is still much room for improvement in the hospital responsibilities of the nurses'psychological contract,especially the hospital's team responsibility and development responsibility.Managers should improve the level of nurses'psychological contract by supporting team behavior in hospital management and providing guarantees for development,so as to further enhance the nurses'patient safety cultural cognition,and enabling nurses to form positive awareness and behaviors of patient safety.
作者
金晓蕾
纪冬梅
罗昌春
邓宝凤
张丽
陈春旭
Jin Xiaolei;Ji Dongmei;Luo Changchun;Deng Baofeng;Zhang Li;Chen Chunxu(Department of Cardiology,Beijing Geriatric Hospital,Beijing 100095,China;Department of Nursing,Beijing Geriatric Hospital,Beijing 100095,China)
出处
《中华现代护理杂志》
2020年第32期4450-4455,共6页
Chinese Journal of Modern Nursing
基金
北京老年医院2018年老年医学科研专项课题(2018bjlnyy-重-1)。
关键词
护士
老年友善医院
安全文化
心理契约
患者安全
Nurse
Senior friendly hospital
Safety culture
Psychological contract
Patient safety
