運用新版安全態度量表推展醫院韌性之迷思

醫療機構對於病人安全文化的關注以及韌性/復原力的推動興趣穩步增長，2014年新版安全態度調查量表(簡稱新版量表)自原來的六構面擴增到八個構面，近年來此項調查每年收集全國超過11萬多名醫療作業人員的回覆，這是一項極為有用的資料。然而，新版量表的運用卻出現直接以「復原力」取代新構面「情緒耗竭」的迷思，且很多的應用是以相關性的分析為主，無法將分析結果帶入實際操作面使用。本文的目的即是引述多方專家論述與研究發現，釐清復原力/韌性、情緒耗竭、病安風氣、與韌性推動之間的關係，以導正此種迷思，並提出未來運用新版量表推動韌性的構想建議，以提升該調查的附加價值，協助醫院有效促進醫療機構韌性的推動。  Hospitals’ interest in promoting patient safety culture and resilience has steadily increased. The latest version (2014) of the Safety Attitude Questionnaire (SAQ) for assessing safety culture within health-care institutions was expanded from six to eight dimensions. This questionnaire has been used to collect responses from more than 110,000 health-care practitioners in Taiwan each year. However, the new SAQ dimensions are often misinterpreted, and some have claimed that hospitals or practitioners directly replace the “emotional exhaustion” dimension with a “resilience” dimension. However, most of these claims or applications are based on correlation analyses that cannot be implemented in practice. This paper dispels myths related to the dimensions of the new SAQ by clarifying the relationships among resilience, emotional exhaustion, safety climate, and resilience promotion based on theories and research findings. Additionally, this paper proposes utilizing the new SAQ to promote resilience, thereby enhancing the value of the instrument.