护士对病人安全文化的认知与建言:一项描述性和相关性研究

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Ayşegül Yilmaz, Ayşe Yildiz Keskin, Betül Sönmez
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引用次数: 0

摘要

患者安全文化和护士建言在医疗环境中至关重要,因为它们影响护理质量。因此,确定护士在患者安全方面的建言行为是非常重要的。目的本研究旨在了解护士对患者安全文化和建言的认知、这两个变量之间的关系以及建言的预测因素。方法采用描述性和相关性研究。本研究采用便利抽样方法,于2022年9月至2023年3月对浙江省两所公立大学附属医院各科室(除管理人员外)753名护士(n = 753)进行调查。数据采用医院患者安全文化调查和员工声音量表收集。多变量分析包括层次线性回归。结果患者安全培养的积极反应总平均得分与员工语音总得分呈中度显著正相关。此外,研究发现患者安全文化总分、患者安全文化子维度的错误反馈和沟通开放性、轮班工作和教育状况是影响护士建言行为的显著变量。结论通过实证研究表明,提高护士和医院管理人员对患者安全文化的认知,特别是对错误的非惩罚性反应的认知,是提高护士建言行为的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nurses' Perceptions of Patient Safety Culture and Voice Behaviors: A Descriptive and Correlational Study

Introduction

Patient safety culture and nurses' voice behavior have critical importance in healthcare settings because they influence the quality of care. Therefore, it is important to determine nurses' voice behaviors regarding patient safety.

Aims

In this study, it was aimed to determine nurses' perceptions of patient safety culture and voice behavior, the relationship between these two variables, and predictors of voice behavior.

Methods

A descriptive and correlational study. The study was conducted using convenience sampling method between September 2022 and March 2023 with a total of 753 nurses in all units (except managers) of two public university hospitals in Türkiye (n = 753). The data were collected using the Hospital Survey on Patient Safety Culture and the Employee Voice Scale. Multivariate analyses included hierarchical linear regression.

Results

A moderate and positive significant correlation was found between the positive response total mean score of the patient safety culture and the total employee voice score. In addition, it was determined that the total patient safety culture score, feedback about errors and openness in communication from the patient safety culture sub-dimensions, shift work, and education status were the variables that significantly determined the voice behaviors of nurses.

Conclusion

The study empirically demonstrates that it is necessary to improve the perception of patient safety culture among nurses and hospital administrators, especially the perception of nonpunitive responses to errors, to increase nurses' voice behaviors.

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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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