儿科护士对医疗事故倾向和患者安全文化的态度:土耳其个案

E. Büyük, Nihal Ünaldı Baydın, Özge Döral
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引用次数: 0

摘要

患者安全和医疗失误是近年来讨论最多的话题之一。识别和报告医疗错误是采取措施提高患者安全性的最重要步骤之一。儿科护士为儿童提供护理,这就是为什么他们在预防医疗失误和确保患者安全方面发挥着重要作用。这项横断面和描述性研究旨在确定土耳其儿科护士的渎职倾向与患者安全文化之间的关系。这项研究是在土耳其北部大都市的一所大学医院和一家公立医院的儿科诊所进行的。研究人群包括142名护士。使用“护士信息表”、“患者安全文化量表(PSCS)”和“护理失误倾向量表(MTSN)”收集信息。数据分析采用SPSS 16软件、描述性统计、独立双样本t检验、单因素方差分析、Tukey检验、Tamhane检验、Mann-Whitney U、Kruskal-Wallis检验和Pearson相关检验。拥有硕士学位、犯了医疗错误并观察到另一位同事犯了医疗失误的护士的平均MTSN得分较高(p<0.05)。46岁及以上拥有硕士学位并在儿科部门担任经理的护士的总平均PSCS得分较高(p>0.05)。总平均PSCS得分与MTSN得分之间存在正相关。这项研究发现,儿科护士的渎职水平往往较低,他们对患者安全文化的认知水平较高,这在患者护理质量方面具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PEDIATRIC NURSES’ ATTITUDES REGARDING MALPRACTICE TENDENCIES AND PATIENT SAFETY CULTURE: A CASE OF TURKEY
Patient safety and medical errors are among the most discussed topics in recent years. Identifying and reporting medical errors is one of the most significant steps toward the adoption of measures to increase patient safety. Pediatric nurses provide care to children, which is why they play an essential role in preventing medical errors and ensuring patient safety. This cross-sectional and descriptive study was conducted to determine the relationship between pediatrics nurse’s malpractice tendencies and patient safety culture in Turkey. The study was conducted in the pediatric clinics of a university hospital and a public hospital in a metropolis in the northern region of Turkey. The study population included 142 nurses. A ‘Nurse Information Form’, a ‘Patient Safety Culture Scale (PSCS)’, and a ‘Malpractice Tendency Scale in Nursing (MTSN)’ were used to collect information. Data were analyzed by using SPSS 16 program, descriptive statistics, Independent Two-Sample t-test, one-way analysis of variance (ANOVA), Tukey test, Tamhane test, Mann Whitney U, Kruskal Wallis test and Pearson correlation tests. Nurses who had a master’s degree, made a medical error, and observed medical errors made by another colleague had a higher mean MTSN score (p<0.05). Nurses aged 46 and older, with a master’s degree, that worked in the pediatric unit as a manager had a higher total mean PSCS score (p<0.05). A positive and significant relationship was found between total mean PSCS and MTSN scores. This study found that pediatric nurses’ level of malpractice tended to be low and their level of patient safety culture perceptions high, which is significant in terms of quality of patient care.
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