尼日利亚三级卫生机构护理提供者和管理人员的患者安全文化意识、知识、态度和实践

Amaka Y. Ezeuko, C. Nnebue, Raymond C Okechukwu, A. Nwabueze, E. E. Oghenesuvwe, Ndidiamaka P. Chukwujekwu, A. Ilika
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引用次数: 0

摘要

患者或客户的安全仍然是世界范围内优先考虑的公共卫生问题。患者安全文化(PSC)是医疗保健服务系统的核心质量保证策略。因此,对于医疗保健环境中的关键利益相关者来说,理解这一概念至关重要。本研究确定了尼日利亚三级卫生机构的护理提供者和管理人员对PSC的认识、知识水平、态度和做法。材料与方法:本次描述性调查于2016年6 - 11月进行。数据收集通过自我管理的结构化问卷调查(QS)、焦点小组讨论(FGD)和关键信息提供者访谈(KII)进行。QS、FGD和KII分别采用分层和便捷抽样技术。使用SPSS软件(version 22)对数据进行分析,通过卡方检验和t检验确定相关性。p值< 0.05认为有统计学意义。结果:患者对PSC的认知、态度和实践水平略高于平均水平。对PSC单元可用性的了解影响了所研究的12个PSC复合材料中的3个得分,即关于错误的反馈和沟通、对错误的非惩罚性反应和管理支持(p <0.05)。护理提供者和管理人员的总体PSC水平为62.3%。按FGD计算,PSC率在28 ~ 72%之间。根据KII, PSC的认知度和实践度分别为100%和60%。结论:从目前的研究结果来看,明显表现出对PSC的认知、态度和实践不足导致PSC功能低下。因此,需要采取全面的教育和制度措施,以提高积极的PSC。在这方面,管理层对安全的承诺是一个关键因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Awareness, Knowledge, Attitude, and Practice of Patient Safety Culture Among Care Providers and Managers in a Tertiary Health Institution in Nigeria
Introduction: The safety of patients or clients remains a priority public health issue worldwide. Patient safety culture (PSC) is a core quality assurance strategy in healthcare delivery systems. Therefore, it is crucial for key stakeholders in the healthcare setting to perceive the concept. The present study determined the awareness,  level of knowledge, attitude, and practice of PSC among care providers and managers in a tertiary health facility in Nigeria. Materials and Methods: This descriptive survey was carried out within June to November in 2016. Data collection was conducted via a self-administered structured questionnaire survey (QS), focus group discussions (FGD), and key informant interviews (KII). Stratified and convenient sampling techniques were used for QS, FGD, and KII, respectively. The data were analyzed using SPSS software (version 22), and associations were determined through the Chi-square test and t-test. A p-value of < 0.05 was considered statistically significant. Results: The awareness, attitude, and practice of PSC were slightly above average. The knowledge of the availability of PSC unit affected the scores of 3 of the 12 studied PSC composites, namely Feedback and communication about the error, Nonpunitive response to error, and Management support (p <0.05). The overall PSC level of the care providers and managers was reported as 62.3%. The rate of PSC was within the range of 28-72% based on FGD. According to KII, the awareness and practice of PSC were reported as 100% and 60%, respectively. Conclusion: Based on the obtained results of the current study, it was apparently demonstrated the low awareness, attitude, and practice of PSC resulting in the low functionality of PSC. Therefore, it is required to take comprehensive educational and institutional measures aiming at the improvement of positive PSC. Management commitment to safety is a key element in this regard.
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