Johnstone Megan-Jane, Kanitsaki Olga
Division of Nursing and Midwifery, School of Health Sciences, RMIT University, Bundoora, Melbourne, Vic. 3083, Australia.
Nurse Educ Today. 2007 Apr;27(3):185-91. doi: 10.1016/j.nedt.2006.04.011. Epub 2006 Jul 7.
Nurses have a pivotal role to play in clinical risk management (CRM) and promoting patient safety in health care domains. Accordingly, nurses need to be prepared educationally to manage clinical risk effectively when delivering patient care. Just what form the CRM and safety education of nurses should take, however, remains an open question. A recent search of the literature has revealed a surprising lack of evidence substantiating models of effective CRM and safety education for nurses. In this paper, a critical discussion is advanced on the question of CRM and safety education for nurses and the need for nurse education in this area to be reviewed and systematically researched as a strategic priority, nationally and internationally. It is a key contention of this paper that without 'good' safety education research it will not be possible to ensure that the educational programs that are being offered to nurses in this area are evidence-based and designed in a manner that will enable nurses to develop the capabilities they need to respond effectively to the multifaceted and complex demands that are inherent in their ethical and professional responsibilities to promote and protect patient safety and quality care in health care domains.
护士在临床风险管理(CRM)以及在医疗保健领域促进患者安全方面发挥着关键作用。因此,护士在提供患者护理时需要接受教育准备,以便有效地管理临床风险。然而,护士的CRM和安全教育究竟应采取何种形式,仍是一个悬而未决的问题。最近对文献的检索发现,令人惊讶的是,缺乏证据证实有效的护士CRM和安全教育模式。本文对护士的CRM和安全教育问题进行了批判性讨论,并提出有必要将该领域的护士教育作为国家和国际层面的战略重点进行审查和系统研究。本文的一个关键论点是,如果没有“良好的”安全教育研究,就不可能确保向该领域护士提供的教育项目基于证据,并以一种能使护士发展所需能力的方式进行设计,这些能力是应对其在促进和保护医疗保健领域患者安全及优质护理的道德和职业责任中所固有的多方面复杂需求所必需的。