Thornlow Deirdre K
School of Nursing, Duke University, Durham, North Carolina, USA.
Annu Rev Nurs Res. 2008;26:195-218.
Adverse events occur in virtually all health care arenas, and while rural health care settings are no exception, these facilities often face unique financial burdens and personnel shortages. That may hamper patient safety efforts. Many of the interventions recommended to improve patient safety have largely been based on research conducted in urban hospitals. This chapter demonstrates the extent and type of nursing research being conducted to advance rural-specific patient safety research. The studies were conducted in various settings, with topics ranging from error reporting in hospitals to safety screening in the community. Limitations of these works are discussed, and the chapter offers guidance for a future nursing research agenda to include the need for interdisciplinary research; cross-national and international collaboration; and, at a minimum, the necessity for nurse researchers to sample rural hospitals in larger studies of patient safety.
不良事件几乎在所有医疗保健领域都会发生，农村医疗保健机构也不例外，这些机构常常面临独特的经济负担和人员短缺问题。这可能会阻碍患者安全保障工作。许多为改善患者安全而推荐的干预措施很大程度上是基于在城市医院开展的研究。本章展示了为推进针对农村地区的患者安全研究而进行的护理研究的范围和类型。这些研究在不同环境中开展，主题涵盖从医院的差错报告到社区的安全筛查。文中讨论了这些研究的局限性，并且本章为未来的护理研究议程提供了指导，包括跨学科研究的必要性；跨国和国际合作；以及至少在患者安全的大型研究中护士研究人员对农村医院进行抽样的必要性。
