Centre for Healthcare Improvement, Queensland Health, Herston, Australia.
J Clin Nurs. 2011 Oct;20(19-20):2924-30. doi: 10.1111/j.1365-2702.2010.03535.x. Epub 2011 Mar 31.
To explore the climate of safety towards falls prevention among frontline hospital staff.
Falls represent a serious threat to patient safety in hospitals. A positive safety climate is vital in healthcare organisations to promote safe care and reduce patient harm, yet little is known about the safety climate towards falls prevention among frontline staff in the hospital setting.
An observational descriptive study.
Frontline staff working in five acute and subacute wards at two metropolitan hospitals in Australia were sampled. Safety climate towards falls prevention was measured using the Patient Safety Climate in Healthcare Organizations survey. The item-specific, dimension-specific and overall percentage of problematic responses were calculated, based on the frequency of responses inconsistent with a positive safety climate. Higher percentage of problematic responses values reflects a weaker safety climate.
The overall percentage of problematic responses towards falls prevention was 15%. Dimensions that were most inconsistent with a positive safety climate included 'provision of safe care' (percentage of problematic responses 42·1%) and 'unit recognition and support for safety efforts' (percentage of problematic responses 26·9%). The overall and dimension-specific percentage of problematic responses scores did not vary by hospital, or between nursing and allied health disciplines.
The study provides important insights into the safety climate towards falls prevention among frontline hospital staff. Further research is required to improve the problematic areas of safety climate towards falls prevention, to promote and deliver safe patient care by hospital healthcare teams.
Identifying problematic areas in the safety climate towards falls prevention is a first step in guiding the development of targeted strategies to promote a positive atmosphere towards preventing falls and reducing patient harm in the hospital setting.
探索一线医院工作人员预防跌倒的安全氛围。
跌倒对医院患者安全构成严重威胁。积极的安全氛围对于医疗保健组织至关重要，可促进安全护理并减少患者伤害，但对于医院环境中一线工作人员预防跌倒的安全氛围知之甚少。
观察性描述性研究。
在澳大利亚两家大都市医院的五间急性和亚急性病房中抽取一线工作人员进行抽样。使用医疗保健组织中的患者安全气候调查来衡量预防跌倒的安全氛围。根据与积极安全氛围不一致的反应频率，计算了特定项目、特定维度和整体有问题反应的百分比。较高的有问题反应百分比值反映了较弱的安全氛围。
预防跌倒的整体有问题反应百分比为 15%。与积极的安全氛围最不一致的维度包括“提供安全护理”（有问题反应百分比为 42.1%）和“单位认可和支持安全工作”（有问题反应百分比为 26.9%）。医院之间、护理和联合健康学科之间，整体和特定维度的有问题反应百分比评分没有差异。
该研究提供了关于一线医院工作人员预防跌倒的安全氛围的重要见解。需要进一步研究，以改善预防跌倒的安全氛围中的有问题领域，通过医院医疗团队促进和提供安全的患者护理。
确定预防跌倒的安全氛围中的有问题领域是指导制定有针对性策略的第一步，这些策略旨在促进预防跌倒和减少医院环境中患者伤害的积极氛围。
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