School of Nursing Adelphi University, Adelphi, NY, USA.
Int Nurs Rev. 2011 Jun;58(2):249-54. doi: 10.1111/j.1466-7657.2011.00891.x. Epub 2011 Mar 16.
The study aims to explore the relationship between management safety commitment and patient safety culture using data from a Chinese hospital.
Developing a positive patient safety culture has been suggested as an important strategy to improve the quality of health services and patient safety. Management safety commitment has been identified as key to establishing a culture of safety. However, little empirical evidence could be found in the literature to substantiate the relationship between management safety commitment and patient safety culture. Even less is known about the relationship in a Chinese hospital setting.
The study used a correlational research methodology with a cross-sectional survey design. A total of 248 registered nurses, including 20 nurse managers and 228 staff nurses, were surveyed using self-administered questionnaires. Both descriptive and inferential statistics were used to explore the relationship between management safety commitment and patient safety culture.
The mean score of safety commitment was 8.38 on a 0-10 visual analogue scale. The mean score of patient safety culture was 148.66. Staff nurses scored patient safety culture significantly lower than those of nurse managers (F = 18.88, P < 0.01). In addition, management safety commitment was significantly related to patient safety culture (r = 0.46, P < 0.01) and was an important predictor of patient safety culture (F = 65.29, P < 0.01).
The findings provide significant empirical evidence that management safety commitment is associated with the culture of patient safety. Thus, to build a positive safety culture, managers need to visibly commit to patient safety and be a role model to ensure patient safety.
本研究旨在使用中国医院的数据探讨管理层安全承诺与患者安全文化之间的关系。
培养积极的患者安全文化已被提出是提高卫生服务质量和患者安全的重要策略。管理层安全承诺已被确定为建立安全文化的关键。然而，文献中几乎没有实证证据可以证明管理层安全承诺与患者安全文化之间的关系。在以中文为母语的医院环境中，这方面的研究更是知之甚少。
本研究采用相关性研究方法，采用横断面调查设计。共调查了 248 名注册护士，包括 20 名护士长和 228 名普通护士，采用自填式问卷进行调查。使用描述性和推断性统计方法来探讨管理层安全承诺与患者安全文化之间的关系。
安全承诺的平均得分为 0-10 视觉模拟量表上的 8.38 分。患者安全文化的平均得分为 148.66 分。普通护士的患者安全文化评分显著低于护士长（F = 18.88，P < 0.01）。此外，管理层安全承诺与患者安全文化显著相关（r = 0.46，P < 0.01），是患者安全文化的重要预测因素（F = 65.29，P < 0.01）。
研究结果提供了有意义的实证证据，表明管理层安全承诺与患者安全文化相关。因此，为了建立积极的安全文化，管理者需要明确承诺患者安全，并以身作则确保患者安全。
