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5 个重症监护病房的安全氛围:使用希腊塞浦路斯版安全态度问卷进行的全国范围医院调查。

Safety climate in 5 intensive care units: a nationwide hospital survey using the Greek-Cypriot version of the safety attitudes questionnaire.

机构信息

Nursing Department, Mediterranean Research Centre for Public Health and Quality of Care, Cyprus University of Technology, Nicosia, Cyprus.

出版信息

J Crit Care. 2013 Feb;28(1):51-61. doi: 10.1016/j.jcrc.2012.04.013. Epub 2012 Jul 2.

Abstract

BACKGROUND

Patient safety is considered an antecedent of quality of hospital care. The explicit need to focus on quality of care underpins the aim of the study to evaluate the safety culture and teamwork climate in the public intensive care units (ICUs) of the 5 regional public hospitals in Cyprus as measured by a validated safety attitudes tool.

METHODS

A questionnaire that included the Greek version of the generic version of the Safety Attitudes Questionnaire has been used in all public ICUs across Cyprus.

RESULTS

There were 132 (76.7%) fully completed questionnaires of 172 registered nurses who are currently positioned in Cyprus ICUs. The mean age of the participants was 33.09 ± 08.16 years. The mean of the total working years as a nurse was 10.82 ± 8.47 years, whereas the mean of the total work experience in the ICU units was 6.05 ± 5.16 years. The sample's age strongly correlated with teamwork, nurses with more years of experience rated higher teamwork (P = .02), and their perceptions of management were better than those of the inexperienced nurses.

CONCLUSIONS

Considerable safety climate variations between the ICUs of the regional hospitals of Cyprus have been verified. Age, infrastructure, the severity of cases, and the nurse skill mix are variables that affect the patient safety culture in an ICU environment.

摘要

背景

患者安全被认为是医院护理质量的前提。关注护理质量的明确需求是本研究的目的,该研究旨在通过验证的安全态度工具评估塞浦路斯 5 家地区公立医院的公共重症监护病房(ICU)的安全文化和团队合作氛围。

方法

在塞浦路斯的所有公立医院 ICU 中都使用了包括希腊语通用版安全态度问卷的问卷。

结果

共有 172 名注册护士中有 132 名(76.7%)完成了完整的问卷。参与者的平均年龄为 33.09 ± 08.16 岁。作为护士的总工作年限的平均值为 10.82 ± 8.47 年,而在 ICU 单位的总工作经验的平均值为 6.05 ± 5.16 年。样本的年龄与团队合作密切相关,经验丰富的护士的团队合作评分更高(P =.02),他们对管理层的看法优于经验不足的护士。

结论

塞浦路斯地区医院的 ICU 之间存在相当大的安全氛围差异。年龄、基础设施、病例严重程度和护士技能组合是影响 ICU 环境中患者安全文化的变量。

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