Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy and Science, Tainan, Taiwan.
J Clin Nurs. 2012 Aug;21(15-16):2262-74. doi: 10.1111/j.1365-2702.2012.04170.x.
To explore the cross-level effects of the four dimensions of patient safety climate on nursing innovation.
Across the globe, nursing innovation is highly encouraged by nursing experts to improve nursing outcome. Nursing innovation, in turn, is affected by organisational climate, and a critical aspect of organisational climate is patient safety.
This is a cross-sectional study.
We employed a questionnaire survey to collect data and selected nurses from Taiwan hospitals as samples. A total of 808 valid questionnaires in 172 teams of four hospitals were collected. Patient safety climate was aggregated by individual-level data; thus, we examined r(wg) , ICC 1 and ICC 2. Hierarchical linear modelling was used to analyse the data.
Of these three dimensions of nursing innovation, the level of knowledge creation was perceived by the nurses as the highest. In terms of patient safety climate, managerial practices regarding patient safety scored the highest, followed by patient safety procedures, patient safety information flow and patient safety priority. Only patient safety information flow yielded a significant positive influence on knowledge creation, innovation behaviour or innovation diffusion.
Hospital nurses do achieve better performance in knowledge creation. Patient safety information flow has positive and cross-level impact on nursing innovation; therefore, the method to increase safety information flow is the key focus of nursing innovation management.
Through the improvements made in patient safety climate, hospital managers could promote the development of nursing innovation. Patient safety information flow is positively associated with nursing innovation. Patient safety information could be integrated in nursing training in all levels. Rules and procedures regarding patient safety should be drafted in simple and clear terms. A procedure to review and revise the rules and procedures will also be helpful in improving patient safety information flow.
探讨患者安全文化的四个维度对护理创新的跨层次影响。
在全球范围内，护理专家鼓励护理创新以改善护理结果。护理创新反过来又受到组织氛围的影响，而组织氛围的一个关键方面是患者安全。
这是一项横断面研究。
我们采用问卷调查收集数据，选择台湾医院的护士作为样本。共收集了 4 家医院 172 个团队的 808 份有效问卷。患者安全文化通过个体水平的数据进行聚合；因此，我们检查了 r(wg)、ICC1 和 ICC2。采用分层线性模型分析数据。
在这三个护理创新维度中，护士对知识创造的感知程度最高。在患者安全文化方面，患者安全管理实践得分最高，其次是患者安全程序、患者安全信息流和患者安全优先级。只有患者安全信息流对知识创造、创新行为或创新传播有显著的正向影响。
医院护士在知识创造方面表现更好。患者安全信息流对护理创新具有积极的跨层次影响；因此，增加安全信息流的方法是护理创新管理的关键重点。
通过改善患者安全文化，医院管理者可以促进护理创新的发展。患者安全信息流与护理创新呈正相关。患者安全信息可以整合到各级护理培训中。应制定简单明了的患者安全规则和程序。审查和修订规则和程序的程序也将有助于改善患者安全信息流。
