养老院安全氛围的探索。

An exploration of safety climate in nursing homes.

机构信息

Harvard School of Public Health, Boston, MA, USA.

出版信息

J Patient Saf. 2012 Sep;8(3):104-24. doi: 10.1097/PTS.0b013e31824badce.

DOI:10.1097/PTS.0b013e31824badce

PMID:22814710

Abstract

OBJECTIVES

Although nursing homes provide complex care requiring attention to safety, research on safety climate in nursing homes is limited. Our study assessed differences in attitudes about safety among nursing home personnel and piloted a new survey, specifically designed for the nursing home context.

METHODS

Drawing on previous safety climate surveys for hospitals and nursing homes, researchers developed the Survey on Resident Safety in Nursing Homes and administered it March to June 2008 to frontline caregivers and managers in 8 randomly selected Massachusetts nursing homes. Our sample consisted of 751 employees, including all full-time, direct-care staff and managers from participating facilities. First, we performed factor analysis and determined Cronbach alphas for the Survey on Resident Safety in Nursing Homes. Then, we described facilities' safety climate and variation by personnel category and among facilities by calculating the proportion of responses that were strongly positive by item, personnel category, and nursing home.

RESULTS

Of 432 respondents (57% response), 29% gave their nursing home an excellent rating overall. Scores varied by personnel category and home: 51% of senior managers gave an excellent safety grade versus 26% of nursing assistants; the range in top safety grades among nursing homes was 30 percentage points.

CONCLUSIONS

Safety climate varied substantially among this small sample of nursing homes and by personnel category; managers had more positive perceptions about safety than frontline workers. Efforts to measure safety climate in nursing homes should include the full range of staff at a facility and comparisons among staff categories to provide a full understanding for decision making and to promote targeted response to improve resident safety.

摘要

目的

尽管养老院提供需要注重安全的复杂护理，但有关养老院安全氛围的研究却很有限。我们的研究评估了养老院工作人员对安全问题的态度差异，并试用了一种专门针对养老院环境设计的新调查。

方法

研究人员借鉴了先前针对医院和养老院的安全氛围调查，制定了《养老院居民安全调查》，并于 2008 年 3 月至 6 月在马萨诸塞州的 8 家随机选定的养老院的一线护理人员和管理人员中进行了调查。我们的样本包括 751 名员工，包括所有全职直接护理人员和参与设施的管理人员。首先，我们进行了因素分析，并确定了《养老院居民安全调查》的 Cronbach 阿尔法值。然后，我们根据人员类别和设施，通过计算按项目、人员类别和养老院划分的强烈赞成比例，描述了设施的安全氛围和变化。