Abrahamson Kathleen, Ramanujam Rangaraj, Anderson James G
Department of Public Health, Western Kentucky University, Bowling Green, Kentucky, USA.
Int J Health Care Qual Assur. 2013;26(5):447-54. doi: 10.1108/IJHCQA-07-2011-0041.
Previous research indicates that nurses' safety-climate perceptions are influenced by individual nurse characteristics, leadership, staffing levels and workplace structure. No literature was identified that explored the relationship between nurses' safety climate perceptions and staffing composition in a particular hospital unit. This paper aims to fill some of the gaps in the research in this area.
DESIGN/METHODOLOGY/APPROACH: Data supplied by 430 registered nurses working in two Midwestern US hospitals were analyzed to co-worker characteristics such as education, licensure, experience and full- or part-time status.
Registered nurses working in hospitals with proportionally more-experienced nurses perceived their workplaces to be significantly safer for patients. Surprisingly, co-worker licensure, education and full- or part-time status did not significantly influence nurses' safety climate perceptions.
Findings indicate that safety-climate perceptions vary significantly between hospital units and experienced nurses may act as a resource that promotes a positive safety climate. Hospitals retaining experienced nurses may potentially reduce errors.
ORIGINALITY/VALUE: The paper illustrates that the results highlight the importance of providing nurses with an environment that encourages retention and creates a workplace where experienced nurses' skills are best utilized.
先前的研究表明，护士对安全氛围的认知受护士个人特征、领导力、人员配备水平和工作场所结构的影响。未发现有文献探讨特定医院科室中护士的安全氛围认知与人员配备构成之间的关系。本文旨在填补该领域研究的一些空白。
设计/方法/途径：对美国中西部两家医院的430名注册护士提供的数据进行分析，以了解同事的特征，如教育程度、执照情况、经验以及全职或兼职状态。
在经验丰富护士比例较高的医院工作的注册护士认为其工作场所对患者而言明显更安全。令人惊讶的是，同事的执照情况、教育程度以及全职或兼职状态并未对护士的安全氛围认知产生显著影响。
研究结果表明，不同医院科室的安全氛围认知差异显著，经验丰富的护士可能是促进积极安全氛围的一种资源。留住经验丰富护士的医院可能会减少差错。
原创性/价值：本文表明研究结果凸显了为护士提供一个鼓励留任并营造能最佳利用经验丰富护士技能的工作场所的重要性。
