医院领导者如何通过建立信任来促进患者安全。
How hospital leaders contribute to patient safety through the development of trust.
机构信息
Author Affiliations: Clinical Nurse Specialist (Ms Auer), Triemli City Hospital, Zurich; Nurse Scientist (Drs Schwendimann and Ausserhofer) and Professor and Chair (Dr De Geest), Institute of Nursing Science, University of Basel, Basel; Chief of Nursing Development (Ms Koch), Swiss Nursing Association/SBK-ASI, Bern, Switzerland.
出版信息
J Nurs Adm. 2014 Jan;44(1):23-9. doi: 10.1097/NNA.0000000000000017.
OBJECTIVE
The aim of this study was to explore the associations between hospital management support for patient safety, registered nurses' trust in hospital management, and their overall perception of patient safety, considering aspects of safety communication as possible mediating variables.
BACKGROUND
Limited research exists regarding how key elements of a patient safety culture, that is, leadership, safety communication, and trust, are interrelated.
METHODS
This study used cross-sectional nurse survey data from 1,633 registered nurses working in 35 acute care hospitals participating in the Swiss arm of the RN4CAST (Nurse Forecasting in Europe) study.
RESULTS
A path analysis revealed that the indirect associations between "management support for patient safety" and "overall perception of patient safety" were more prominent than the direct association.
CONCLUSION
Our findings confirm that safety communication plays a partially mediating role between "management support for patient safety" and nursing professionals' assessments of patient safety. This suggests that hospital leader-unit exchanges might improve patient safety.
目的
本研究旨在探讨医院管理对患者安全的支持、注册护士对医院管理的信任与他们对患者安全的整体感知之间的关联，同时考虑安全沟通方面作为可能的中介变量。
背景
关于患者安全文化的关键要素（即领导力、安全沟通和信任）之间如何相互关联的研究有限。
方法
本研究使用了来自参与瑞士 RN4CAST（欧洲护士预测）研究的 35 家急性护理医院的 1633 名注册护士的横断面护士调查数据。
结果
路径分析显示，“管理对患者安全的支持”与“对患者安全的整体感知”之间的间接关联比直接关联更为显著。
结论
我们的研究结果证实，安全沟通在“管理对患者安全的支持”与护理专业人员对患者安全的评估之间起到部分中介作用。这表明医院领导与单位之间的交流可能会提高患者安全性。
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