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医学教育中的患者安全:学生的认知、知识与态度

Patient Safety in Medical Education: Students' Perceptions, Knowledge and Attitudes.

作者信息

Nabilou Bahram, Feizi Aram, Seyedin Hesam

机构信息

Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran.

Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

PLoS One. 2015 Aug 31;10(8):e0135610. doi: 10.1371/journal.pone.0135610. eCollection 2015.

Abstract

Patient safety is a new and challenging discipline in the Iranian health care industry. Among the challenges for patient safety improvement, education of medical and paramedical students is intimidating. The present study was designed to assess students' perceptions of patient safety, and their knowledge and attitudes to patient safety education. This cross-sectional analytical study was conducted in 2012 at Urmia University of Medical Sciences, West Azerbaijan province, Iran. 134 students studying medicine, nursing, and midwifery were recruited through census for the study. A questionnaire was used for collecting data, which were then analyzed through SPSS statistical software (version 16.0), using Chi-square test, Spearman correlation coefficient, F and LSD tests. A total of 121 questionnaires were completed, and 50% of the students demonstrated good knowledge about patient safety. The relationships between students' attitudes to patient safety and years of study, sex and course were significant (0.003, 0.001 and 0.017, respectively). F and LSD tests indicated that regarding the difference between the mean scores of perceptions of patient safety and attitudes to patient safety education, there was a significant difference among medical and nursing/midwifery students. Little knowledge of students regarding patient safety indicates the inefficiency of informal education to fill the gap; therefore, it is recommended to consider patient safety in the curriculums of all medical and paramedical sciences and formulate better policies for patient safety.

摘要

患者安全在伊朗医疗行业中是一门崭新且具有挑战性的学科。在改善患者安全面临的诸多挑战中,医学和医学辅助专业学生的教育令人望而生畏。本研究旨在评估学生对患者安全的认知,以及他们对患者安全教育的知识和态度。这项横断面分析研究于2012年在伊朗西阿塞拜疆省乌尔米亚医科大学开展。通过普查招募了134名学习医学、护理和助产专业的学生参与该研究。使用问卷调查收集数据,然后通过SPSS统计软件(版本16.0)进行分析,采用卡方检验、斯皮尔曼相关系数、F检验和最小显著差异检验。共完成了121份问卷,50%的学生对患者安全表现出良好的认知。学生对患者安全的态度与学习年限、性别和课程之间的关系具有显著性(分别为0.003、0.001和0.017)。F检验和最小显著差异检验表明,就患者安全认知的平均得分与患者安全教育态度之间的差异而言,医学专业学生与护理/助产专业学生之间存在显著差异。学生对患者安全的了解甚少,这表明非正式教育在填补这一差距方面效率低下;因此,建议在所有医学和医学辅助科学课程中纳入患者安全内容,并制定更好的患者安全政策。

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