Farag Amany A, Anthony Mary K
J Perianesth Nurs. 2015 Dec;30(6):492-503. doi: 10.1016/j.jopan.2014.11.014. Epub 2015 Sep 5.
To describe work environment characteristics (leadership style and safety climate) of ambulatory surgical settings and to examine the relationship between work environment and nurses' willingness to report medication errors in ambulatory surgical settings.
Descriptive correlational design using survey methodology.
The sample of this study consisted of 40 unit-based registered nurses, working as full time, part time, or as needed in four ambulatory surgical settings affiliated with one health care system located in Northeast Ohio.
The results of two separate regression analyses, one with three nurse manager's leadership styles and another with five safety climate dimensions as independent variables, explained 44% and 50%, respectively, on variance of nurses' willingness to report medication errors.
To increase nurses' willingness to report medication errors, ambulatory surgical settings administrators should invest in nurse manager leadership training programs and focus on enhancing safety climate aspects, particularly errors feedback and organizational learning.
描述门诊手术环境的工作环境特征（领导风格和安全氛围），并探讨工作环境与门诊手术环境中护士报告用药错误意愿之间的关系。
采用调查方法的描述性相关性设计。
本研究的样本包括40名在俄亥俄州东北部一个医疗系统下属的四个门诊手术环境中全职、兼职或按需工作的科室注册护士。
两项独立的回归分析结果，一项以三种护士长领导风格为自变量，另一项以五个安全氛围维度为自变量，分别解释了护士报告用药错误意愿差异的44%和50%。
为提高护士报告用药错误的意愿，门诊手术环境管理者应投资于护士长领导力培训项目，并专注于加强安全氛围方面，特别是错误反馈和组织学习。
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