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助产士和护士的组织沉默:原因与结果。

The organisational silence of midwives and nurses: reasons and results.

作者信息

Yurdakul Mine, Beşen Meltem Aydin, Erdoğan Semra

机构信息

Mersin University School of Health Midwifery Department, Ciftlikkoy Kampusu, Mersin, Turkey.

Mersin University Medical Faculty Department of Biostatistics, Ciftlikkoy Kampusu, Mersin, Turkey.

出版信息

J Nurs Manag. 2016 Jul;24(5):686-94. doi: 10.1111/jonm.12374. Epub 2016 Apr 4.

Abstract

AIM

The study was conducted to determine the issues about which nurses and midwives remain silent and the reasons for it and the perceived results of silence.

BACKGROUND

Organisational silence is a vitally important issue in the health sector, due to the risks and mistakes that are not reported, and proposals for improvement that are not made.

METHOD

The sample of this descriptive survey, which investigated a cause and effect relationship, was 159 nurses and midwives. The data were collected using a questionnaire and the organisational silence scale.

FINDINGS

Of the study participants, 84.9% were nurses and 15.1% were midwives. Of all participants 88.7% were women. 8.8% of participants stated that they never remained silent about issues related to work and the workplace. Respondents most often remained silent about issues related to ethics and responsibility. 'Limited improvement and development' was frequently mentioned as a perceived result of organisational silence.

CONCLUSION

Our study determined that organisational silence is quite common among nurses and midwives.

IMPLICATIONS FOR NURSING MANAGEMENT

Activities that raise the awareness of hospital administrations and employees about preventing the factors that cause and maintain silence in hospitals should be planned.

摘要

目的

开展本研究以确定护士和助产士保持沉默的问题、原因以及对沉默的认知结果。

背景

由于未报告的风险和错误以及未提出的改进建议,组织沉默在卫生部门是一个至关重要的问题。

方法

本描述性调查样本为159名护士和助产士,旨在研究因果关系。数据通过问卷调查和组织沉默量表收集。

结果

研究参与者中,84.9%是护士,15.1%是助产士。所有参与者中88.7%为女性。8.8%的参与者表示他们从未对与工作及工作场所相关的问题保持沉默。受访者最常对与伦理和责任相关的问题保持沉默。“改进和发展有限”经常被提及为组织沉默的一个认知结果。

结论

我们的研究确定组织沉默在护士和助产士中相当普遍。

对护理管理的启示

应规划提高医院管理人员和员工对预防导致和维持医院沉默因素的认识的活动。

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