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医疗保健专业人员在患者安全方面的技能。

Health care professionals' skills regarding patient safety.

作者信息

Brasaitė Indrė, Kaunonen Marja, Martinkėnas Arvydas, Mockienė Vida, Suominen Tarja

机构信息

School of Health Sciences, University of Tampere, Tampere, Finland; Faculty of Health Sciences, Klaipėda University, Klaipėda, Lithuania.

School of Health Sciences, University of Tampere, Tampere, Finland; Pirkanmaa Hospital District, Tampere, Finland.

出版信息

Medicina (Kaunas). 2016;52(4):250-256. doi: 10.1016/j.medici.2016.05.004. Epub 2016 Jun 30.

Abstract

BACKGROUND AND OBJECTIVE

The importance of patient safety is growing worldwide, and every day, health care professionals face various challenges in how to provide safe care for their patients. Patient safety skills are one of the main tools to ensure safe practice. This study looks to describe health care professionals' skills regarding patient safety.

MATERIALS AND METHODS

Data were collected using the skill scale of the Patient Safety Attitudes, Skills and Knowledge (PS-ASK) instrument from different health care professionals (n=1082: physicians, head nurses, nurses and nurse assistants) working in hospitals for adult patients in three regional multi-profile hospitals in the western part of Lithuania.

RESULTS

Overall, the results of this study show that based on their own evaluations, health care professionals were competent regarding their safety skills. In particular, they were competent in the sub-scale areas of error analysis (mean=3.09) and in avoiding threats to patient safety (mean=3.31), but only somewhat competent in using decision support technology (mean=2.00). Demographic and other work related background factors were only slightly associated with these patient safety skills areas. Especially, it was noted that nurse assistants may need more support from managers and colleagues in developing their patient safety skills competence.

CONCLUSIONS

This study has served to investigate the general skills of health care professionals in regard to patient safety. It provides new knowledge about the topic in the context of the Baltic countries and can thus be used in the future development of health care services.

摘要

背景与目的

患者安全的重要性在全球范围内日益凸显,医护人员每天都面临着如何为患者提供安全护理的各种挑战。患者安全技能是确保安全执业的主要工具之一。本研究旨在描述医护人员在患者安全方面的技能。

材料与方法

使用患者安全态度、技能和知识(PS - ASK)工具的技能量表,从立陶宛西部三家地区综合性医院中为成年患者提供服务的不同医护人员(n = 1082:医生、护士长、护士和护理助理)收集数据。

结果

总体而言,本研究结果表明,根据医护人员自身的评估,他们在安全技能方面具备能力。特别是,他们在误差分析子量表领域(均值 = 3.09)以及避免对患者安全构成威胁方面(均值 = 3.31)表现出色,但在使用决策支持技术方面仅具备一定能力(均值 = 2.00)。人口统计学和其他与工作相关的背景因素与这些患者安全技能领域的关联较小。特别是,值得注意的是,护理助理在提升其患者安全技能能力方面可能需要管理人员和同事提供更多支持。

结论

本研究旨在调查医护人员在患者安全方面的一般技能。它在波罗的海国家的背景下提供了关于该主题的新知识,因此可用于未来医疗服务的发展。

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