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埃塞俄比亚西北部贡德尔大学综合专科医院护士的事件报告行为及相关因素

Incident Reporting Behaviours and Associated Factors among Nurses Working in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia.

作者信息

Engeda Eshetu Haileselassie

机构信息

School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Scientifica (Cairo). 2016;2016:6748301. doi: 10.1155/2016/6748301. Epub 2016 Dec 28.

Abstract

. A comprehensive and systematic approach to incident reporting would help learn from errors and adverse events within a healthcare facility. . The aim of the study was to assess incident reporting behaviours and associated factors among nurses. . An institution-based cross-sectional study was conducted from April 14 to 29, 2015. Simple random sampling technique was used to select the study participants. Data were coded, entered into Epi Info 7, and exported to SPSS version 20 software for analysis. A multivariate logistic regression model was fitted and adjusted odds ratio with 95% confidence interval was used to determine the strength of association. . The proportion of nurses who reported incidents was 25.4%. Training on incident reporting (Adjusted Odds Ratio (AOR) [95% CI] 2.96 [1.34-6.26]), reason to report (to help patient) (AOR [95% CI] 3.08 [1.70-5.59]), fear of administrative sanctions (AOR [95% CI] 0.27 [0.12-0.58]), fear of legal penalty (AOR [95% CI] 0.09 [0.03-0.21]), and fear of loss of prestige among colleagues (AOR [95% CI] 0.25 [0.12-0.53]) were significantly associated factors with the incident reporting behaviour of nurses. . The proportion of nurses who reported incidents was very low. Establishing a system which promotes incident reporting is vital.

摘要

. 采用全面系统的方法进行事件报告,将有助于从医疗机构内的错误和不良事件中吸取教训。

. 本研究的目的是评估护士的事件报告行为及相关因素。

. 2015年4月14日至29日进行了一项基于机构的横断面研究。采用简单随机抽样技术选取研究参与者。数据进行编码后录入Epi Info 7,并导出到SPSS 20版软件进行分析。拟合多变量逻辑回归模型,并使用95%置信区间的调整比值比来确定关联强度。

. 报告事件的护士比例为25.4%。事件报告培训(调整比值比(AOR)[95%置信区间]2.96[1.34 - 6.26])、报告原因(为了帮助患者)(AOR[95%置信区间]3.08[1.70 - 5.59])、对行政处分的恐惧(AOR[95%置信区间]0.27[0.12 - 0.58])、对法律处罚的恐惧(AOR[95%置信区间]0.09[0.03 - 0.21])以及对在同事中失去声望的恐惧(AOR[95%置信区间]0.25[0.12 - 0.53])是与护士事件报告行为显著相关的因素。

. 报告事件的护士比例非常低。建立一个促进事件报告的系统至关重要。

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