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影响护生上报用药错误意愿的因素:计划行为理论的应用

Factors affecting nursing students' intention to report medication errors: An application of the theory of planned behavior.

作者信息

Ben Natan Merav, Sharon Ira, Mahajna Marlen, Mahajna Sara

机构信息

Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel.

Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel.

出版信息

Nurse Educ Today. 2017 Nov;58:38-42. doi: 10.1016/j.nedt.2017.07.017. Epub 2017 Aug 15.

DOI:10.1016/j.nedt.2017.07.017
PMID:28829995
Abstract

BACKGROUND

Medication errors are common among nursing students. Nonetheless, these errors are often underreported.

OBJECTIVES

To examine factors related to nursing students' intention to report medication errors, using the Theory of Planned Behavior, and to examine whether the theory is useful in predicting students' intention to report errors.

DESIGN

This study has a descriptive cross-sectional design.

SETTINGS

Study population was recruited in a university and a large nursing school in central and northern Israel.

PARTICIPANTS

A convenience sample of 250 nursing students took part in the study.

METHODS

The students completed a self-report questionnaire, based on the Theory of Planned Behavior.

RESULTS

The findings indicate that students' intention to report medication errors was high. The Theory of Planned Behavior constructs explained 38% of variance in students' intention to report medication errors. The constructs of behavioral beliefs, subjective norms, and perceived behavioral control were found as affecting this intention, while the most significant factor was behavioral beliefs. The findings also reveal that students' fear of the reaction to disclosure of the error from superiors and colleagues may impede them from reporting the error.

CONCLUSIONS

Understanding factors related to reporting medication errors is crucial to designing interventions that foster error reporting.

摘要

背景

用药错误在护生中很常见。尽管如此,这些错误往往报告不足。

目的

运用计划行为理论探讨与护生报告用药错误意愿相关的因素,并检验该理论在预测学生报告错误意愿方面是否有用。

设计

本研究采用描述性横断面设计。

地点

研究对象来自以色列中部和北部的一所大学及一所大型护理学院。

参与者

250名护生的便利样本参与了本研究。

方法

学生们完成了一份基于计划行为理论的自填式问卷。

结果

研究结果表明,护生报告用药错误的意愿较高。计划行为理论的构成要素解释了护生报告用药错误意愿中38%的变异。行为信念、主观规范和感知行为控制等构成要素被发现会影响这一意愿,其中最重要的因素是行为信念。研究结果还表明,学生担心上级和同事对错误披露的反应可能会阻碍他们报告错误。

结论

了解与报告用药错误相关的因素对于设计促进错误报告的干预措施至关重要。

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