儿科长期护理机构中患者安全文化的认知
Perception of Patient Safety Culture in Pediatric Long-Term Care Settings.
作者信息
Hessels Amanda J, Murray Meghan T, Cohen Bevin, Larson Elaine L
出版信息
J Healthc Qual. 2018 Nov/Dec;40(6):384-391. doi: 10.1097/JHQ.0000000000000134.
INTRODUCTION
Patient safety culture (PSC) is an emerging construct in adult long-term care settings. No measures are validated to quantify PSC in pediatric long-term care (pLTC) settings despite the importance of safety for this vulnerable population. The study purposes are to (1) describe PSC in pLTC, (2) assess the relationship of PSC to facility recommendation and overall safety rating, and (3) test the stability and reliability of the PSC survey over time.
METHODS
A modified Nursing Home PSC (NHSPSC) survey was administered to employees at three pLTC facilities over 3 years; data were summarized and compared over time.
RESULTS
In all, 208 surveys were completed. Staff perceptions on "feedback and communication about incidents" and "overall perceptions of resident safety" were most positive and associated with responses of recommending the facility and high overall ratings for child safety (p < .05).
CONCLUSIONS
The modified NHSPSC survey was reliable by Cronbach alpha and findings were consistent over time in these pLTC settings. This tool may be a useful adjunct to safety initiatives in pLTC. Knowledge derived from this survey can provide actionable information for consumers, pLTC employees, managers, and administrators.
引言
患者安全文化（PSC）是成人长期护理环境中一个新兴的概念。尽管安全对于这一弱势群体至关重要，但在儿科长期护理（pLTC）环境中，尚无经过验证的措施来量化PSC。本研究的目的是：（1）描述pLTC中的PSC；（2）评估PSC与机构推荐及总体安全评级之间的关系；（3）测试PSC调查随时间推移的稳定性和可靠性。
方法
在3年时间里，对三家pLTC机构的员工进行了改良版的养老院患者安全文化（NHSPSC）调查；对数据进行了汇总并随时间进行比较。
结果
总共完成了208份调查。员工对“事件反馈与沟通”和“对居民安全的总体认知”的看法最为积极，且与推荐该机构的回应以及儿童安全的高总体评级相关（p < 0.05）。
结论
改良后的NHSPSC调查通过克朗巴哈系数显示是可靠的，并且在这些pLTC环境中，调查结果随时间保持一致。该工具可能是pLTC安全举措的有用辅助手段。从这项调查中获得的知识可为消费者、pLTC员工、管理人员和行政人员提供可采取行动的信息。
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