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护士的安全动机:探究护士报告用药错误意愿的预测因素。

Nurses' Safety Motivation: Examining Predictors of Nurses' Willingness to Report Medication Errors.

作者信息

Farag Amany, Lose Daniel, Gedney-Lose Amalia

机构信息

1 University of Iowa, Iowa City, IA, USA.

2 University of Iowa Hospitals & Clinics, Iowa City, IA, USA.

出版信息

West J Nurs Res. 2019 Jul;41(7):954-972. doi: 10.1177/0193945918815462. Epub 2018 Dec 5.

Abstract

Medication errors are common in health care settings. Safety motivation, such as willingness to report error, is needed to contain medication errors. Limited evidence exists about measures to enforce nurses' safety motivation. The purpose of this study was to test a proposed model explaining the mechanism by which organizational and social factors influence nurses' safety motivation. Survey for this cross-sectional study was mailed to a random sample of 500 acute care nurses. Data collection started in January 2014 and lasted 6 months. Path analysis results showed a good fitting final model with 15% of explained variance on nurses' safety motivation. Safety climate dimensions of error feedback (β = .38, ⩽ .00) and nonpunitive response to errors (β = .22, = .01) significantly predicted the outcome. There is a need for both organizational and social factors to motivate nurses to report errors. Leadership practices emphasizing safety as a priority is needed to enhance nurses' safety motivation.

摘要

用药错误在医疗环境中很常见。需要安全动机,比如报告错误的意愿,来控制用药错误。关于强化护士安全动机措施的证据有限。本研究的目的是检验一个提出的模型,该模型解释组织和社会因素影响护士安全动机的机制。这项横断面研究的调查问卷被邮寄给500名急症护理护士的随机样本。数据收集于2014年1月开始,持续了6个月。路径分析结果显示最终模型拟合良好,对护士安全动机的解释方差为15%。错误反馈(β = .38,P⩽.00)和对错误的非惩罚性反应(β = .22,P = .01)的安全氛围维度显著预测了结果。需要组织和社会因素共同激励护士报告错误。需要强调安全为首要任务的领导行为来增强护士的安全动机。

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