Nursing and Midwifery Planning & Development Unit, HSE West, Ballyshannon, Co. Donegal, Ireland.
School of Social Policy, Social Work and Social Justice, University College Dublin, Dublin, Ireland; Public Policy Research Centre, Hokkaido University, Sapporo, Japan. Electronic address: https://twitter.com/NaoKody.
Nurse Educ Today. 2019 May;76:125-130. doi: 10.1016/j.nedt.2019.01.025. Epub 2019 Feb 6.
Although patient safety and quality are cornerstones of healthcare practice, evidence is limited of the knowledge, skills and competence of practicing nurses and midwives in Ireland.
To investigate the perceptions of nurses and midwives regarding their continuing professional development-based preparedness for, and participation in quality and safety in the clinical setting.
A cross-sectional survey was undertaken across the Republic of Ireland in 2016 examining nurses and midwives' perceptions of their knowledge and skills in quality and safety methods and tools, their views of competence in this field using the domains from the Quality and Safety Education for Nurses (QSEN) framework (person-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics), and their participation in practice related to their access to quality and safety data.
12 Health Service Executive (HSE) Centers of Nursing and Midwifery Education (CNMEs) in Ireland PARTICIPANTS: Practicing nurses and midwives (n = 654) working in acute hospitals and community healthcare organizations who were undertaking continuing professional development (CPD) education at the time of data collection (March-April 2016).
Survey methodology. 1787 surveys were distributed. Data were analyzed by IBM Statistical Package for the Social Sciences.
A response rate of 37% (n = 654/1787) was achieved. While respondents were highly trained academically, many reported a lack of confidence in quality and safety methods and tools and QSEN competencies. Frontline staff nurses and midwives reported they were less prepared than their mid and senior level colleagues. Significant numbers indicated they were not engaged in quality and safety in practice.
This first nationwide study in Ireland has discovered that nurses and midwives perceive gaps in their preparedness to engage in quality improvement and patient safety in practice. To safeguard patient care, priority should be given to ensuring front-line staff are appropriately educated, have access to data, and time to competently participate in the continuous improvement of patient care.
尽管患者安全和质量是医疗保健实践的基石，但爱尔兰执业护士和助产士在这方面的知识、技能和能力的证据有限。
调查护士和助产士对其继续专业发展的准备情况以及在临床环境中参与质量和安全的看法。
2016 年，在爱尔兰共和国进行了一项横断面调查，调查护士和助产士对质量和安全方法和工具的知识和技能的看法，以及使用护士质量和安全教育（QSEN）框架（以患者为中心的护理、团队合作和协作、循证实践、质量改进、安全和信息学）领域的看法，以及他们在实践中参与与获取质量和安全数据相关的情况。
爱尔兰 12 个卫生服务执行局（HSE）护理和助产教育中心（CNMEs）
在急性医院和社区医疗保健组织工作的执业护士和助产士（n=654），他们在数据收集时（2016 年 3 月至 4 月）正在进行继续专业发展（CPD）教育。
调查方法。共发放了 1787 份调查。数据分析采用 IBM 社会科学统计软件包。
实现了 37%的回复率（n=654/1787）。虽然受访者在学术上受过高度培训，但许多人报告缺乏对质量和安全方法和工具以及 QSEN 能力的信心。一线护士和助产士报告说，他们的准备程度不如中级和高级同事。有相当数量的人表示他们没有参与实践中的质量和安全。
这是爱尔兰的第一项全国性研究，发现护士和助产士认为他们在实践中参与质量改进和患者安全方面的准备存在差距。为了保障患者护理，应优先确保一线工作人员接受适当的教育，有机会获得数据，并能够有时间胜任参与患者护理的持续改进。
