道德敏感性与患者安全态度对护理学生对患者安全事件披露看法的关系：一项横断面研究。
The relationship of moral sensitivity and patient safety attitudes with nursing students' perceptions of disclosure of patient safety incidents: A cross-sectional study.
机构信息
Department of Nursing, Hoseo University, Asan, Chungcheongnamdo, Republic of Korea.
College of Nursing, Kyungpook National University, Daegu, Republic of Korea.
出版信息
PLoS One. 2020 Jan 10;15(1):e0227585. doi: 10.1371/journal.pone.0227585. eCollection 2020.
Disclosure of patient safety incidents is a healthcare management strategy that primarily involves responding after incidents. We investigated the association between nursing students' moral sensitivity, attitudes about patient safety, and perceptions of open disclosure of patient safety incidents in Korea. Data were collected from 407 nursing students at four nursing universities using self-reported moral sensitivity, attitudes about patient safety, and perceptions about open disclosure of patient safety incidents as measures. The data were analyzed using t-test, one-way analysis of variance, and a multiple regression. As moral sensitivity and attitudes about patient safety improved, nursing students' perceptions regarding the open disclosure of patient safety incidents improved significantly. After controlling for gender, grade, and major satisfaction, the effect of changing attitudes about patient safety was greater than that of moral sensitivity for all perceptions of open disclosure. An education and intervention program is needed to improve nursing students' attitudes about patient safety and promote the open disclosure of patient safety incidents during undergraduate training.
披露患者安全事件是一种医疗保健管理策略，主要涉及事件发生后的应对措施。本研究旨在探讨韩国护理专业学生的道德敏感性、对患者安全的态度以及对患者安全事件公开披露的看法之间的关系。在韩国的四所护理大学中，我们采用自我报告的道德敏感性、对患者安全的态度和对患者安全事件公开披露的看法来收集 407 名护理专业学生的数据。采用 t 检验、单因素方差分析和多元回归对数据进行分析。结果显示，随着道德敏感性和对患者安全的态度的提高，护理专业学生对患者安全事件公开披露的看法也显著提高。在控制性别、年级和专业满意度后，对患者安全态度的改变对所有公开披露看法的影响均大于道德敏感性。因此，需要开展教育和干预计划，以提高护理专业学生对患者安全的态度，并在本科培训期间促进患者安全事件的公开披露。
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