Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
Department of Psychiatric Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
J Nurs Manag. 2020 May;28(4):822-830. doi: 10.1111/jonm.13000. Epub 2020 Apr 6.
To assess nurses' perceptions of systems thinking, safe nursing care and the correlation between them.
Systems thinking and safe nursing care are the key elements of quality improvement approaches, such as accreditation and patient safety programmes. However, these two variables have not been well studied in different health care settings.
In this cross-sectional study, 300 nurses were selected using the stratified random sampling method. The data were collected using a demographic data form, systems thinking scale and assessment of safe nursing care questionnaire.
The scores of nurses' perceptions of systems thinking (63.25 ± 9.20) and safe nursing care (4.13 ± 0.60) were above average. A positive correlation was found between systems thinking and safe nursing care (r = .66, p < .001), and its dimensions: nursing skills (r = .61, p < .001), psychological needs (r = .56, p < .001), physical needs (r = .51, p < .001) and teamwork (r = .56, p < .001).
Regarding the correlation between systems thinking and safe nursing care, nurses and other medical professionals, especially novices, are recommended to strengthen their systems thinking skills to improve the safe nursing care.
Nurse managers should deal with organisational condition and factors affecting some poor aspects of systems thinking and safe nursing care. They must lead, support and allocate resources to the foundations of systems thinking to achieve safe nursing care.
评估护士对系统思维、安全护理的认知以及两者之间的相关性。
系统思维和安全护理是质量改进方法（如认证和患者安全计划）的关键要素。然而，这两个变量在不同的医疗保健环境中尚未得到充分研究。
在这项横断面研究中，采用分层随机抽样法选取了 300 名护士。使用人口统计学数据表格、系统思维量表和安全护理评估问卷收集数据。
护士对系统思维（63.25±9.20）和安全护理（4.13±0.60）的认知评分均高于平均水平。系统思维与安全护理之间存在正相关（r=.66，p<.001），且与护理技能（r=.61，p<.001）、心理需求（r=.56，p<.001）、生理需求（r=.51，p<.001）和团队合作（r=.56，p<.001）等维度均呈正相关。
鉴于系统思维与安全护理之间的相关性，建议护士和其他医疗专业人员（尤其是新手）加强系统思维技能，以提高安全护理水平。
护理管理人员应处理组织状况和影响系统思维和安全护理某些方面的因素。他们必须领导、支持并为系统思维的基础分配资源，以实现安全护理。
