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护士能力与医疗差错态度之间的关系:一项横断面调查。

The relationship between the competence of nurses and their attitudes in medical errors: a cross-sectional survey.

机构信息

Department of Obstetrics & Gynecological Nursing, Faculty of Nursing, Akdeniz University, Antalya, Turkey.

Department of History of Medicine and Ethics, Faculty of Medicine, Akdeniz University, Antalya, Turkey.

出版信息

J Nurs Manag. 2020 Jul;28(5):1144-1152. doi: 10.1111/jonm.13013. Epub 2020 Jun 25.

DOI:10.1111/jonm.13013
PMID:32248593
Abstract

AIM

The aim of this descriptive study is to determine the relationship between competencies and attitudes of nurses in medical errors.

BACKGROUND

The level of competence of nurses directly affects the patient's safety, health status, morbidity and mortality rates, and satisfaction with nursing care. Nurses are expected to demonstrate a high level of competence in fulfilling their duties and responsibilities and thus to minimize the incidence of medical errors.

METHODS

This study was carried out with nurses (n = 243) working in a university hospital in Turkey between May and July 2019. A personal information form, the Nurse Competence Scale and the Medical Errors Attitude Scale were used in the collection of data.

RESULTS

A relationship was found between the competence of nurses and their attitudes in medical errors. It appeared that the work role subscale had the highest mean score (48.76 ± 6.83) according to the Nurse Competence Scale subscales. The mean scores of the diagnostic functions and ensuring quality subscales of the scale were found to be low. While the mean scores of the Medical Errors Attitude Scale of the nurses were close to each other, the highest mean score was found in the subscale of approach to medical errors (3.94 ± 0.35).

CONCLUSION

The nurses had a modest level of competence and their attitudes towards medical errors were positive.

IMPLICATIONS FOR NURSING MANAGEMENT

It is necessary that the competence of nurses is increased. Increasing their competence will also increase their awareness on medical error attitudes.

摘要

目的

本描述性研究旨在确定护士在医疗错误中的能力和态度之间的关系。

背景

护士的能力水平直接影响患者的安全、健康状况、发病率和死亡率以及对护理服务的满意度。护士在履行职责时应表现出高度的能力,从而最大限度地减少医疗错误的发生。

方法

本研究于 2019 年 5 月至 7 月在土耳其的一家大学医院对(n=243)名护士进行。在数据收集过程中使用了个人信息表、护士能力量表和医疗错误态度量表。

结果

发现护士的能力与其在医疗错误中的态度之间存在关系。根据护士能力量表的子量表,发现护士的工作角色子量表的平均得分最高(48.76±6.83)。该量表的诊断功能和确保质量子量表的平均得分较低。虽然护士的医疗错误态度量表的平均得分相近,但在医疗错误方法子量表中的平均得分最高(3.94±0.35)。

结论

护士的能力水平适中,他们对医疗错误的态度是积极的。

对护理管理的意义

有必要提高护士的能力。提高他们的能力也会提高他们对医疗错误态度的认识。

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