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伊朗大不里士公立和私立医院急诊护士患者安全文化的比较研究。

A comparative study on patient safety culture among emergency nurses in the public and private hospitals of Tabriz, Iran.

作者信息

Chegini Zahra, Janati Ali, Afkhami Maryam, Behjat Maryam, Shariful Islam Sheikh Mohammed

机构信息

Iranian Center of Excellence in Health Management School of Management and Medical Informatics Tabriz University of Medical Sciences Tabriz Iran.

Social Determinants of Health Research Center Qazvin University of Medical Sciences Qazvin Iran.

出版信息

Nurs Open. 2020 Jan 28;7(3):768-775. doi: 10.1002/nop2.449. eCollection 2020 May.

Abstract

AIM

To appraise patient safety culture in emergency departments of Iranian public and private hospitals.

DESIGN

A comparative cross-sectional survey design was used.

METHODS

This cross-sectional study was conducted from January-March 2019. For data collection, the Hospital Patient Safety Culture (HSOPSC) questionnaire was employed. The study sample comprised 256 participants. Independent test and analysis of variance were performed to report the mean differences in total patient safety culture perception according to the participants' characteristics and according to hospital ownership.

RESULTS

There was no significant difference in overall perceptions of patient safety culture in public and private sectors (2.94 vs. 2.84,  > .05). There are no solid areas regarding patient safety found neither in public nor in private sectors. Out of 12 dimensions of patient safety culture, different perceptions of nurses working in public and private hospitals belonged to "Organizational learning" ( = 2.13,  = .034) and "Handoffs and transitions" ( = 2.91,  = .004). Regarding the participants' characteristics, no significant difference was observed as to the perspectives of nurses on patient safety culture. However, there was a meaningful difference in the attitudes of nurses working in public hospitals according to their employment status ( = 2.07,  = .039).

摘要

目的

评估伊朗公立和私立医院急诊科的患者安全文化。

设计

采用比较横断面调查设计。

方法

这项横断面研究于2019年1月至3月进行。为收集数据,使用了医院患者安全文化(HSOPSC)问卷。研究样本包括256名参与者。进行独立t检验和方差分析,以报告根据参与者特征和医院所有制划分的患者安全文化总体认知的平均差异。

结果

公共部门和私营部门对患者安全文化的总体认知没有显著差异(2.94对2.84,P>0.05)。在公共部门和私营部门均未发现关于患者安全的坚实领域。在患者安全文化的12个维度中,公立和私立医院护士的不同认知属于“组织学习”(t=2.13,P=0.034)和“交接班与转接”(t=2.91,P=0.004)。关于参与者的特征,护士对患者安全文化的看法没有显著差异。然而,公立医院护士根据其就业状况的态度存在显著差异(t=2.07,P=0.039)。

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