护士和公众对韩国患者安全事件披露的认知差距。
Perception Gaps of Disclosure of Patient Safety Incidents Between Nurses and the General Public in Korea.
机构信息
Red Cross College of Nursing, Chung-Ang University.
National Evidence-Based Healthcare Collaborating Agency, Seoul.
出版信息
J Patient Saf. 2021 Dec 1;17(8):e971-e975. doi: 10.1097/PTS.0000000000000781.
OBJECTIVES
This study aimed to explore nurses' perceptions regarding disclosure of patient safety incidents.
METHODS
An anonymous online survey was conducted, and results were compared with those of the general public using the same questionnaire in a previous study.
RESULTS
Among 689 nurses, 96.8% of nurses felt major errors should be disclosed to patients or their caregivers, but only 67.5% felt disclosure of medical errors should be mandatory. In addition, 58.5% of nurses were concerned that disclose will increase the incidence of medical lawsuits. More than two-thirds of nurses felt such discloses will reduce feelings of guilt associated with a patient safety incident. Only 51.1% of nurses, but 93.3% of the public, felt near misses should be disclosed to patients.
CONCLUSIONS
Nurses generally had a positive attitude toward disclosure of patient safety incidents, but they preferred it less than the general public. To reduce this gap, legal and nonlegal measures will need to be implemented. Furthermore, it is necessary to continue monitoring the gap by regularly assessing perceptions of disclosure of patient safety incidents among health care professionals and the general public.
目的
本研究旨在探讨护士对披露患者安全事件的看法。
方法
采用匿名在线调查的方式进行，将结果与之前使用相同问卷的普通公众进行比较。
结果
在 689 名护士中，96.8%的护士认为应向患者或其照顾者披露重大错误，但只有 67.5%的护士认为披露医疗差错应是强制性的。此外，58.5%的护士担心披露会增加医疗诉讼的发生率。超过三分之二的护士认为这种披露会减轻与患者安全事件相关的内疚感。只有 51.1%的护士，但 93.3%的公众认为应向患者披露接近失误。
结论
护士普遍对披露患者安全事件持积极态度，但不如普通公众强烈。为了缩小这一差距，需要采取法律和非法律措施。此外，有必要通过定期评估医疗保健专业人员和公众对披露患者安全事件的看法，继续监测这一差距。
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