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约旦初级保健中心护士感知的患者安全文化:一项横断面研究。

Patient safety culture in Jordanian primary health-care centres as perceived by nurses: a cross-sectional study.

机构信息

Department of Community and Mental Health Nursing, Faculty of Nursing, Mutah University, Mutah, Jordan.

Department of Medical Support, Al-Balqa Applied University, Karak, Jordan.

出版信息

East Mediterr Health J. 2020 Oct 13;26(10):1242-1250. doi: 10.26719/emhj.20.044.

Abstract

BACKGROUND

Patient safety is a major concern, both in hospitals and primary care settings. The Jordan Medical Association has recommended that all health-care centres should try to improve patient safety through improving organizational culture, as it is in hospitals. In Jordan, a survey of patient safety culture has not yet been fully implemented in primary health-care centres.

AIMS

To determine attitudes of nurses regarding patient safety culture in primary health-care centres in Jordan.

METHODS

A cross-sectional descriptive study was conducted in 2017. Data were collected from 644 nurses working in all 91 accredited primary health-care centres in Jordan, based on the Safety Attitudes Questionnaire short form 36-item version.

RESULTS

The average positive response rate to the 6 domains of safety culture ranged from 58.54% to 75.63%. The highest average positive response rate was for job satisfaction and the lowest was for perceptions of management.

CONCLUSIONS

The areas that need improvement from nurses' perception are: teamwork climate, safety climate, stress recognition, and perception of management. Jordanian primary health-care nurses perceive their health centres as places that need more effort to improve safety culture.

摘要

背景

患者安全是医院和基层医疗机构的主要关注点。约旦医师协会建议所有医疗中心都应通过改善组织文化来努力提高患者安全性,就像在医院一样。在约旦,基层医疗中心的患者安全文化调查尚未全面实施。

目的

确定约旦基层医疗中心护士对患者安全文化的态度。

方法

2017 年进行了一项横断面描述性研究。根据安全态度问卷短表 36 项版本,从约旦 91 个认证的基层医疗中心的 644 名护士中收集数据。

结果

对安全文化 6 个领域的平均积极反应率从 58.54%到 75.63%不等。最高的平均积极反应率是对工作满意度的看法,最低的是对管理层的看法。

结论

从护士的角度来看,需要改进的领域是:团队合作氛围、安全氛围、压力识别和管理层看法。约旦基层医疗护士认为他们的医疗中心是需要更多努力来改善安全文化的地方。

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