Kagawa University Hospital, Kagawa, Japan.
Graduate School of Health Sciences, Tokushima University, Tokushima, Japan.
J Nurs Manag. 2021 May;29(4):749-758. doi: 10.1111/jonm.13215. Epub 2020 Dec 7.
To clarify perceptions of nurses towards patient safety climate and quality of health care in Japan.
Nurses' perceptions of patient safety climate and quality of health care services are not well-known.
The survey was conducted at general hospitals with 200 beds or more using the Patient Safety Climate Scale and the Modified multiple-item scale for consumer perceptions of health care service quality.
Significant positive correlations were found among nurses' perception towards patient safety and health care service quality. The experience of nurses as members of the committee on patient safety and their employment position did not show any significant difference in the perception towards patient safety and health care services quality. Perceptions of health care service quality were lower among those with 6- to 10-year experience than with over 21 years.
In the perception of nurses and nurse managers' continuous improvement, perceptions towards patient safety were related to reliability, assurance, responsiveness and empathy in health care service quality.
Generalist nurses with 21 years or more experiences in multiple departments showed high perception towards health care service quality. Experienced nurses' perceptions of activities to improve patient safety and quality of health care services are important.
阐明日本护士对患者安全氛围和医疗保健质量的看法。
护士对患者安全氛围和医疗保健服务质量的看法尚不清楚。
在拥有 200 张或更多床位的综合医院中，使用患者安全氛围量表和医疗保健服务质量修正多项量表对护士进行调查。
护士对患者安全和医疗保健服务质量的看法呈显著正相关。作为患者安全委员会成员的经验和他们的就业职位在对患者安全和医疗保健服务质量的看法方面没有显示出任何显著差异。具有 6 至 10 年工作经验的护士比具有 21 年以上工作经验的护士对医疗保健服务质量的看法较低。
在护士和护士长的持续改进感知中，对患者安全的看法与医疗保健服务质量的可靠性、保证、响应性和同理心有关。
在多个部门拥有 21 年或以上经验的通科护士对医疗保健服务质量的看法较高。经验丰富的护士对改善患者安全和医疗保健服务质量的活动的看法很重要。
