Nursing and Midwifery Research Centre, Nursing and Midwifery Directorate, Northern Sydney Local Health District, St Leonards, New South Wales, Australia.
Intensive Care Unit, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, New South Wales, Australia.
Nurs Health Sci. 2021 Mar;23(1):237-244. doi: 10.1111/nhs.12808. Epub 2021 Jan 19.
Nursing and midwifery are unarguably stressful endeavors requiring high levels of psychological capital and coping strategies. The impact of the work environment on patient safety outcomes suggests that high nurse/midwife stress may be associated with more adverse patient events. The purpose of this study was to explore the psychological capital of clinical nurses and midwives and identify explanatory factors (including psychological capital, well-being, and health-related behaviors) contributing to attitudes to patient safety. A descriptive web- and paper-based survey comprising a convenience sample of nurses and midwives in acute health facilities in Sydney, Australia, was performed (October 2018 and April 2019). Variables included psychological capital, psychological well-being, work culture, and attitudes to patient safety. Descriptive statistics were performed and a regression model was specified (a statistical significance of P < 0.05 was set a priori). Psychological capital, depression score, and work engagement had a significant effect on patient safety perceptions when controlling for other factors. The findings suggest that nurse and midwife well-being is an important consideration when striving to improve patient safety.
护理和助产工作无疑是压力很大的，需要高水平的心理资本和应对策略。工作环境对患者安全结果的影响表明，护士/助产士的压力过高可能与更多的不良患者事件有关。本研究的目的是探讨临床护士和助产士的心理资本，并确定解释因素（包括心理资本、幸福感和与健康相关的行为）对患者安全态度的影响。 2018 年 10 月至 2019 年 4 月，在澳大利亚悉尼的急性医疗机构中，对护士和助产士进行了一项描述性的网络和纸质调查（方便样本）。变量包括心理资本、心理幸福感、工作文化和对患者安全的态度。进行了描述性统计，并指定了回归模型（预先设定了统计意义 P < 0.05）。在控制其他因素的情况下，心理资本、抑郁评分和工作投入对患者安全感知有显著影响。研究结果表明，在努力提高患者安全水平时，护士和助产士的幸福感是一个重要的考虑因素。
