Office of Quality Improvement, Chosun University Hospital, Gwangju, South Korea.
Department of Nursing, College of Medicine, Chosun University, Gwangju, South Korea.
PLoS One. 2021 Feb 12;16(2):e0246928. doi: 10.1371/journal.pone.0246928. eCollection 2021.
This study investigated the influence of patient-centeredness on patient safety perception among inpatients, with particular focus on the relationships between subfactors of patient-centeredness and patient safety perception.
Data were collected from 122 inpatients in a university hospital from September 24 to October 8, 2019. Patient-centeredness was evaluated using the Patient-Centeredness Assessment Scale; patient safety perception was evaluated using the Korean version of the Patient Safety Perception Scale. Multiple linear regression analysis was conducted using SPSS for Windows 24.0.
Average patient-centeredness score among inpatients was 77.14 ± 12.64 (range 0-100), and average patient safety perception score was 99.24 ± 15.90 (range 24-120). Patient-centeredness influenced patient safety perception (R2 = 70%, F = 27.75, p < .001). With respect to subfactors of patient safety perception, the medical team's activities to ensure safety was affected by the general treatment process and overall evaluation of patient-centeredness (R2 = 54%, F = 13.14, p < .001); patient safety practice was influenced only by the general treatment process (R2 = 39%, F = 7.02, p < .001); and trust in the medical system was affected by nurses' service, the general treatment process, and the hospital environment (R2 = 44%, F = 8.49, p < .001).
To enhance patient safety perception, strategies should seek to strengthen patient-centeredness and its related subfactors, particularly the general treatment process, the hospital environment, and nurses' service.
本研究旨在探讨以患者为中心对住院患者患者安全感知的影响，重点关注以患者为中心的各个亚因素与患者安全感知之间的关系。
2019 年 9 月 24 日至 10 月 8 日，我们在一所大学附属医院收集了 122 名住院患者的数据。使用以患者为中心评估量表评估以患者为中心程度；使用韩国版患者安全感知量表评估患者安全感知。使用 SPSS for Windows 24.0 进行多元线性回归分析。
住院患者的平均以患者为中心程度评分为 77.14±12.64（范围 0-100），平均患者安全感知评分为 99.24±15.90（范围 24-120）。以患者为中心程度影响患者安全感知（R2=70%，F=27.75，p<.001）。就患者安全感知的亚因素而言，医疗团队确保安全的活动受到一般治疗过程和整体以患者为中心程度评估的影响（R2=54%，F=13.14，p<.001）；患者安全实践仅受一般治疗过程的影响（R2=39%，F=7.02，p<.001）；对医疗系统的信任受到护士服务、一般治疗过程和医院环境的影响（R2=44%，F=8.49，p<.001）。
为了增强患者安全感知，策略应寻求加强以患者为中心程度及其相关亚因素，特别是一般治疗过程、医院环境和护士服务。
