Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea.
Int J Environ Res Public Health. 2021 May 1;18(9):4853. doi: 10.3390/ijerph18094853.
Reporting medication errors is crucial for improving quality of care and patient safety in acute care settings. To date, little is known about how reporting varies between early and mid-career nurses. Thus, this study used a cross-sectional, secondary data analysis design to investigate the differences between early (under the age of 35) and mid-career (ages 35-54) female nurses by examining their perceptions of patient safety culture using the Korean Hospital Survey on Patient Safety Culture (HSPSC) and single-item self-report measure of medication error reporting. A total of 311 hospital nurses (260 early-career and 51 mid-career nurses) completed questionnaires on perceived patient safety culture and medication error reporting. Early-career nurses had lower levels of perception regarding patient safety culture ( = 0.034) compared to mid-career nurses. A multiple logistic regression analysis showed that relatively short clinical experience (<3 years) and a higher level of perceived patient safety culture increased the rate of appropriate medication error reporting among early-career nurses. However, there was no significant association between perception of patient safety culture and medication error reporting among mid-career nurses. Future studies should investigate the role of positive perception of patient safety culture on reporting errors considering multidimensional aspects, and include hospital contextual factors among early-, mid-, and late-career nurses.
报告用药错误对于提高急症护理环境的护理质量和患者安全至关重要。迄今为止，人们对早期和中期职业护士在报告方面的差异知之甚少。因此，本研究使用横断面、二次数据分析设计，通过使用韩国医院患者安全文化调查（HSPSC）和用药错误报告的单一自我报告措施来调查早期（<35 岁）和中期（35-54 岁）女性护士对患者安全文化的看法，来研究两者之间的差异。共有 311 名医院护士（260 名早期职业护士和 51 名中期职业护士）完成了关于感知患者安全文化和用药错误报告的问卷。与中期职业护士相比，早期职业护士对患者安全文化的认知水平较低（ = 0.034）。多因素逻辑回归分析显示，相对较短的临床经验（<3 年）和较高的患者安全文化认知度增加了早期职业护士适当报告用药错误的比例。然而，在中期职业护士中，患者安全文化认知与用药错误报告之间没有显著关联。未来的研究应考虑多维度方面，调查积极的患者安全文化认知对报告错误的作用，并包括早期、中期和晚期职业护士的医院背景因素。
