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约旦急诊护士对患者安全文化认知的调查结果:倦怠、工作满意度、离职意愿和工作量的影响

Results of survey on perception of patient safety culture among emergency nurses in Jordan: Influence of burnout, job satisfaction, turnover intention, and workload.

作者信息

Mansour H, Abu Sharour L

机构信息

Faculty of Nursing, AL-Zaytoonah University of Jordan, Jordan.

Faculty of Nursing, AL-Zaytoonah University of Jordan, Jordan.

出版信息

J Healthc Qual Res. 2021 Nov-Dec;36(6):370-377. doi: 10.1016/j.jhqr.2021.05.001. Epub 2021 Jun 27.

Abstract

BACKGROUND

Patient safety culture is an essential factor in the decreasing of medical errors and development of the institutions. This study was conducted to determine to what extent the selected variables, including age, weekly working hours, years of experience, burnout, turnover intention, workload, and job satisfaction, predict perceived patient safety culture among emergency nurses in Jordanian hospitals.

METHODS

A cross-sectional design with convenience sampling approach was used. A total of 157 emergency nurses from governmental and public hospitals were participated in the study and completed the study's survey: Hospital Survey on Patient Safety Culture (PSC), Copenhagen Burnout Inventory-Student Survey (CBI-SS), NASA Task Load Index (NASA-TLX), Nursing Workplace Satisfaction Questionnaire (NWSQ) and turnover intention scale (TIS).

RESULTS

The results showed that there was a negative relationship found between nurses' age and PSC perception (r=-.166, P=.039), personal burnout and PSC (r=-.160, P=.048), and there was also a negative relationship between turnover intentions and perceived PSC (r=-.334, P=.000). The results from the regression model indicated that turnover intentions, reporting patient safety events, and the number of events reported predicted PSC. The results showed that R=.29, adjusted R=.287, F(6,141)=9.45, P<0.01.

CONCLUSION

Our results suggests that nurses' managers may pay attention to decreasing burnout and analyze turnover intention among nurses in order to improve the culture of patient safety.

摘要

背景

患者安全文化是减少医疗差错和医疗机构发展的重要因素。本研究旨在确定所选变量,包括年龄、每周工作时长、工作经验年限、职业倦怠、离职意愿、工作量和工作满意度,在多大程度上能够预测约旦医院急诊护士对患者安全文化的认知。

方法

采用便利抽样法进行横断面设计。共有来自政府和公立医院的157名急诊护士参与了本研究,并完成了以下调查:患者安全文化医院调查问卷(PSC)、哥本哈根职业倦怠量表-学生版(CBI-SS)、美国国家航空航天局任务负荷指数(NASA-TLX)、护理工作场所满意度问卷(NWSQ)和离职意愿量表(TIS)。

结果

结果显示,护士年龄与对患者安全文化的认知之间存在负相关(r = -0.166,P = 0.039),个人职业倦怠与患者安全文化之间存在负相关(r = -0.160,P = 0.048),离职意愿与感知到的患者安全文化之间也存在负相关(r = -0.334,P = 0.000)。回归模型结果表明,离职意愿、报告患者安全事件以及报告的事件数量可预测患者安全文化。结果显示,R = 0.29,调整后R = 0.287,F(6,141) = 9.45,P < 0.01。

结论

我们的结果表明,护士管理者可能需要关注减少护士的职业倦怠并分析其离职意愿,以改善患者安全文化。

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