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专业水平对护士医疗差错倾向的影响

Effect of Professionalism Level on Tendency to Make Medical Errors in Nurses.

作者信息

İşci Necmettin, Altuntaş Serap

机构信息

Department of Nursing, Cumhuriyet University Faculty of Health Sciences, Sivas, Turkey.

Department of Nursing, Bandırma Onyedi Eylül University Faculty of Health Sciences, Balıkesir, Turkey.

出版信息

Florence Nightingale Hemsire Derg. 2019 Oct 1;27(3):241-252. doi: 10.26650/FNJN397503. eCollection 2019 Oct.

Abstract

AIM

The aim of the present study was to examine the relationship between the occupational professionalism level of hospital nurses and their tendency to make medical errors. This was a descriptive, correlational, and cross-sectional study.

METHOD

The study was conducted between June 2013 and January 2015 in four hospitals providing general diagnosis, treatment, and care services. Four hundred fifty-nine nurses were included in the study. A questionnaire including a Personal Information Form, Professional Manner in Occupation Inventory, and Tendency to Medical Error in Nursing Scale was used to collect data. The study was approved by the hospitals' ethics committees and institutions. Data were analyzed using Cronbach's alpha analysis, frequency and percentage distributions, descriptive statistics, Pearson product-moment correlation coefficient, Dunnett T3 Post Hoc test, simple linear regression analysis, and t-test.

RESULTS

Nurses' occupational professionalism levels were high (M=137.06±15.23), and tendency to medical error levels were low (M=223.24±25.28). The majority of the nurses considered themselves quite professional and had not made any medical errors previously. There was a strong and highly significant negative relationship (p<0.001) between their occupational professionalism and their tendency to medical error. There was a difference between the occupational professionalism levels of nurses who made and did not make an occupational error (p<0.05), as well as significant differences between their tendency to medical error according to their perception of themselves as professionals (p<0.05). The occupational professionalism manner of the nurses was determined to be 30% effective in their tendency to medical error.

CONCLUSION

The occupational professionalism manner of the nurses was found to negatively affect their tendency to medical error.

摘要

目的

本研究旨在探讨医院护士的职业专业水平与其医疗差错倾向之间的关系。这是一项描述性、相关性横断面研究。

方法

该研究于2013年6月至2015年1月在四家提供综合诊断、治疗和护理服务的医院进行。459名护士纳入研究。使用一份包括个人信息表、职业专业方式量表和护理中医疗差错倾向量表的问卷收集数据。该研究获得了医院伦理委员会和机构的批准。数据采用克朗巴哈系数分析、频率和百分比分布、描述性统计、皮尔逊积差相关系数、邓尼特T3事后检验、简单线性回归分析和t检验进行分析。

结果

护士的职业专业水平较高(M=137.06±15.23),医疗差错倾向水平较低(M=223.24±25.28)。大多数护士认为自己非常专业,且之前未发生过任何医疗差错。他们的职业专业水平与医疗差错倾向之间存在强烈且高度显著的负相关关系(p<0.001)。发生职业差错和未发生职业差错的护士在职业专业水平上存在差异(p<0.05),根据他们对自身专业性的认知,其医疗差错倾向也存在显著差异(p<0.05)。护士的职业专业方式被确定对其医疗差错倾向有30%的影响。

结论

发现护士的职业专业方式对其医疗差错倾向有负面影响。

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