Department of Nursing, East Carolina University, Greenville, North Carolina, USA.
J Nurs Manag. 2021 Nov;29(8):2423-2432. doi: 10.1111/jonm.13426. Epub 2021 Sep 8.
The purpose of this study is to describe the perceptions of relational quality of the registered nurse and nursing assistant and examine how their view of the manager's influence impacts overall patient safety culture of a unit.
The primary delivery of nursing care within acute care systems uses teams of registered nurses and nursing assistants.
A cross-sectional secondary analysis of data collected in the spring of 2018 using the Agency for Healthcare and Quality Hospital Survey of Patient Safety Culture and a seven-item questionnaire measuring relational quality was conducted. The sample included 1,152 responses.
The manager influenced overall perceptions of safety regardless of the relational quality between the registered nurse and nursing assistant.
This study found manager behaviours that promote patient safety and also influence overall perceptions of patient safety culture regardless of the relational quality between the registered nurse and nursing assistant.
Positive registered nurse and nursing assistant relational quality amplifies perceptions of patient safety culture, yet it is the manager's behaviours regarding safety that make the stronger contribution in building a culture of safety.
本研究旨在描述注册护士和护理助理对关系质量的看法，并探讨他们对管理者影响的看法如何影响单位的整体患者安全文化。
在急性护理系统中，护理的主要提供方式是使用注册护士和护理助理团队。
使用医疗保健和质量机构医院患者安全文化调查和一项测量关系质量的七项问卷，对 2018 年春季收集的数据进行了横断面二次分析。样本包括 1152 份回复。
无论注册护士和护理助理之间的关系质量如何，管理者的行为都会影响整体安全感知。
本研究发现，管理者的行为可以促进患者安全，并影响整体患者安全文化的感知，而无论注册护士和护理助理之间的关系质量如何。
积极的注册护士和护理助理的关系质量放大了对患者安全文化的感知，但管理者在建立安全文化方面的行为做出了更强的贡献。
