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急性医疗护理中的安全绩效:一项关于医疗保健专业人员观点的定性探索性研究。

Safety Performance in Acute Medical Care: A Qualitative, Explorative Study on the Perspectives of Healthcare Professionals.

作者信息

Heier Lina, Riouchi Donia, Hammerschmidt Judith, Gambashidze Nikoloz, Kocks Andreas, Ernstmann Nicole

机构信息

Institute for Patient Safety (IfPS), University Hospital Bonn, 53127 Bonn, Germany.

Center for Health Communication and Health Services Research (CHSR), Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany.

出版信息

Healthcare (Basel). 2021 Nov 12;9(11):1543. doi: 10.3390/healthcare9111543.

Abstract

Healthcare professionals need specific safety performance skills in order to maintain and improve patient safety. The purpose of this study is to get a deeper understanding of healthcare professionals' perspective in acute care on the topic of safety performance. This study was conducted using a qualitative approach. Healthcare professionals working in nursing were interviewed using semi-structured interviews. Using content analyzing, categories were identified which present aspects of safety performance; subcategories were developed deductively. A total of 23 healthcare professionals were interviewed, of which 15 were registered nurses, five were nursing students and three were pedagogical personnel. Nine (39.1%) were <30 years old, 17 (73.9%) were female, and 9 (39.1%) had a leadership function. Results highlight the importance of safety performance as a construct of occupational health rather than of patient safety, and the role of the organization, as well as the self-responsibility of healthcare professionals. Healthcare professionals should be more conscious of their role, have a deeper understanding of the interaction of individual, team, patient, organization and work environment factors.

摘要

医疗保健专业人员需要特定的安全绩效技能,以维持和提高患者安全。本研究的目的是更深入地了解医疗保健专业人员在急性护理中对安全绩效主题的看法。本研究采用定性方法进行。对从事护理工作的医疗保健专业人员进行了半结构化访谈。通过内容分析,确定了呈现安全绩效方面的类别;子类别是演绎得出的。总共采访了23名医疗保健专业人员,其中15名是注册护士,5名是护理学生,3名是教学人员。9名(39.1%)年龄小于30岁,17名(73.9%)为女性,9名(39.1%)担任领导职务。结果强调了安全绩效作为职业健康而非患者安全的一个构成要素的重要性,以及组织的作用和医疗保健专业人员的自我责任。医疗保健专业人员应该更加意识到自己的角色,更深入地理解个人、团队、患者、组织和工作环境因素之间的相互作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbfa/8621721/83e09fa6a935/healthcare-09-01543-g001.jpg

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