Medical and Surgical Department, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Medical and Surgical Nursing Department, Nursing and Midwifery Faculty, Tabriz University of Medical Science, Tabriz, Iran.
J Healthc Qual Res. 2022 May-Jun;37(3):138-146. doi: 10.1016/j.jhqr.2021.10.007. Epub 2021 Nov 29.
Positive attitude of nurses toward patient safety can play a major role in increasing the quality of nursing care and reducing missed nursing care. This study was conducted to determine the relationship between the Attitude of Nurses Toward Patient Safety and missed nursing care.
This study was conducted in 2021 at the hospitals of Tabriz University of Medical Sciences (Iran). In the present study, 351 nurses were included in the study by using a stratified random sampling method. Data collection tools were demographic questionnaire, missed nursing care questionnaire, and patient safety attitudes questionnaire. Missed Nursing Care Questionnaire includes 24 items, such as patient movement, rotation, evaluation, training, discharge planning, medication prescription, scored on a 4-point Likert scale ranging from score 1 (I miss rarely), score 2 (I miss occasionally), score 3 (I miss usually), and score 4 (I miss always). The highest score is 96 and the lowest score is 24 on this scale. A higher score indicates a higher possibility of missed care.
The mean total (standard deviation) of missed nursing care was 32.76 (7.13) (score range: 24-96) and the mean total score of nurses' patient safety attitudes was 53.19 (18.71) out of 100. Results of the present study showed that nurses' patient safety attitudes are at a moderate level and have a significant inverse relationship with the incidence of missed nursing care (P<0.001).
According to the results and given the relationship between patient safety attitudes and missed nursing care, it is essential to use individual and organizational interventions to increase patient safety attitudes in various dimensions in nurses and consequently to reduce missed nursing care and improve the quality of healthcare.
护士对患者安全的积极态度可以在提高护理质量和减少护理差错方面发挥重要作用。本研究旨在探讨护士对患者安全的态度与护理差错之间的关系。
本研究于 2021 年在伊朗大不里士医科大学附属医院进行。采用分层随机抽样方法，选取 351 名护士作为研究对象。数据收集工具包括人口统计学问卷、护理差错问卷和患者安全态度问卷。护理差错问卷包括 24 个项目，如患者移动、翻身、评估、培训、出院计划、药物处方等，采用 4 级 Likert 评分法，评分范围为 1（很少遗漏）、2（偶尔遗漏）、3（经常遗漏）和 4（总是遗漏），最高得分为 96 分，最低得分为 24 分。得分越高，表明护理差错的可能性越高。
护理差错的平均总分为 32.76（7.13）（得分范围：24-96），护士对患者安全态度的平均总分为 53.19（18.71）（满分 100 分）。研究结果表明，护士对患者安全的态度处于中等水平，与护理差错的发生率呈显著负相关（P<0.001）。
鉴于患者安全态度与护理差错之间的关系，有必要通过个体和组织干预措施，在护士中各个维度提高患者安全态度，从而减少护理差错，提高医疗保健质量。
