Corporate HR, Midtsim, Central Denmark Region, Aarhus, Denmark
Corporate HR, Midtsim, Central Denmark Region, Aarhus, Denmark.
BMJ Open Qual. 2022 Mar;11(1). doi: 10.1136/bmjoq-2021-001658.
A growing body of evidence supports the existence of an association between patient safety culture (PSC) and patient outcomes. PSC refers to shared perceptions and attitudes towards norms, policies and procedures related to patient safety. Existing literature shows that PSC varies among health professionals depending on their specific profession and specialty. However, these studies did not investigate whether PSC can be improved. This study investigates whether length of education is associated with improvements in PCS following a simulation intervention.
From April 2017 to November 2018, a cross-sectional intervention study was conducted at two regional hospitals in Denmark. Two groups with altogether 1230 health professionals were invited to participate. One group included nurses, midwives and radiographers; the other group included doctors. A train-the-trainer intervention approach was applied consisting of a 4-day simulation instructor course that emphasised team training, communication and leadership. Fifty-three healthcare professionals were trained as instructors. After the course, instructors performed in situ simulation in their own hospital environment.
The Safety Attitude Questionnaire (SAQ), which has 6 dimensions and 32 items, was used to collect main outcome variables. All employees from both groups were surveyed before the intervention and again four and nine months after the intervention.
Mean baseline scores were higher among doctors than among nurses, midwives and radiographers for all SAQ dimensions. At the second follow-up, four of six dimensions improved significantly (p ≤ 0.05) among nurses, midwives and radiographers, whereas no dimensions improved significantly among doctors.
Over time, nurses, midwives and radiographers improved more in PSC attitudes than doctors did.
越来越多的证据支持患者安全文化（PSC）与患者结局之间存在关联。PSC 是指对与患者安全相关的规范、政策和程序的共同看法和态度。现有文献表明，PSC 因卫生专业人员的具体专业而异而有所不同。然而，这些研究并未调查 PSC 是否可以得到改善。本研究调查了教育年限是否与模拟干预后 PCS 的提高有关。
2017 年 4 月至 2018 年 11 月，在丹麦的两家地区医院进行了一项横断面干预研究。邀请了两个共 1230 名卫生专业人员的小组参加。一组包括护士、助产士和放射技师；另一组包括医生。采用培训师培训方法，包括为期 4 天的模拟指导员课程，重点是团队培训、沟通和领导力。53 名医疗保健专业人员接受了培训师培训。课程结束后，指导员在自己的医院环境中进行现场模拟。
使用包含 6 个维度和 32 个项目的安全态度问卷（SAQ）来收集主要结局变量。两组的所有员工均在干预前和干预后四个月和九个月进行了调查。
随着时间的推移，护士、助产士和放射技师在 PSC 态度方面的改善程度超过了医生。
