Department of Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
Department of Critical Care Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
BMC Health Serv Res. 2022 Apr 25;22(1):547. doi: 10.1186/s12913-022-07962-y.
This study aimed to assess predictors of patient safety competency among emergency nurses.
The role of emergency nurses is to provide high-quality health care to patients and ensure their safety. The patient safety competency includes the absence of unnecessary or potential harm when providing health care to patients. In providing health care, effective teamwork can affect patient safety and outcomes. Psychological safety is essential to effective teamwork. Psychological safety allows health care workers to accept the interpersonal risks needed to perform effective teamwork and maintain patient safety.
This study was cross-sectional correlational research. Using convenience sampling methods, 254 emergency department nurses from five educational hospitals were enrolled in the study. Patient Safety in Nursing Education Questionnaire was used to measure the patient safety competency, the teamwork questionnaire to examine the teamwork, and Edmondson psychological safety questionnaire was used to measure psychological safety. Descriptive statistics, t-test, one-way analysis of variance (ANOVA), Pearson's r correlation coefficient, and multivariate stepwise linear regression analysis were applied using SPSS 14.0.
Participants' mean patient safety competency score was 2.97 (1-4). Between 18 independent variables evaluated in the multiple regression analysis, seven had a significant effect on the patient safety competency of emergency nurses (R: 0.39, p < .001).
The patient safety competency of emergency department nurses was primarily related to the structure and leadership of the team and secondary to psychological safety and experience in patient safety activity. The results demonstrated that policymakers and hospital managers should improve and enhance team structure and leadership via supervision and cooperation with the nursing staff. The development of training programs in patient safety activities, improvement, and increase of psychological safety at the levels of the nursing units is essential to increase patient safety competencies in the emergency nursing program.
本研究旨在评估急诊护士患者安全能力的预测因素。
急诊护士的角色是为患者提供高质量的医疗保健并确保其安全。患者安全能力包括在为患者提供医疗保健时避免不必要或潜在的伤害。在提供医疗保健方面，有效的团队合作可以影响患者的安全和结果。心理安全对于有效的团队合作至关重要。心理安全使医疗保健工作者能够接受执行有效团队合作所需的人际风险，并保持患者的安全。
本研究是一项横断面相关性研究。采用便利抽样方法，从五所教育医院招募了 254 名急诊护士。使用护理人员患者安全教育问卷来衡量患者安全能力，使用团队合作问卷来评估团队合作，使用埃德蒙森心理安全问卷来衡量心理安全。采用 SPSS 14.0 进行描述性统计、t 检验、单因素方差分析（ANOVA）、皮尔逊 r 相关系数和多元逐步线性回归分析。
参与者的平均患者安全能力得分为 2.97（1-4）。在多元回归分析中评估的 18 个独立变量中，有七个对急诊护士的患者安全能力有显著影响（R：0.39，p<.001）。
急诊护士的患者安全能力主要与团队的结构和领导有关，其次与心理安全和患者安全活动经验有关。结果表明，政策制定者和医院管理者应通过监督和与护理人员合作来改善和加强团队结构和领导。在患者安全活动中发展培训计划，提高和增加护理单位的心理安全对于提高急诊护理计划中的患者安全能力至关重要。
