Asmoro Candra Panji, Hariyati Rr Tutik Sri, Ayuningtyas Dumilah, Umar Jahja, Tartila Dwi Yanti Rachmasari
Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.
Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Emerg Nurse. 2022 Jun 28. doi: 10.7748/en.2022.e2129.
One of the reasons why patient safety may be put at risk during healthcare interventions is a lack of staff adherence to patient safety guidelines. There could be a relationship between staff's adherence to patient safety guidelines and their perceived level of reward for their work and/or motivation.
To examine the relationship between reward and adherence to patient safety guidelines, and between motivation and adherence to patient safety guidelines, among nurses working in emergency departments (EDs) in Indonesia.
This was a cross-sectional study of 101 nurses working in the EDs of four hospitals in Indonesia. Self-reported questionnaires were used to collect data on the level of reward participants felt they received for their work, the level of participants' motivation for their work, and participants' adherence to patient safety guidelines. Spearman's rank correlation testing was used to determine the relationships between variables.
There was a statistically significant negative relationship between reward and adherence (P=0.019, r=-0.233), which meant that those who perceived their reward as low were more likely to adhere to patient safety guidelines than those who felt they were highly rewarded. There was a statistically significant positive relationship between motivation and adherence to patient safety guidelines (P=0.017, r=0.236), which meant that the higher the motivation, the higher participants' level of adherence to patient safety guidelines.
Ensuring ED nurses are motivated for their work by offering rewards - such as a decent salary, a supportive workplace environment and career progression opportunities - is important to enhance their adherence to patient safety guidelines.
在医疗保健干预过程中，患者安全可能面临风险的原因之一是工作人员缺乏对患者安全指南的遵守。工作人员对患者安全指南的遵守与其对工作的感知奖励水平和/或动机之间可能存在关联。
研究印度尼西亚急诊科护士中奖励与对患者安全指南的遵守之间的关系，以及动机与对患者安全指南的遵守之间的关系。
这是一项对印度尼西亚四家医院急诊科的101名护士进行的横断面研究。采用自填式问卷收集有关参与者对工作所获奖励水平、参与者工作动机水平以及参与者对患者安全指南遵守情况的数据。使用Spearman等级相关检验来确定变量之间的关系。
奖励与遵守之间存在统计学上显著的负相关关系（P = 0.019，r = -0.233），这意味着那些认为自己奖励低的人比那些觉得自己获得高奖励的人更有可能遵守患者安全指南。动机与对患者安全指南的遵守之间存在统计学上显著的正相关关系（P = 0.017，r = 0.236），这意味着动机越高，参与者对患者安全指南的遵守水平越高。
通过提供奖励——如体面的薪资、支持性的工作环境和职业发展机会——来确保急诊科护士对工作有积极性，对于提高他们对患者安全指南的遵守程度很重要。
