巴勒斯坦的患者安全文化：大学医院护士的观点。
Patient safety culture in Palestine: university hospital nurses' perspectives.
作者信息
Zabin Loai M, Zaitoun Rasha S Abu, Abdullah Abdullah A
机构信息
Department of Nursing, An-Najah National University Hospital, Nablus, 44839, Palestine.
Quality and Patient Safety Department, An-Najah National University Hospital, Nablus, 44839, Palestine.
出版信息
BMC Nurs. 2022 Jul 28;21(1):204. doi: 10.1186/s12912-022-00987-y.
BACKGROUND
Understanding the perspectives of healthcare workers toward patient safety-related activities is critical in maintaining a healthy safety climate. The objectives of this research are 1) to examine the perception of Patient Safety Culture (PSC) at a university hospital in Palestine, and to highlight areas in need of improvement, and 2) to assess the relationship between the outcome dimensions (frequency of events reported, and overall perceptions of safety) and the other dimensions of PSC, and 3) to determine the relationship among selected demographic variables (gender, age, hospital tenure, work tenure, profession tenure, and hours worked per week) and nurses' perceptions of PSC.
METHODS
A cross-sectional study design was used with a convenience sample of 107 nurses. Nurses were asked by email to complete the Arabic version of the Hospital Survey of Patients' Safety Culture (HSOPSC) using the SurveyMonkey® online account form within two weeks. The survey data were analyzed using descriptive and inferential statistics. Univariate and multiple regression were used to examine the relationships.
RESULTS
The dimensions of patient safety with the highest positive response were organizational learning and continuous improvement (87%) and teamwork within units (86%). The dimension with the lowest positive score was the nonpunitive response to error (22%). Multiple regression revealed that the dimension of communication openness was a predictor of the overall perceptions of safety (β = 0.257, p = 0.019). In addition, the dimension of feedback and communication about error was a predictor of the frequency of the reported events (β = 0.334, p = 0.005). Furthermore, age was found to be a predictor of PSC (p < 0.05).
CONCLUSIONS
This study provides a general assessment of perceived safety among nurses in a hospital. However, we found that nurses negatively perceive a nonpunitive response to error. Therefore, strenuous efforts are required by hospital management to improve the culture of incident reporting.
背景
了解医护人员对患者安全相关活动的看法对于维持健康的安全氛围至关重要。本研究的目的是：1）调查巴勒斯坦一家大学医院对患者安全文化（PSC）的认知情况，并突出需要改进的领域；2）评估PSC结果维度（报告事件的频率和对安全的总体认知）与PSC其他维度之间的关系；3）确定选定的人口统计学变量（性别、年龄、医院工作年限、工作总年限、专业工作年限和每周工作时长）与护士对PSC的认知之间的关系。
方法
采用横断面研究设计，选取107名护士作为便利样本。通过电子邮件要求护士在两周内使用SurveyMonkey®在线账户表格完成《医院患者安全文化调查》（HSOPSC）的阿拉伯语版本。使用描述性和推断性统计方法分析调查数据。采用单变量和多元回归分析来研究这些关系。
结果
得到最高积极回应率的患者安全维度是组织学习与持续改进（87%）和科室内部团队合作（86%）。得到最低积极分数的维度是对差错的无惩罚回应（22%）。多元回归分析显示，沟通开放性维度是安全总体认知的一个预测因素（β = 0.257，p = 0.019）。此外，差错反馈与沟通维度是报告事件频率的一个预测因素（β = 0.334，p = 0.005）。此外，年龄被发现是PSC的一个预测因素（p < 0.05）。
结论
本研究对一家医院护士的安全认知情况进行了总体评估。然而，我们发现护士对差错的无惩罚回应持负面看法。因此，医院管理层需要付出巨大努力来改善事件报告文化。
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