Gqaleni T M H, Mkhize S W
School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
South Afr J Crit Care. 2023 Apr 12;39(1). doi: 10.7196/SAJCC.2023.v39i1.559. eCollection 2023.
Despite the implementation of intervention strategies, incidents in specialised care units remain high and are of serious concern, worldwide.
To assess the healthcare professionals' perception of knowledge and implementation of patient safety incident (PSI) reporting and learning guidelines in specialised care units of three selected public hospitals in KwaZulu-Natal, South Africa.
The study used a descriptive, cross-sectional survey design. A purposive sample targeted 237 healthcare professionals. An online structured questionnaire collected the data. Descriptive and inferential statistics were used to analyse data.
A total of 181 questionnaires were returned, yielding a response rate of 76%. Notably, 83% of respondents had high-perceived knowledge of the PSI reporting and learning guidelines, while 98% had low perceptions of their implementation. The current unit (p=0.002) and shift of the day (p=0.008) were factors associated with the perception of good knowledge of PSI reporting and learning guidelines, as indicated by a -value ≤0.05. The respondents' age (p=0.05), current unit (p=0.015), and shift of the day (p=0.000) were significantly associated with the perception of poor implementation of the PSI reporting and learning guidelines.
The respondents demonstrated a good perception of knowledge of PSI reporting and learning guidelines; however, the perception of the implementation was poor. Therefore, a revised implementation strategy coupled with periodical in-service training for healthcare professionals is recommended, to foster and facilitate effective adherence to PSI reporting and learning guidelines.
This study highlights the healthcare professionals' perception of knowledge and implementation of the Patient Safety Incident reporting and learning guidelines in specialised care units in South Africa. The results identified weaknesses in the implementation of the guidelines; hence the necessity for the development of effective strategies to improve patient safety.
尽管实施了干预策略，但在全球范围内，专科护理病房的事故发生率仍然很高，令人严重关切。
评估南非夸祖鲁-纳塔尔省三家选定公立医院的专科护理病房中医护人员对患者安全事件（PSI）报告及学习指南的知识认知和实施情况。
本研究采用描述性横断面调查设计。采用立意抽样法，目标人群为237名医护人员。通过在线结构化问卷收集数据。使用描述性和推断性统计方法分析数据。
共回收181份问卷，回复率为76%。值得注意的是，83%的受访者对PSI报告及学习指南有较高的知识认知，而98%的受访者对其实施情况的认知较低。当前所在科室（p=0.002）和当日班次（p=0.008）是与对PSI报告及学习指南有良好知识认知相关的因素，p值≤0.05表明了这一点。受访者的年龄（p=0.05）、当前所在科室（p=0.015）和当日班次（p=0.000）与对PSI报告及学习指南实施情况不佳的认知显著相关。
受访者对PSI报告及学习指南的知识认知良好；然而，对实施情况的认知较差。因此，建议修订实施策略，并为医护人员定期开展在职培训，以促进和推动对PSI报告及学习指南的有效遵守。
本研究突出了南非专科护理病房中医护人员对患者安全事件报告及学习指南的知识认知和实施情况。结果确定了指南实施中的薄弱环节；因此有必要制定有效的策略来提高患者安全。
