Boston College, Connell School of Nursing, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, USA.
Boston College, Connell School of Nursing, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, USA.
J Pediatr Nurs. 2023 Nov-Dec;73:130-136. doi: 10.1016/j.pedn.2023.09.001. Epub 2023 Sep 6.
The purpose of this study was to explore relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. Patient safety events are underreported and costly. To promote reporting, many healthcare organizations have adopted the high reliability framework with strategies to foster team psychological safety.
A web-based survey was distributed through the Society of Pediatric Nurses and the National Pediatric Nurse Scientist Collaborative. Data were collected from 244 pediatric nurses using a demographic form, Safety Organizing Scale, Team Psychological Safety Scale, and Intention to Report Safety Events Scale. Data were analyzed using logistic and linear regression.
Psychological safety and perception of working in a high reliability organization (HRO) showed positive statistically significant relationships with reporting intentions (p = 0.034). Odds of nurses achieving highest reporting intention scores increased by a factor of 0.3 with each practice year.
Psychological safety was found to be a predictor for intention to report safety events among pediatric nurses. Findings also demonstrated that nurses' perceptions of whether they worked in a high reliability setting also profoundly affect their attitude towards reporting.
Focusing organizational efforts on cultivating psychological safety and embedding the high reliability framework into professional practice may significantly affect attitudes towards safety event reporting.
本研究旨在探讨儿科护理中心理安全、高可靠性原则与安全报告意愿之间的关系。患者安全事件的报告不足且代价高昂。为了促进报告，许多医疗机构采用了高可靠性框架，并采取了一系列策略来培养团队心理安全。
通过儿科护士协会和国家儿科护士科学家合作组织，以网络为基础进行调查。使用人口统计表格、安全组织量表、团队心理安全量表和安全事件报告意愿量表，对 244 名儿科护士进行了数据收集。采用逻辑回归和线性回归进行数据分析。
心理安全和对高可靠性组织（HRO）工作的感知与报告意愿呈正相关（p=0.034）。报告意愿最高得分的护士每增加一年工作经验，其得分的可能性就会增加 0.3 倍。
研究发现，心理安全是儿科护士报告安全事件意愿的预测因素。研究结果还表明，护士对其是否在高可靠性环境中工作的看法也会深刻影响他们对报告的态度。
将组织工作重点放在培养心理安全和将高可靠性框架嵌入专业实践中，可能会对安全事件报告的态度产生重大影响。
