Fekonja Zvonka, Kmetec Sergej, Mlinar Reljić Nataša, Černe Kolarič Jožica, Pajnkihar Majda, Strnad Matej
Faculty of Health Sciences, University of Maribor, 2000 Maribor, Slovenia.
Faculty of Medicine, University of Maribor, 2000 Maribor, Slovenia.
Healthcare (Basel). 2023 Dec 12;11(24):3155. doi: 10.3390/healthcare11243155.
The patient safety culture is key to ensuring patient safety in healthcare organizations. The triage environment is inherently demanding for patient safety and is characterized by high stress, rapid decision-making, and quick action. In several countries, including Slovenia, there is a lack of studies on the patient safety culture among triage nurses. This study aimed to assess the perceptions of the patient safety culture among triage nurses. A cross-sectional survey design was used. The Emergency Medical Services-Safety Attitudes Questionnaire, distributed to triage nurses, was used to collect data. A total of 201 triage nurses participated in this study. The results revealed that the overall average perception of the patient safety culture was 57.27% ( = 57.27), indicating that the perception of the patient safety culture among triage nurses in the emergency department was non-positive and requires improvement. "Job Satisfaction" received the highest score (63.18%; = 17.19), while "Working Conditions" received the lowest (49.91%; = 17.37). The perception of positive and negative safety culture responses was statistically significant for age ( (3) = 17.750, ≤ 0.001), education ( (2) = 6.957, = 0.031) and length of working experience ( (3) = 8.875, = 0.031). The findings emphasize the significance of improving the safety culture in relation to several areas of patient care during the triage process. This research serves as a crucial foundation for enhancing patient safety in triage, providing quality care, and reducing adverse events.
患者安全文化是确保医疗机构中患者安全的关键。分诊环境对患者安全的要求很高，其特点是压力大、决策迅速和行动快捷。在包括斯洛文尼亚在内的几个国家，缺乏关于分诊护士患者安全文化的研究。本研究旨在评估分诊护士对患者安全文化的认知。采用横断面调查设计。向分诊护士发放的《紧急医疗服务-安全态度问卷》用于收集数据。共有201名分诊护士参与了本研究。结果显示，患者安全文化的总体平均认知度为57.27%（=57.27），这表明急诊科分诊护士对患者安全文化的认知并不积极，需要改进。“工作满意度”得分最高（63.18%；=17.19），而“工作条件”得分最低（49.91%；=17.37）。年龄（（3）=17.750，≤0.001）、教育程度（（2）=6.957，=0.031）和工作年限（（3）=8.875，=0.031）对积极和消极安全文化反应的认知在统计学上具有显著意义。研究结果强调了在分诊过程中改善与患者护理多个领域相关的安全文化的重要性。本研究为提高分诊中的患者安全、提供优质护理和减少不良事件奠定了关键基础。
