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2022 - 2023年对基于SBAR和FMEA技术的患者安全培训项目对伊朗设拉子医院自我效能水平和患者安全文化遵守情况的影响的调查。

A survey on the effects of patient safety training programs based on SBAR and FMEA techniques on the level of self-efficacy and observance of patient safety culture in Iran hospital, Shiraz in 2022-2023.

作者信息

Abrishami Ramin, Golestani Kambiz, Farhang Ranjbar Mehri, Ghasemie Abarghouie Mohammad Hassan, Ghadami Ahmad

机构信息

Research Center for Trauma in Police Operations, Directorate of Health, Rescue and Treatment, Police Headquarter, Tehran, Iran.

Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.

出版信息

J Educ Health Promot. 2024 Feb 26;13:66. doi: 10.4103/jehp.jehp_194_23. eCollection 2024.

Abstract

BACKGROUND AND OBJECTIVE

Patient safety and medical personnel self-efficacy are among the main factors involved in providing quality health services. Moreover, safety culture in an organization is considered one of the most critical factors regarding patients' safety. Therefore, the present study aimed to determine the effects of patient safety programs based on Situation, Background, Assessment, Recommendation (SBAR) and Failure Model Effects Analysis (FMEA) techniques on self-efficacy and patient safety culture in Iran Hospital of Shiraz in 2022-2023.

MATERIALS AND METHODS

This two-stage quasi-experimental study was conducted in 2022-2033. Considering inclusion criteria, the present study included 80 nurses working in Iran Hospital. The participants were divided into groups of SBAR (40 participants) and FMEA (40 participants). All the data were collected using a Hospital Survey on Patient Safety Culture questionnaire and Sherer General Self-Efficacy Scale. Then, the collected data were analyzed using SPSS 13, Fisher's exact test, paired -test, and independent -test with a significant level of < 0.05.

RESULTS

The mean score of total patient safety culture between the two groups was insignificant before the intervention ( = 0.58). However, it was more significant in the FMEA group than the SBAR group after the intervention ( < 0/05). In addition, the mean self-efficacy score between the two groups was insignificant before the intervention ( = 0.80). However, after the intervention, the mean score of the FMEA group was significantly higher than the SBAR group ( < 0.05).

CONCLUSION

According to the findings of this study, there is a meaningful relationship between patient safety training programs based on SBAR and FMEA techniques on patient safety and self-efficacy of nurses; however, FMEA training has more positive effects on self-efficacy and patient safety compared to other techniques. As a result, these techniques, along with other plans, are recommended to authorities in order to help improve patient safety.

摘要

背景与目的

患者安全和医务人员自我效能是提供优质医疗服务的主要因素。此外,组织中的安全文化被认为是关乎患者安全的最关键因素之一。因此,本研究旨在确定基于情境、背景、评估、建议(SBAR)和失效模式影响分析(FMEA)技术的患者安全计划对2022 - 2023年设拉子伊朗医院自我效能和患者安全文化的影响。

材料与方法

本两阶段准实验研究于2022 - 2023年进行。根据纳入标准,本研究纳入了80名在伊朗医院工作的护士。参与者被分为SBAR组(40名参与者)和FMEA组(40名参与者)。所有数据均使用患者安全文化医院调查问卷和谢勒一般自我效能量表收集。然后,使用SPSS 13对收集的数据进行分析,采用费舍尔精确检验、配对t检验和独立t检验,显著性水平<0.05。

结果

两组患者安全文化总分干预前差异无统计学意义(P = 0.58)。然而,干预后FMEA组比SBAR组更显著(P<0.05)。此外,两组自我效能平均分干预前差异无统计学意义(P = 0.80)。然而,干预后,FMEA组平均分显著高于SBAR组(P<0.05)。

结论

根据本研究结果,基于SBAR和FMEA技术的患者安全培训计划与护士的患者安全和自我效能之间存在有意义的关系;然而,与其他技术相比,FMEA培训对自我效能和患者安全有更积极的影响。因此,建议当局采用这些技术以及其他计划,以帮助提高患者安全。

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