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重症监护背景下的患者安全文化:一项观察性研究。

Patient Safety Culture in the Context of Critical Care: An Observational Study.

作者信息

Oliveira Inês, Costeira Cristina, Pereira Sousa Joana, Santos Cátia

机构信息

Médio Tejo Local Health Unit, 2304-909 Tomar, Portugal.

School of Health Science Campus 2, Polytechnic of Leiria, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal.

出版信息

Nurs Rep. 2024 Jul 19;14(3):1792-1806. doi: 10.3390/nursrep14030133.

DOI:10.3390/nursrep14030133
PMID:39051369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11270189/
Abstract

BACKGROUND

A robust safety culture is essential for ensuring high-quality healthcare delivery. From a nursing perspective, especially among critical patients, it fosters ongoing improvement by highlighting areas that need attention.

AIMS

This study aimed to evaluate the perception of patient safety culture among nurses within the critical care environment.

METHODOLOGY

An observational study was conducted at a central hospital in Portugal employing the Hospital Survey on Patient Safety Culture (HSPSC) questionnaire.

RESULTS

The study encompassed 57, nurses predominantly female (73.7%), aged 25-64. Most participants were general nurses (77.2%), with a significant proportion (61.4%) working in the emergency department and possessing an average tenure of 13 years at the facility. The perception of critical patient safety culture (CPSC) was predominantly positive (40.6%), varying by department, with intensive care nurses reporting the highest positivity rates. Teamwork was identified as a strong point, receiving 80.7% positivity, highlighting it as a well-established domain in the CPSC, whereas other domains were recognised as requiring enhancements.

CONCLUSIONS

The study pinpointed both strengths and weaknesses within the CPSC, offering a foundation for developing targeted strategies to bolster patient safety culture in critical care settings.

摘要

背景

强大的安全文化对于确保高质量医疗服务至关重要。从护理角度来看,尤其是在重症患者中,它通过突出需要关注的领域来促进持续改进。

目的

本研究旨在评估重症监护环境中护士对患者安全文化的认知。

方法

在葡萄牙一家中心医院进行了一项观察性研究,采用患者安全文化医院调查(HSPSC)问卷。

结果

该研究涵盖57名护士,其中大多数为女性(73.7%),年龄在25 - 64岁之间。大多数参与者是普通护士(77.2%),很大一部分(61.4%)在急诊科工作,在该机构的平均工作年限为13年。对重症患者安全文化(CPSC)的认知主要是积极的(40.6%),因科室而异,重症监护护士报告的积极率最高。团队合作被视为一个优点,获得了80.7%的积极评价,突显其在CPSC中是一个确立良好的领域,而其他领域则被认为需要改进。

结论

该研究指出了CPSC中的优点和不足,为制定有针对性的策略以加强重症监护环境中的患者安全文化提供了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c88/11270189/6aad5e078e99/nursrep-14-00133-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c88/11270189/6aad5e078e99/nursrep-14-00133-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c88/11270189/6aad5e078e99/nursrep-14-00133-g001.jpg

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