护士对不良事件的风险感知及其影响因素的横断面研究。
Nurses' Risk Perception of Adverse Events and Its Influencing Factors: A Cross-Sectional Study.
机构信息
Hubei University of Medicine, Shiyan, China.
Capital Medical University, Beijing, China.
出版信息
Inquiry. 2024 Jan-Dec;61:469580241263876. doi: 10.1177/00469580241263876.
To investigate clinical nurses' perception of adverse event risk and to analyze its influencing factors. A proportional stratified random sampling method was applied to recruit nurses from a hospital in Shiyan City, Hubei Province, China. The Nursing Adverse Event Risk Perception Scale, Organizational Support Questionnaire, Nurse Manager Leadership Behavior Questionnaire, Nursing Safety Behavior Questionnaire, and Burnout scale was used to investigate 1084 nurses. Univariate analysis, Pearson correlation analysis, and multiple linear regression analysis were used to analyze the influencing factors. The scores of the Nurses' Risk Perception of Adverse Nursing Event Scale, Organizational Support Questionnaire, Nurse Manager Leadership Behavior Questionnaire, Nursing Safety Behavior Questionnaire, and Burnout Scale were 14.98 ± 5.39, 52.57 ± 10.00, 88.98 ± 21.08, 56.42 ± 5.03, 30.90 ± 21.49, respectively. According to the correlation analysis, nurses' perception of adverse nursing events was positively correlated with the sense of organizational support (r = .457, < .01), head nurses' leadership behavior (r = .348, < .01), and nurse safety behavior (r = .457, < .01), and negatively correlated with the level of burnout (r = -.384, < .01). According to the Regression analysis, nurses' departments (β = .226, < .001), daily working hours (β = 1.122, < .001), adverse events experience (β = -1.505, < .001), organizational support (β = .105, < .001), head nurses' leadership behavior (β = .072, < .001), and burnout (β = -.052, < .001) held an influence on nurses' risk perception of adverse nursing event. These factors explained 42.5% of the total variation. Nurses' risk perception of adverse nursing events needs to be improved. Nursing managers need to strengthen organizational support for nurses, change the leadership behavior of nurse managers, reduce nurses' burnout, improve nurses' risk perception of adverse nursing events, prevent adverse events, and ensure patient safety.
目的
调查临床护士对不良事件风险的认知，并分析其影响因素。
方法
采用便利抽样法，选取湖北省十堰市某医院的护士作为研究对象，采用护理不良事件风险认知量表、组织支持感量表、护士长领导行为问卷、护理安全行为量表和工作倦怠量表对 1084 名护士进行调查。采用单因素分析、Pearson 相关分析和多元线性回归分析对影响因素进行分析。
结果
护士护理不良事件风险认知量表、组织支持感量表、护士长领导行为问卷、护理安全行为量表和工作倦怠量表的得分为（14.98±5.39）、（52.57±10.00）、（88.98±21.08）、（56.42±5.03）和（30.90±21.49）分。相关性分析结果显示，护士护理不良事件风险认知与组织支持感呈正相关（r=0.457，P<0.01），与护士长领导行为呈正相关（r=0.348，P<0.01），与护理安全行为呈正相关（r=0.457，P<0.01），与工作倦怠呈负相关（r=-0.384，P<0.01）。多元线性回归分析结果显示，科室（β=0.226，P<0.001）、每日工作时间（β=1.122，P<0.001）、不良事件经历（β=-1.505，P<0.001）、组织支持感（β=0.105，P<0.001）、护士长领导行为（β=0.072，P<0.001）和工作倦怠（β=-0.052，P<0.001）是护士护理不良事件风险认知的影响因素，共解释总变异的 42.5%。
结论
护士护理不良事件风险认知有待提高，护理管理者需加强对护士的组织支持，改变护士长领导行为，减轻护士工作倦怠，提高护士护理不良事件风险认知，预防不良事件发生，保障患者安全。
Zotero 插件