He Shan, Li Zheng-Liang, Wu Ying, Chen Xin, Chen Yi-Jun, Chen Wen-Feng, Chen Qian-Zhu, Xiong Fang-Fang
Department of Fundamental Nursing, School of Nursing Chongqing Medical University Chongqing China.
Department of Orthopedic Surgery The First Affiliated Hospital of Chongqing Medical University Chongqing China.
Health Sci Rep. 2024 Oct 8;7(10):e70104. doi: 10.1002/hsr2.70104. eCollection 2024 Oct.
Nurse interns may be at a similar or higher risk than registered nurses. The key elements and mechanisms involved in the effects of safety climate on safety performance are not well understood. This study explores the relationship between the perceived hospital safety climate and compliance with occupational safety practices among nurse interns.
A cross-sectional study was conducted among 178 nurse interns in three tertiary university hospitals in Chongqing city, China. The Chinese version of the Hospital Safety Climate Scale (HSCS) was used to measure the perceived hospital safety climate of nurse interns. Compliance behavior was measured using the Compliance with Occupational Safety Practice Scale (COSPS). Canonical correlation analysis and multiple linear regression modeling were used to examine their relationship.
Total scores for the HSCS and COSPS were 92 (80,100) and 185 (175,185) [ (25, 75)], respectively. Canonical correlation coefficients for canonical variates 1 and 2 were 0.636 ( < 0.001) and 0.414 ( < 0.001), respectively. Nurse interns' compliance with occupational safety practices was mainly influenced by management support, feedback/training, personal protective and engineering control equipment availability, and absence of job hindrance. Multiple linear regression showed that management support of HSCS accounted for 37.1% of the variance in compliance ( = 0.283, = 0.039).
Nurse interns reported high levels of perceived hospital safety climate and compliance with occupational safety practices. Younger nurse interns reported a lower level of perceived hospital safety climate. Nurse educators can improve interns' compliance by promoting better management support, feedback/training, personal protective and engineering control equipment availability, and fewer job hindrance.
实习护士可能面临与注册护士相似或更高的风险。安全氛围对安全绩效影响的关键要素和机制尚未被充分理解。本研究探讨了实习护士对医院安全氛围的感知与职业安全实践合规性之间的关系。
在中国重庆市的三所三级大学附属医院对178名实习护士进行了横断面研究。使用中文版医院安全氛围量表（HSCS）来测量实习护士对医院安全氛围的感知。使用职业安全实践合规性量表（COSPS）来测量合规行为。采用典型相关分析和多元线性回归模型来检验它们之间的关系。
HSCS和COSPS的总分分别为92（80,100）和185（175,185）[（25, 75）]。典型变量1和2的典型相关系数分别为0.636（<0.001）和0.414（<0.001）。实习护士的职业安全实践合规性主要受管理支持、反馈/培训、个人防护和工程控制设备的可用性以及工作阻碍的缺乏影响。多元线性回归显示，HSCS的管理支持占合规性方差的37.1%（=0.283，= 0.039）。
实习护士报告的医院安全氛围感知水平较高且职业安全实践合规性较好。年轻的实习护士报告的医院安全氛围感知水平较低。护理教育工作者可以通过促进更好的管理支持、反馈/培训、个人防护和工程控制设备的可用性以及减少工作阻碍来提高实习生的合规性。
