护士的权谋主义和道义公正人格对医疗差错倾向及其他因素的影响：一项横断面研究
The effect of nurses' Machiavellian and deontic justice personality on the tendency to make medical errors and other factors: a cross-sectional study.
作者信息
Çelik Neşe
机构信息
Faculty of Health Sciences, Eskisehir Osmangazi University, Eskisehir, Türkiye.
出版信息
BMC Nurs. 2024 Nov 6;23(1):807. doi: 10.1186/s12912-024-02476-w.
OBJECTIVE
This study was conducted to investigate the effect of nurses' Machiavellian and deontic justice personality on the tendency to make medical errors. Additionally, conducted to investigate the other factors associated with nurses' tendency to make medical errors.
METHODS
This cross-sectional study consisted of 345 nurses working in a state university medical faculty health application and research hospital, and data were collected using the Medical Error Tendency in Nursing Scale, the Machiavellian Personality Scale, and the Deontic Justice Scale.
RESULTS
Machiavellian and deontic justice personality of nurses effect in low level their tendency to make medical errors (R = 0.284, p = 0.001). As the nurses' Machiavellian tendencies increased, their propensity toward making medical errors also increased. The increase in Nurses' deontic justice reduced their tendency toward medical errors (p < 0.05). A significant difference was found between nurses' mean tendency to medical errors scores and their age, working life/years, the number of night shifts, the daily number of patients provided with care, the status of working in the COVID-19 service, and the status of having received education on medical errors (p < 0.05).
CONCLUSIONS
Nurses' Machiavellian tendencies and deontic justice approach affect their propensity to make medical errors. Nurses who have a Machiavellian tendency and poor deontic justice have a high tendency to make medical errors. Nurses' age, working life/years, the number of night shifts, the daily number of patients they provide care for, working in the COVID-19 service, and having received education on medical errors were the other factors affecting their tendency to make medical errors. This study demonstrated that nurses' personality traits can cause medical errors. Generations are changing in the world and personality are also changing. Therefore, including personal development in nursing education could be a positive approach for medical errors.
目的
本研究旨在调查护士的马基雅维利主义和道义公正人格对医疗差错倾向的影响。此外，还旨在调查与护士医疗差错倾向相关的其他因素。
方法
这项横断面研究由在一所州立大学医学院健康应用与研究医院工作的345名护士组成，使用护理中医疗差错倾向量表、马基雅维利人格量表和道义公正量表收集数据。
结果
护士的马基雅维利主义和道义公正人格对其医疗差错倾向有低水平影响（R = 0.284，p = 0.001）。随着护士马基雅维利主义倾向的增加，他们发生医疗差错的倾向也增加。护士道义公正的提高降低了他们的医疗差错倾向（p < 0.05）。发现护士医疗差错倾向得分的平均水平与他们的年龄、工作年限、夜班次数、每日护理患者数量、在COVID-19服务部门工作的情况以及接受过医疗差错教育的情况之间存在显著差异（p < 0.05）。
结论
护士的马基雅维利主义倾向和道义公正方法会影响他们发生医疗差错的倾向。具有马基雅维利主义倾向且道义公正较差的护士发生医疗差错的倾向较高。护士的年龄、工作年限、夜班次数、每日护理患者数量、在COVID-19服务部门工作以及接受过医疗差错教育是影响他们医疗差错倾向的其他因素。本研究表明护士的人格特质可能导致医疗差错。世界上的代际在变化，人格也在变化。因此，在护理教育中纳入个人发展可能是减少医疗差错的一种积极方法。
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