Gezginci Akpinar Elif, Orhan Busra Nur, Goktas Sonay
Department of Surgical Nursing, Hamidiye Faculty of Nursing, University of Health Sciences, Istanbul, Turkey.
First and Emergency Aid Program, Gedik Vocational School, Istanbul Gedik University, Istanbul, Turkey.
BMC Psychol. 2025 Feb 28;13(1):174. doi: 10.1186/s40359-025-02531-4.
This study aimed to determine the effect of surgical nurses' internet addiction on their malpractice tendencies.
The descriptive cross-sectional study included 1051 nurses working in the surgical awards of 10 hospitals in Istanbul. Data were collected using a descriptive characteristics form, the Internet Addiction Scale, and the Malpractice Tendency Scale. An increase in the score on the internet addiction scale indicates that internet addiction increases. In contrast, an increase in the score on the malpractice tendency scale indicates that malpractice tendency decreases. Data were analyzed using independent groups t-test, one-way ANOVA test, Pearson correlation and linear regression analyzes with IBM SPSS Statistics version 22.0 software.
A weak negative correlation was found between the surgical nurses' total scores on the Internet Addiction Scale and Malpractice Tendency Scale (r=-0.422 p < 0.001). Internet addiction total score was also negatively correlated with malpractice tendency subscale scores for medication and transfusion administration safety (r=-0.450 p < 0.001); infection prevention (r=-0.416 p < 0.001); patient monitoring, device, and material safety (r=-0.321 p < 0.001); fall prevention (r=-0.325 p < 0.001), and communication (r=-0.332 p ≤ 0.001). In linear regression analysis, an increase in internet addiction overall and in the lack of control subscale was associated with greater malpractice tendency (ß=-0.422 and ß=-0.243, respectively). Internet addiction explained a total of 17.7% of the total change in malpractice tendency (R = 0.177).
Surgical nurses showed increased malpractice tendency as their internet addiction level increased. This relationship was seen in all domains of malpractice, including medication and transfusion administration safety, infection and fall prevention, communication, and patient monitoring, device, and material safety. It is recommended that in-service training be planned for conscious internet use to limit the time nurses spend on the internet during working hours.
本研究旨在确定外科护士的网络成瘾对其医疗差错倾向的影响。
这项描述性横断面研究纳入了在伊斯坦布尔10家医院外科病房工作的1051名护士。使用描述性特征表、网络成瘾量表和医疗差错倾向量表收集数据。网络成瘾量表得分增加表明网络成瘾加剧。相反，医疗差错倾向量表得分增加表明医疗差错倾向降低。使用IBM SPSS Statistics 22.0软件进行独立样本t检验、单因素方差分析、Pearson相关性分析和线性回归分析。
外科护士网络成瘾量表总分与医疗差错倾向量表总分之间存在微弱的负相关（r = -0.422，p < 0.001）。网络成瘾总分与用药和输血管理安全、感染预防、患者监测、设备和材料安全、跌倒预防以及沟通等医疗差错倾向子量表得分也呈负相关（r分别为-0.450，p < 0.001；-0.416，p < 0.001；-0.321，p < 0.001；-0.325，p < 0.001；-0.332，p≤0.001）。在线性回归分析中，网络成瘾总体得分和缺乏控制子量表得分的增加与更高的医疗差错倾向相关（β分别为-0.422和-0.243）。网络成瘾总共解释了医疗差错倾向总变化的17.7%（R = 0.177）。
随着网络成瘾水平的增加，外科护士的医疗差错倾向也有所增加。这种关系在医疗差错的所有领域都有体现，包括用药和输血管理安全、感染和跌倒预防、沟通以及患者监测、设备和材料安全。建议制定在职培训计划，让护士有意识地使用网络，以限制其工作时间内在网络上花费的时间。
