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急诊护士的差错经历和患者安全文化与安全行为之间的关系。

The relationship between error experience and patient safety culture with safe activities of emergency nurses.

作者信息

Nafe Parvin, Habibi-Soola Aghil, Aghaei Mir-Hossein, Mehri Saeid

机构信息

Department of Emergency Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.

Department of Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.

出版信息

Sci Rep. 2025 Mar 26;15(1):10438. doi: 10.1038/s41598-025-95191-8.

Abstract

Emergency nurses are central to reporting patient safety errors. By encouraging nurses to voluntarily report patient safety errors, hospitals can detect these errors and implement measures to prevent future occurrence. The purpose of this study was to survey the relationships between error experience and patient safety culture (PSC) with safe activities of emergency nurses in Iran. This descriptive-correlational study used a convenience sampling method based on predefined inclusion criteria to select 226 emergency nurses in Ardabil Province, northwest of Iran, from April to July 2023. The data collection tools were demographic and the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire, a 4-item questionnaire for patient safety error and the patient safety care activities scale. The data were analyzed using the SPSS-26, descriptive statistics, Pearson correlation, and multiple linear regression. The mean of PSC and safety nursing activities were 3.24 (± 0.46), 3.41 (± 0.43), respectively. Multiple linear regression analysis revealed that the potential factors associated with safety nursing activities were communication and providing feedback about errors (β=0.229, P=0.007) and an error reporting system (β = 0.221, P = 005). Changing the attitude of managers and organizational leaders toward a systemic approach is critical to improving PSC and increasing error reporting. Hospitals should review their policies to ensure an educational and supportive environment and provide opportunities for nurses to better participate in hospital safety.

摘要

急诊护士在报告患者安全错误方面起着核心作用。通过鼓励护士自愿报告患者安全错误,医院能够发现这些错误并采取措施防止其再次发生。本研究的目的是调查伊朗急诊护士的错误经历、患者安全文化(PSC)与安全活动之间的关系。这项描述性相关性研究采用便利抽样方法,根据预先确定的纳入标准,于2023年4月至7月在伊朗西北部阿尔达比勒省选取了226名急诊护士。数据收集工具包括人口统计学信息、《医院患者安全文化调查》(HSOPSC)问卷、一份关于患者安全错误的4项问卷以及患者安全护理活动量表。数据使用SPSS - 26进行分析,包括描述性统计、Pearson相关性分析和多元线性回归分析。PSC和安全护理活动的均值分别为3.24(±0.46)、3.41(±0.43)。多元线性回归分析显示,与安全护理活动相关的潜在因素包括沟通和提供关于错误的反馈(β = 0.229,P = 0.007)以及错误报告系统(β = 0.221,P = 0.005)。改变管理者和组织领导者对系统方法的态度对于改善PSC和增加错误报告至关重要。医院应审查其政策,以确保营造一个教育性和支持性的环境,并为护士提供更好地参与医院安全工作的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9503/11947309/5d70449c4b6a/41598_2025_95191_Fig1_HTML.jpg

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