Lee Won, Jang Insil
Department of Nursing, Chung-Ang University, Seoul, Republic of Korea.
J Nurs Manag. 2023 Aug 12;2023:1591128. doi: 10.1155/2023/1591128. eCollection 2023.
To identify nurses' professionalism, work environment, and communication with healthcare professionals as factors influencing clinical nurses' perception of patient safety culture.
Patient safety is a representative indicator of the quality of nursing care. A multidisciplinary approach, including individual and organizational components, is needed to improve patient safety culture.
A cross-sectional study was conducted in January 2021 involving a total of 271 nurses in six tertiary hospitals. Data were collected from participants on nurse professionalism, work environment, communication, and patient safety culture. A multiple regression model was used to analyze variables influencing patient safety culture.
Factors affecting patient safety culture were nursing foundations for quality of care ( = 0.230, < 0.001), nurse manager ability, leadership, support of nurses ( = 0.294, < 0.001), and collegial nurse-physician relations ( = -0.138, =0.026) in the nursing work environment. Accuracy ( = 0.117, =0.007), shift communication ( = 0.128, =0.026), satisfaction ( = 0.283, =0.001), and timeliness ( = 0.239, < 0.001) of communication between healthcare professionals and nurses have a significant impact on patient safety culture. All these predictors accounted for 59% ( ) of patient safety culture awareness ( < 0.001).
Enhancing patient safety culture requires a systematic and organizational approach that considers individual characteristics. Nurse managers play a crucial role in promoting patient safety by employing various communication channels and leading team education and training initiatives to foster collaboration among healthcare professionals. . The provision of patient safety education directly influences patient safety culture, and continuous education enables nurses to grow within the institution. To ensure effective communication in healthcare settings, nurse managers should prioritize shift communication, evaluate the accuracy of information exchange, and establish diverse communication channels, including social media platforms or business messengers, for internal hospital communication.
确定护士的专业素养、工作环境以及与医疗保健专业人员的沟通，作为影响临床护士对患者安全文化认知的因素。
患者安全是护理质量的一个代表性指标。需要一种包括个人和组织成分的多学科方法来改善患者安全文化。
2021年1月进行了一项横断面研究，共涉及六家三级医院的271名护士。收集了参与者有关护士专业素养、工作环境、沟通和患者安全文化的数据。使用多元回归模型分析影响患者安全文化的变量。
影响患者安全文化的因素包括护理工作环境中护理质量基础（β = 0.230，P < 0.001）、护士长能力、领导力、对护士的支持（β = 0.294，P < 0.001）以及护士与医生的同事关系（β = -0.138，P = 0.026）。医疗保健专业人员与护士之间沟通的准确性（β = 0.117，P = 0.007）、轮班沟通（β = 0.128，P = 0.026）、满意度（β = 0.283，P = 0.001）和及时性（β = 0.239，P < 0.001）对患者安全文化有显著影响。所有这些预测因素占患者安全文化认知的59%（R²）（P < 0.001）。
加强患者安全文化需要一种考虑个人特征的系统和组织方法。护士长通过采用各种沟通渠道并领导团队教育培训举措以促进医疗保健专业人员之间的协作，在促进患者安全方面发挥着关键作用。提供患者安全教育直接影响患者安全文化，持续教育使护士能够在机构内成长。为确保医疗环境中的有效沟通，护士长应优先考虑轮班沟通，评估信息交流的准确性，并建立包括社交媒体平台或商务信使在内的多样化沟通渠道，用于医院内部沟通。
