| 实习护生对病人安全文化的认知调查及影响因素分析 |
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| 引用本文： | 戴静静,孙音捷,黄瑶,侯黎莉.实习护生对病人安全文化的认知调查及影响因素分析[J].蚌埠医学院学报,2021,46(2):255-258, 262. |
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| 作者姓名： | 戴静静 孙音捷 黄瑶 侯黎莉 |
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| 作者单位： | 上海交通大学医学院附属第九人民医院 护理部, 上海 200011 |
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| 基金项目： | 上海交通大学医学院高水平地方高校建设项目-护理高原学科 |
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| 摘 要： | 目的调查上海某三甲医院实习护生的病人安全文化认知现状，分析其相关影响因素。方法采用随机抽样法，使用一般资料调查表、中文版医院病人安全文化调查表（HSOPSC）对118名本院实习护生进行问卷调查。结果共118名实习护生参加，总体积极反应率为68.21%，达到优势领域的维度为:管理者在促进病人安全的志愿与行动（90.11%）、组织学习与持续改进（87.01%）、科室内团队合作（86.44%）、医院管理支持（76.27%）；处于劣势领域的维度为:对错误的非惩罚性反应（31.07%）。单因素分析发现学生的实习时长、是否存在护理差错和是否参加过病人安全文化相关培训是影响实习护生积极反应率的重要影响因素（P < 0.05），二元logistic回归分析发现是否参加过病人安全文化相关培训是影响实习护生积极反应率的独立影响因素（P < 0.05）。结论实习护生的病人安全文化水平处于中等水平，其中应对差错的非惩罚性反应引起重视。实习护生对病人安全文化水平认知受到多种原因影响。护理教育者应加强非惩罚性护理安全文化建设，优化病人安全文化课程设置，并加强相关培训。
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| 关 键 词： | 实习护生 安全文化 护理教育 |
| 收稿时间： | 2020-07-21 |
Cognition survey and influencing factor analysis of nursing students on patient safety culture |
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| DAI Jing-jing,SUN Yin-jie,HUANG Yao,HOU Li-li.Cognition survey and influencing factor analysis of nursing students on patient safety culture[J].Journal of Bengbu Medical College,2021,46(2):255-258, 262. |
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| Authors: | DAI Jing-jing SUN Yin-jie HUANG Yao HOU Li-li |
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| Affiliation: | Department of Nursing, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200011, China |
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| Abstract: | ObjectiveTo investigate the current situation of safety culture cognition of nursing students on patients in a third-class A hospital in Shanghai, and analyze the related influencing factors.MethodsA total of 118 nursing students were surveyed using the general information questionnaire and Hospital Survey on Patient Safety Culture by random sampling method.ResultsThe total positive response rate of 118 nursing students was 68.21%.The advantage dimensions included the supervisor/manager expectations and actions promoting safety(90.11%), organizational learning-continuous improvement(87.01%), teamwork across hospital units(86.44%) and management support for patient safety(76.27%).The disadvantage dimension was the nonpunitive response to error(31.07%).The results of single factor analysis showed that the influencing factors of the positive response rate of nursing students were internship duration, nursing errors and patient safety culture training(P < 0.05).The results of binary logistic regression linear analysis showed that the independent influencing factors of the positive response rate of nursing students was the safety culture training of patients(P < 0.05).ConclusionsThe level of patient safety culture of nursing students in practice is at the middle level, and the non-punitive response to errors should be paid more attention.The practice nursing students' cognition of patients' safety literacy level is affected by many reasons.Nursing educators should strengthen the construction of non-punitive nursing safety culture, optimize the curriculum setting of patient safety culture, and strengthen the related training. |
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