シミュレーション訓練経験に基づくインシデント管理における看護知識、態度、実践の横断的比較

Effective nurse management of Adverse Nursing Events (ANEs) is crucial for patient safety. This study aimed to investigate nurses' knowledge, attitudes, and practices (self-reported clinical practice) regarding ANE management and compared KAP differences between nurses with and without clinical scenario simulation course (CSSC) training. A cross-sectional study was conducted among 931 nurses selected using convenience sampling from August 1st to August 15th 2024, across five hospitals in China. Data were collected using a self-designed KAP questionnaire. A total of 931 valid responses were collected. The knowledge, attitude, and practice scores were 7 (6, 8), 46 (40, 50), and 50 (42, 50), respectively. In unadjusted comparisons, nurses with CSSC training had higher knowledge, attitude, and practice scores than those without training (all P < 0.001). Knowledge positively correlated with attitude (r = 0.628, P < 0.001), and practice (r = 0.671, P < 0.001). Attitude correlated with practice (r = 0.876, P < 0.001). Nurses demonstrating adequate knowledge, positive attitudes, and practices towards the management of ANE, those who received CSSC training scored significantly higher across all domains. Therefore, CSSC may be considered as a component of in-service patient-safety education; however, the observed differences should be interpreted as associations and require confirmation in longitudinal or experimental studies.