医療・介護上の誤りを報告する看護師の意図に関連した要因:体系的なレビュー
Ahmad Alshurman1, Said Abusalem2, Ratchneewan Ross2
1Graduate School-University of Louisville.
Journal of patient safety
|February 16, 2026
まとめ
看護師は看護師として働いています.
科学分野:
- 医療の質と安全について
- 介護の実践について
- 患者の安全性に関する研究
背景:
- 医療およびケア上の誤りは,患者の安全を著しく危険にさらし,年間10%以上を害します.
- 看護師によるエラーの報告不足は,約20%のインシデントのみが報告され続けている.
- 看護師のエラー報告の意図に影響を与える要因を特定することは,患者の安全性を向上させるために極めて重要です.
研究 の 目的:
- 医療および介護の誤りを報告する看護師の意図に関連した要因を体系的に検討し,特定する.
- 介護におけるエラー報告行動に対する多面的な影響を理解する.
- エラー報告と患者の安全性を高めるための戦略を策定する.
主な方法:
- 27件の論文の体系的な文献レビュー.
- PubMed,CINAHL,PsycINFO,およびGoogle Scholarで実施された検索結果です.
- キーワードには,医療ミス,ケアミス,報告の意図,看護師などが含まれていました.
主要な成果:
- 人際的要因 (態度,主観的規範,知覚された行動制御) は,報告の意図と大きく関係しています.
- 組織的な要因 (安全文化,非処罰的な対応,コミュニケーション,サポート,学習,リーダーシップ) は,報告に影響を及ぼします.
- 人口統計的要因 (年齢,教育,経験,以前のエラー暴露) も,報告行動に影響を与えます.
結論:
- 看護師が医学的エラーを報告する意図は,個人的,人際的,組織的な要因の複雑な相互作用によって影響を受けます.
- ポジティブな報告文化を促進するには,心理的な安全性,リーダーシップ,組織的なサポートに取り組む必要があります.
- これらの要因を理解することは,改善されたエラー報告を通じて患者の安全性を向上させるための効果的な介入の開発に不可欠です.
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