确定医院安全文化的因素:一个范围审查
Rhanna Emanuela Fontenele Lima de Carvalho1, David W Bates2, Ania Syrowatka3
1Health Sciences Centre, Universidade Estadual do Ceará, Fortaleza, Brazil rhanna.lima@uece.br.
BMJ open quality
|October 10, 2023
概括
本综述综合了影响医院患者安全文化的因素. 关键因素包括强有力的领导力,开放的沟通和从错误中学习,以及对患者参与和护士赋权的日益兴趣.
科学领域:
- 医疗保健管理的管理
- 患者安全研究 患者安全研究
- 组织心理学 组织心理学
背景情况:
- 患者安全文化对于提供优质医疗保健至关重要.
- 了解影响安全文化的因素对于医院的改善至关重要.
- 之前的研究已经探讨了安全文化的各个方面,但需要一个综合的观点.
研究的目的:
- 评估和综合决定医院环境中患者安全文化的关键因素.
- 识别患者安全文化研究中常用的工具和新兴趋势.
主要方法:
- 根据Joanna Briggs Institute (JBI) 的协议进行了范围审查.
- 包括发表在同行评审期刊上的实证研究,评估医院的安全文化.
- 使用PubMed,CINAHL,科学网和PsycINFO进行文献搜索.
- 使用RStudio和IRaMuTeQ.Q进行了定量和定性分析.
主要成果:
- 包括248项初级研究;医院调查患者安全文化和安全态度调查问卷是最常见的.
- 对66篇文章的定性分析强调了"沟通"和"领导力"作为突出的主题.
- 确定的主要类别包括工作满意度,领导力,错误响应,护士的心理赋权,信任和创新.
结论:
- 领导层的承诺,开放的沟通和从错误中学习的方法对于评估安全文化至关重要.
- 新兴的研究趋势侧重于患者/家庭参与,心理安全,以及护士参与决策和创新.
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