护理实习生中患者安全行为相关因素的结构方程建模:基于能力机会动机-行为模型的横截面研究
Zhuo-Er Huang1, Xing Qiu2, Jin Yan3
1Department of Nursing Teaching and Research, the Third Xiangya Hospital, Central South University, Changsha, China; Xiangya Nursing School, Central South University, Changsha, China.
护理实习生患者的安全行为受到元认知能力和临床环境的影响. 加强这些因素可以改善患者安全结果并减少不良事件.
科学领域:
- 护理教育 护理教育
- 患者安全 患者安全
- 医疗保健的质量 医疗保健的质量
背景情况:
- 护理实习生是重要的医疗保健提供者,他们的安全行为直接影响患者的结果.
- 了解影响护理实习生安全的因素对于预防不良事件至关重要.
研究的目的:
- 评估护理实习生的患者安全行为.
- 通过能力机会动机-行为 (COMB) 模型探索影响这种行为的潜在机制.
主要方法:
- 一项涉及综合性教学医院422名护理实习生的横截面研究.
- 收集关于患者安全行为,超认知能力,临床环境和道德敏感性的数据.
- 统计分析包括t测试,ANOVA,皮尔森相关性和结构方程建模 (SEM).
主要成果:
- 超认知能力直接和间接地影响了护理实习生的患者安全行为.
- 临床实习环境对安全行为产生了直接和间接的影响.
- 职业身份部分调解了元认知能力和安全行为之间的关系.
结论:
- 护理实习生的患者安全行为需要在特定领域进行有针对性的改进.
- 强大的元认知技能和支持性的临床环境是开发强大的安全行为的关键.
- 临床教育工作者应采用反思性教学,培养支持性环境,以增强实习生的专业身份和安全实践.
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