探索NICU的患者安全文化:一个融合的并行混合方法研究
Mohadese Babaie1, Manijeh Nourian2, Foroozan Atashzadeh-Shoorideh3
1Department of Anesthesiology, School of Allied Medical Sciences, Alborz University of Medical Sciences, Karaj, Iran.
这项研究探讨了新生儿重症监护室 (NICU) 的安全文化,揭示了管理承诺和专业发展等关键主题. 这些发现提高了对安全文化的理解,以改善全球新生儿护理.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 新生儿护理 新生儿护理
背景情况:
- 安全文化对于高质量的新生儿护理至关重要.
- 积极的员工洞察力提高了患者的安全.
- 这项研究探讨了新生儿重症监护室 (NICU) 的安全文化.
研究的目的:
- 探索NICU的安全文化概念.
- 了解员工对安全文化的看法.
- 确定影响新生儿护理安全文化的因素.
主要方法:
- 融合的并行混合方法研究,结合了定量和定性方法.
- 通过使用确认因素分析 (CFA) 对342名参与者验证了"关于患者安全文化的医院调查"的波斯语版本.
- 对24名员工进行了深入采访,使用Elo & Kyngäs方法进行了分析.
主要成果:
- 一个经过修订的11维,36项模型显示在CFA后可以接受的合适.
- 定性分析确定了五个关键类别:"建设性互动"",管理层对新生儿安全的承诺"",组织支持性气候"",专业发展"和"新生儿发育护理的规划和实施".
- 定量和定性发现显示重叠,但也具有独特的见解,定性数据揭示了诸如"争取相互赋权"和"高效监督程序"等方面.
结论:
- 这些发现揭示了伊朗NICU护理安全文化的以前未经探索的方面.
- 该研究提出了安全文化的新定义,以增强护理知识和提高患者安全.
- 结果对改善全球NICU的安全文化有影响.
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