从ICU护士的角度报告不良事件的障碍:混合方法研究
1Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Slovak Republic.
Enfermeria intensiva
|November 16, 2024
概括
在报告不良事件时,护士面临着重大障碍,包括恐惧和缺乏知识. 通过教育和无责文化解决这些问题对于改善重症监护室患者安全至关重要.
科学领域:
- 医疗保健的质量和安全.
- 护理实践的护理实践
- 患者安全研究的研究.
背景情况:
- 护士是患者安全和不良事件报告的关键.
- 对不良事件的低报告是医院环境中的一个重大挑战.
- 报告障碍会影响整体患者安全.
研究的目的:
- 确定重症监护室 (ICU) 护士报告不良事件的障碍.
- 了解护士对阻碍不良事件报告的因素的看法.
主要方法:
- 探索性的顺序混合方法设计.
- 定量阶段:对111名ICU护士进行调查.
- 定性阶段:与10名ICU护士进行半结构面试.
主要成果:
- 定量发现:担心责任,诉讼或制裁被确定为主要障碍.
- 定性发现:发现了四个关键障碍 - - 负面态度,缺乏知识/经验,时间短缺和恐惧.
- 在定量和定性数据中,恐惧成为一个重要的总体障碍.
结论:
- 有效的不良事件报告对于最小化不良事件和提高患者安全至关重要.
- 实施有针对性的教育和管理策略是克服报告障碍的必要条件.
- 培养无责和积极的患者安全文化至关重要,以鼓励报告.
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