探讨护士人口统计和医院工作环境对约旦医疗错误报告实践的影响:一个横截面研究
Ala'a Dalky1, Islam Ali Oweidat2, Sajeda Ramadan Abuzaid1
1Health Management and Policy, Jordan University of Science and Technology, Irbid, Jordan.
BMJ open
|November 24, 2024
概括
约旦的护士很少报告医疗错误,与糟糕的工作环境有关. 改善护理工作环境是提高患者安全和护理质量的关键.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 护士在患者和医疗保健安全方面发挥着至关重要的作用.
- 支持性医院工作环境对于确保患者安全和护理质量至关重要.
- 对影响护士错误报告和对约旦工作环境的看法因素的研究有限.
研究的目的:
- 调查影响约旦护士医疗错误报告实践的因素.
- 检查护士人口统计和医院工作环境在错误报告中的作用.
- 评估护理工作环境与医疗错误报告之间的关系.
主要方法:
- 在约旦的三个医院 (公立,大学附属,私立) 进行了一项描述性的横截面研究.
- 调查收集了350名符合条件的护士的护士人口统计数据,事件报告实践和护理工作环境.
- 分析了数据,以确定报告实践的水平和工作环境的感知,并确定影响因素.
主要成果:
- 约旦护士表现出较低的医疗错误报告实践 (M=2.34) 和对护理工作环境的看法较低 (M=2.4).
- 单身护士和私立医院的护士报告医疗错误的频率更高 (p<0.05).
- 医疗错误报告与护士工作环境 (r=0.807,p<0.01) 有正相关性,与患者负载 (r=-0.109,p<0.05) 有负相关性. 护理工作环境解释了报告实践中81.0%的差异.
结论:
- 约旦的护士认为他们的工作环境和医疗错误报告做法很低,受婚姻状况和医院类型的影响.
- 改善护理工作环境和提供持续的标准培训对于改善安全行为,患者结果和护理质量至关重要.
- 建议进行进一步的研究,以探索干预措施对报告实践和患者结果的长期影响.
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