临床环境中的欺凌行为:潜在有害的分心
Dawna Rutherford1, Gordon Lee Gillespie, Scott Bresler
1About the Authors Dawna Rutherford, PhD, RN, adjunct clinical instructor, Salem State University, Salem, Massachusetts, is with Staff Nurse/Traveler RN Network, Nome, Alaska. Gordon Lee Gillespie, PhD, DNP, RN, was professor, College of Nursing, University of Cincinnati, Cincinnati, Ohio, when this study was conducted. He is currently chief program officer, National League for Nursing. Scott Bresler, PhD, was clinical director, Division of Forensic Psychiatry, University of Cincinnati College of Medicine, when this study was conducted. Kimberly Johnson, PhD, RN, CEN, and Carolyn R. Smith, PhD, RN, CNE, are associate professors, College of Nursing, University of Cincinnati. This study was funded by an award to Dr. Rutherford from the National Institute for Occupational Safety and Health through the Pilot Research Project Training Program of the University of Cincinnati Education and Research Center Grant #T42OH008432. For more information, contact Dr. Gillespie at ggillespie@nln.org.
欺凌和干扰在药物管理期间对护理学生产生负面影响. 虽然这项研究没有发现错误的显著差异,但这两种情况都影响了模拟性能,突出了临床环境中的风险.
科学领域:
- 护理教育 护理教育
- 患者安全 患者安全
- 医疗保健模拟器 医疗保健模拟器
背景情况:
- 护理学生之间的欺凌是一个公认的问题.
- 暴露于工作场所欺凌与不良结果有关,包括药物错误.
- 干扰和分心是影响医疗机构绩效的已知因素.
研究的目的:
- 为了调查模拟欺凌行为对护理学生药物管理的影响.
- 为了比较欺凌与常见的分心对药物管理性能的影响.
- 评估与执照前护理学生的欺凌相关的药物错误风险.
主要方法:
- 这是一项准实验性研究,涉及15名护理学生.
- 在实验室环境中模拟药物管理.
- 暴露于模拟的欺凌或常见的分心.
- 使用Kruskal-Wallis测试进行数据分析.
主要成果:
- 两组之间药物管理标记分数没有显著差异 (H[2] = 1.489,p = .475).
- 两组之间在房间里度过的时间没有显著差异 (H[2] = 1.778,p = .411).
- 发现欺凌行为和常见的分心行为都会在模拟期间分散护理学生的注意力.
结论:
- 模拟的欺凌和常见的分心都对护理学生的表现构成风险.
- 需要进一步的研究来了解欺凌对药物安全性的细微影响.
- 缓解分心和欺凌的干预措施对于护理学生培训和患者安全至关重要.
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