正义文化如何通过第二个受害者的痛苦和对临床护士的支持需求来减少负面的工作结果? 一个路径分析
Seohee Jeong1, Sunmi Kim2, Hyoung Eun Chang3
1QI Team, Jeonbuk National University Hospital, Jeonju, Republic of Korea.
BMC nursing
|February 19, 2025
概括
医疗保健中的公正文化可以减少护士在患者安全事件发生后的痛苦. 实施系统性干预以培养公正的文化对于减轻第二个受害者经历和改善医疗保健绩效至关重要.
科学领域:
- 医疗保健管理的管理
- 护理研究 护理研究
- 患者安全 患者安全
背景情况:
- 护士的第二次受害者经历是一个重大问题,导致心理痛苦并影响患者的安全.
- 这些经验可能会对医疗保健组织的表现和患者护理的整体质量产生负面影响.
研究的目的:
- 研究医疗机构内被认为公正的文化对护士的第二受害者经历的影响.
- 确定机构正义文化与护士对患者安全事件的反应之间的关系.
主要方法:
- 一项涉及183名来自三级全科医院的临床护士的横截式相关性研究.
- 数据通过在线自我报告问卷收集,使用正义文化评估工具 (JCAT) 和韩国-第二受害者经验和支持工具 (K-SVEST).
- 使用SPSS和AMOS进行统计分析,以测试一个假设模型.
主要成果:
- 在统计学上显著,只是文化和第二个受害者痛苦之间发现了负面关系 (β = -0.29,p = 0.001).
- 只是文化也显著降低了对支持的需求 (β = -0.65,p = 0.001).
- 第二个受害者的痛苦和对支持的需求是与工作有关的负面结果的重要预测因素.
结论:
- 医疗机构的公正文化可以有效地减轻第二受害者经历对护士的负面影响.
- 旨在建立公正文化的系统性干预对于改善护士福祉和组织绩效至关重要.
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