护士的表现作为护士疲劳和患者安全文化之间的调解者:结构方程模型分析
Monireh Al-Sadat Mirahmadi Niri1, Zahra Khademian2, Mozhgan Rivaz3
1Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Nursing open
|March 10, 2025
概括
减少护士疲劳显著改善了患者安全文化和护士的表现. 降低护士疲劳1个单位提高了0.286个单位的患者安全,而提高性能提高了0.360个单位的安全.
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:
- 护士疲劳是影响医疗保健质量的关键因素.
- 了解护士疲劳,绩效和患者安全之间的相互作用对于有效的医疗保健服务至关重要.
研究的目的:
- 调查护士疲劳,他们的表现和患者安全文化之间的直接和间接关系.
- 确定护士表现在疲劳与安全关系中的调解作用.
主要方法:
- 一项涉及伊朗四所教学医院308名护士的多中心,横截面研究.
- 使用经过验证的仪器收集的数据:职业疲劳/疲劳恢复 (OFER-15),护士绩效仪器 (NPI) 和医院患者安全文化调查 (HSOPSC).
- 结构方程建模 (SEM) 用于数据分析.
主要成果:
- 护士疲劳与护士表现和患者安全文化都有显著的反向关系 (p < 0.001).
- 减少护士疲劳1个单位提高了0.286个单位的患者安全文化.
- 提高1个单位的护士表现提高了0.360个单位的患者安全文化,表现介导了疲劳与安全的联系.
结论:
- 护士疲劳会对表现和患者安全产生负面影响.
- 旨在减少护士疲劳的干预措施可以改善护士的表现和更强大的患者安全文化.
- 这些发现为制定减轻护士疲劳的战略提供了基础,从而提高了医疗保健的整体质量.
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