探索护理人员支持:医疗领导者对医疗错误的看法
Denise Cummins1,2, Marie M Prothero3
1College of Nursing, Brigham Young University, Provo, Utah, USA.
BMJ leader
|March 21, 2025
概括
医疗保健领导者积极看待医疗错误,但护理人员支持计划往往缺乏或无效. 组织需要全面的患者安全策略,以改善对错误后临床医生的支持.
科学领域:
- 医疗保健领导力 医疗保健领导力
- 患者的安全性 患者安全性
- 组织心理学是组织心理学.
背景情况:
- 经历医疗错误的临床医生往往缺乏足够的组织支持.
- 从组织的角度来看,关于这个问题的研究有限.
- 这项研究探讨了医疗保健领导者对医疗错误和护理人员支持的看法.
研究的目的:
- 阐明医疗保健领导者对医疗错误的看法.
- 评估医疗保健领导者对护理人员支持的观点.
- 识别有效的护理人员支持的组织障碍.
主要方法:
- 对81名医疗保健领导者 (HLs) 的调查,使用医学错误态度量表 (MEAS).
- 包括关于护理人员支持计划 (CSP) 的问题,这些问题是从基于证据的资源中合成的.
- 来自急性护理机构的便利抽样,大多数是首席执行官.
主要成果:
- 临床医生表现出对医疗错误的明智态度 (MEAS分数高).
- 超过三分之一的HL无法确认他们的组织有CSP.
- 对于许多HL来说,尽管有所感知价值,但现有的CSP的有效性和利用是不确定的.
结论:
- 医疗保健领导人对医疗错误持积极看法,但错误后对临床医生的组织支持仍然不够理想.
- 现有的CSP可能缺乏关键的结构部件,如执行部门的认可和分层支持.
- 改善护理人员支持需要全面的患者安全方法,可能使用诸如CANDOR或NHS战略之类的框架.
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