探索护理学生在临床环境中对患者安全文化的观点:混合方法研究
Daniela Bartoníčková1,2, Dominika Kohanová3, Simona Dobešová Cakirpaloglu4
1Department of Nursing, Faculty of Health Sciences, Palacký University in Olomouc, Olomouc, Czech Republic.
Journal of clinical nursing
|May 7, 2025
概括
捷克护理学生报告说,患者安全文化面临挑战,特别是关于错误报告的问题. 加强教育和临床人员发展对于改善安全实践和培养开放沟通文化至关重要.
科学领域:
- 护理教育 护理教育
- 患者安全研究 患者安全研究
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 患者安全是本科护理教育的关键组成部分.
- 临床实践中的体验式学习增强了护理学生的个人发展和安全意识.
研究的目的:
- 调查捷克大学护理学生在临床实践中对患者安全文化的看法.
- 使用混合方法的顺序研究设计来获取全面的见解.
主要方法:
- 采用混合方法方法,包括定量 (医院对患者安全文化的调查) 和定性 (半结构面试) 阶段.
- 来自16所捷克学院的482名护理学生的定量数据; 来自12名学生的定性数据.
- 量化数据的统计分析和定性数据的反射性主题分析.
主要成果:
- "报告事件频率" (37.0%) 和"对错误的非惩罚性反应" (42.4%) 的评级较低.
- "良好实践指标"预测对不良事件的报告 (p≤0.05).
- 定性发现揭示了从暴露于错误,通过断开和不和,到需要说话的旅程.
结论:
- 本科护理专业的学生面临着难以融入患者安全文化的困难,特别是在报告不良事件方面.
- 对学生来说,对报告协议和标准的加强教育至关重要.
- 临床工作人员的专业发展是必要的,以使实践协调一致,并培养支持性的安全文化.
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