作为患者安全的预测因素的道德勇气:来自COVID-19时代的反思
Nahid Dehghan Nayeri1, Mehraban Shahmari2, Shahin Shifteh3
1Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
BMC health services research
|August 13, 2025
概括
护士的道德勇气对于患者的安全至关重要,即使是在COVID-19大流行期间. 虽然COVID-19和非COVID-19病房之间没有显著差异,但道德勇气强烈预测了改善的患者安全文化.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 患者安全研究 患者安全研究
背景情况:
- 护士的道德勇气对于患者的安全和复杂的决策至关重要.
- 在COVID-19大流行期间,护士的道德勇气与患者安全之间的联系需要进一步调查.
研究的目的:
- 检查护士的道德勇气和患者安全文化之间的关系.
- 为了比较COVID-19和非COVID-19医院部门中的这些因素.
主要方法:
- 与来自五家公共医院的300名护士进行横截面分析研究.
- 使用了医院关于患者安全文化和Sekerka道德勇气尺度的调查.
- 在2021-2022年间收集的数据,使用描述和推断统计数据进行分析.
主要成果:
- 在COVID-19和非COVID-19病房之间,安全气候或道德勇气得分没有显著差异.
- 在这两种环境中,在道德勇气和安全气候之间观察到强烈的积极关系.
- 道德勇气对患者安全文化产生了重大影响 (科恩 f2 = 1.77).
结论:
- 无论COVID-19状态如何,道德勇气可以预测增强的患者安全.
- 经验培训,支持性领导力和以同情心为重点的研讨会可以增强护士的道德勇气.
- 将道德勇气的发展融入护理教育中,对于未来的危机准备和患者安全至关重要.
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