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职业道德勇气与护士患者安全沉默之间的关系
Vahid Yousofvand1, Niloofar Sani2, Salman Khazaei3
1Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC nursing
|October 15, 2025
概括
专业的道德勇气显著减少了护士的患者安全沉默. 通过教育增强道德勇气可以改善医疗保健安全文化.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 医学伦理 医学伦理
背景情况:
- 患者安全沉默,隐安全问题,阻碍了安全的医疗保健服务.
- 护士对安全错误的沉默可能会导致患者的不良后果.
- 专业的道德勇气是解决患者安全问题的关键心理和道德决定因素.
研究的目的:
- 检查护士的专业道德勇气和患者安全沉默之间的关系.
- 确定心理和道德因素影响护士愿意谈论患者安全.
主要方法:
- 对214名护士进行了一项横截面描述-相关性研究.
- 使用人口统计表格,专业道德勇气尺度和患者安全沉默问卷收集数据.
- 分层抽样和纳入标准确保了具有代表性和符合条件的参与者池.
主要成果:
- 在专业道德勇气和患者安全沉默之间发现了显著的负相关性 (r = -0.451).
- 专业道德勇气仍然是减少患者安全沉默的重要预测因素,在调整后解释了61.6%的差异.
- 诸如男性性别,超过10年的经验和工作满意度等因素与更少的沉默有关,而缺乏道德教育,夜班,高护士与病人比率和倦怠与更多的沉默有关.
结论:
- 专业的道德勇气与护士的患者安全沉默相反.
- 加强专业道德勇气的干预措施,除了解决工作量和教育等因素外,还可以改善医疗保健安全文化.
- 针对特定的人口和职业因素可以帮助减轻患者安全的沉默.
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