组织文化和重症监护中的患者安全
Judith Guerra-Turco1, Esther Chávez-Cachay2, Esther Isabel Camacho-Palomino2
1Universidad César Vallejo, Escuela de Posgrado, Lima, Peru.
Enfermeria intensiva
|November 13, 2025
概括
组织文化显著影响了重症监护护理中的患者安全. 文化层面的适度水平,特别是可见的文物和通信,与提高患者安全结果有关.
科学领域:
- 医疗保健管理的管理
- 护理研究 护理研究
- 组织心理学 组织心理学
背景情况:
- 在像重症监护室 (ICU) 这样的高急性环境中,患者安全是一个关键问题.
- 组织文化越来越被认为是医疗保健质量和患者结果的关键决定因素.
- 了解文化与安全之间的相互作用对于改善ICU护理实践至关重要.
研究的目的:
- 研究在重症监护室 (ICU) 的护士中组织文化和患者安全之间的关系.
- 确定组织文化的特定维度与患者安全最为密切相关.
- 通过在重症监护机构的文化干预提供基于证据的见解,以提高患者安全.
主要方法:
- 一项涉及96名来自秘鲁利马卫生研究院的护士的定量,相关性研究.
- 使用了经过验证的问卷调查技术,包括来自医疗保健研究和质量局 (AHRQ) 的工具.
- 雇佣了斯皮尔曼的Rho相关性分析,以确定组织文化维度和患者安全之间的统计关系 (p < 0.001).
主要成果:
- 在组织文化和患者安全的各个方面都观察到适度水平.
- 在患者安全和几个组织文化维度之间发现了显著的正相关性:可见文物 (0.682),商业环境 (0.659),通信系统 (0.650),管理系统 (0.602) 和信念价值系统 (0.665).
- 组织文化与患者安全之间的总体关系显示出强烈的正相关性 (斯皮尔曼的Rho=0.752,p<0.001).
结论:
- 在ICU护理环境中,组织文化和患者安全之间存在着显著和积极的关系.
- 可见的文物,沟通系统和信念/价值体系是组织文化影响患者安全的特别有影响力的维度.
- 调查结果强调了培养积极组织文化的重要性,以提高重症监护环境中的患者安全.
相关概念视频
Obedience
35.2K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
35.2K
Types of Reports II: Incident or Occurrence Report
1.2K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.2K
Healthcare Associated Infections II: Preventive Measures
3.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.6K
Ethical Standards I
1.5K
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
1.5K
Ethical Standards II
1.2K
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
1.2K
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K


