护理士生对患者安全问题的体验和反思 - - 一项采用生态瞬间评估的混合方法研究
Marit Vassbotten Olsen1, Ann-Chatrin Linquist Leonardsen2,3, Monica Wammen Nortvedt4
1Western Norway University of Applied Sciences, Inndalsveien 28, Bergen, 5063, Norway. marit.vassbotten.olsen@hvl.no.
BMC medical education
|November 22, 2025
概括
护理士学生在临床实践期间报告了患者安全问题. 使用生态瞬间评估 (EMA) 每天收集数据,提高了对不良事件和近乎事故的认识,突出了其作为患者安全工具的价值.
科学领域:
- 医疗保健教育 医疗保健教育
- 患者安全 患者安全
- 护理研究 护理研究
背景情况:
- 伤害患者是医疗保健服务中的一个关键问题.
- 新技术为学生在临床环境中的体验提供了改进的方法.
- 了解护理士生对患者安全的看法对于提高教育水平至关重要.
研究的目的:
- 探索护理士生对患者安全问题的经验和反思.
- 调查在临床实践期间和之后遇到的不良事件.
- 评估生态瞬间评估 (EMA) 作为患者安全反思工具的实用性.
主要方法:
- 采用混合方法的融合设计,将生态瞬间评估 (EMA) 与采访相结合.
- 欧洲药物管理局在14天内每天对患者安全声明和自由文本反思进行了评级.
- 反思和采访的定性主题分析补充了定量数据分析.
主要成果:
- 学生们普遍认为他们的临床实践是安全的,但也报告了危及患者安全的事件.
- 确定的关键主题包括不良事件/近乎事故,团队沟通和安全程序的使用.
- 实践后的采访显示,EMA的参与提高了对患者安全问题的认识.
结论:
- 虽然报告的不良事件很少,但它们的发生需要注意.
- 通过EMA每天收集数据,提高了学生对护理的不良事件和积极方面的认识.
- 欧洲药物管理局显示了作为护理和其他医疗保健学生有效的患者安全反思工具的潜力.
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