护士安全事件报告的决定因素:计划行为分析的扩展理论
1Author Affiliations: Nowon Eulji Medical Center, Eulji University, Seoul, Republic of Korea (Ms. Lim); Department of Nursing, Graduate School of Nursing, Kyung Hee University, Seoul, Republic of Korea (Ms. Lim); East-West Nursing Research Institute, Seoul, Republic of Korea (Dr Kang); and College of Nursing Science, Kyung Hee University, Seoul, Republic of Korea, Seoul, Republic of Korea (Dr Kang).
ANS. Advances in nursing science
|November 26, 2025
概括
由于障碍,护士往往不充分报告患者安全事件. 干预措施应改善态度,减少组织的沉默,以鼓励报告行为.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 报告患者安全事件对于医疗保健质量至关重要.
- 由于心理和组织障碍,护士经常不充分报告事件.
- 了解影响报告的因素对于提高患者安全至关重要.
研究的目的:
- 评估影响护士安全事件报告的因素.
- 检查态度,组织沉默和感知障碍的作用.
- 调查意图对报告行为的调解效应.
主要方法:
- 在首尔一家医院对211名护士进行调查.
- 一个扩展的计划行为理论模型的应用.
- 使用多重回归和过程模型进行分析 4.
主要成果:
- 感知到的障碍显著影响护士的安全事件报告行为.
- 报告意图调解了态度/组织沉默与报告行动之间的关系.
- 该模型解释了16%的报告行为差异;没有发现直接影响或缓解障碍.
结论:
- 干预措施应侧重于培养对报告的积极态度.
- 减少组织的沉默是鼓励事件报告的关键.
- 降低感知障碍对于加强护士患者安全报告至关重要.
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