参与式领导和护士错误报告:心理安全作为多医院数据中调解者
1Nursing department, Bundang CHA Hospital, Gyeonggi-do, South Korea.
概括
参与式领导力通过增强心理安全,促进护士报告药物错误的意图. 这表明领导力发展和支持性单位实践是改善安全事件报告的关键.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 组织心理学 组织心理学
背景情况:
- 护士愿意报告药物错误对于患者安全和组织学习至关重要.
- 报告在不同的医疗保健单位和领导风格之间有很大的差异.
- 本研究探讨了心理安全在领导力和报告意图之间的关系中的调解作用.
研究的目的:
- 检查心理安全对参与式领导和护士报告药物错误的意图之间的关联的调解效应.
- 了解领导风格如何影响护士报告不良事件的意愿.
- 确定改善药物错误报告系统的策略.
主要方法:
- 韩国200名工作人员护士的横截面调查数据.
- 经过验证的仪器测量了参与式领导力,心理安全和报告意图.
- 基于回归的分析与偏差纠正的启动步骤置信区间被用于测试调度.
主要成果:
- 参与式领导力与心理安全正相关 (a=0.443,p<.001).
- 心理安全与报告意向的增加显著相关 (b=0.295,p=.004).
- 领导层对通过心理安全报告意图的间接影响是显著的 (0.132;95% CI [0.021,0.265]).
结论:
- 参与式领导力增强护士报告药物错误的意图,主要是通过增加心理安全.
- 领导力发展计划和促进心理安全的单位级干预措施可以改善药物错误报告.
- 减少与发言相关的人际风险对于培养安全文化至关重要.
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