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护士和护理学生的患者安全能力:一个元分析
Wei Wang1, Hua Dong1, Lin You1
1Department of Plastic Surgery, Southwest Hospital, Third Military Medical. University (Army Medical University), Chongqing, China.
护士报告患者安全能力低于学生. 两组人都认为团队合作是改善的关键领域,强调需要加强培训和实践经验.
科学领域:
- 医疗保健教育 医疗保健教育
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 医疗保健专业人员在患者安全能力方面的差距阻碍了教育进步.
- 关于护士和护理学生患者安全知识的综合证据有限.
研究的目的:
- 为了比较护士和护理学生之间的自我感知患者安全能力.
- 在两组中确定需要改进的特定能力领域.
主要方法:
- 对30项遵循PRISMA 2020指南的横截面研究进行了元分析.
- 使用的患者安全能力自我评估 (PSCSE) 和卫生专业教育患者安全调查 (H-PEPSS) 仪器.
- 用STATA 15分析数据,质量通过AHRQ检查清单进行评估.
主要成果:
- 护士报告的患者安全能力平均得分 (3.74) 低于护理学生 (3.92).
- 学生在学术环境 (4.03) 和临床环境 (3.98) 中得分更高.
- 团队合作是护士得分最低的能力;学生在识别/应对不良事件 (学术) 和团队合作 (临床) 中得分最低.
结论:
- 护士表现出适度的患者安全能力,而学生则感知到理论与实践之间的差距.
- 护士和学生都报告了团队合作技能的不足.
- 建议包括护士的持续教育,学生的改善临床培训和专业间教育,尽管由于研究的局限性,需要进一步的研究.
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