工作环境在错误文化管理和临床错误之间扮演的调解角色:一个横截面的多中心研究
Jacopo Fiorini1, Eleonora Moraca2, Martina Batino3
1Department of Nursing Professions, University Hospital of Tor Vergata, Rome, Italy; JBI Italy Evidence-Based Practice and Health Research Center, Rome, Italy.
Applied nursing research : ANR
|March 13, 2026
概括
有效的错误文化管理和支持性的护理工作环境显著减少了临床错误. 解决工作场所压力和人际冲突对于提高患者安全和提高护理质量至关重要.
科学领域:
- 医疗保健管理的管理
- 护理研究 护理研究
- 患者安全 患者安全
背景情况:
- 临床错误源于复杂的组织,环境和个人因素.
- 众所周知,安全文化和错误管理有助于提高患者的安全性.
- 这些因素对护士工作环境和错误发生的影响需要进一步调查.
研究的目的:
- 检查安全态度,错误文化管理,临床错误和工作环境变量之间的联系.
- 调查压力,工作负担和人际冲突在这种关系中的作用.
主要方法:
- 一项涉及意大利医疗保健机构636名护士的横截式多中心研究.
- 利用验证的尺度来收集有关安全态度,压力,冲突,错误文化管理和错误的数据.
- 使用描述性分析和结构方程建模来测试假设.
主要成果:
- 错误培养管理显著减少了临床错误.
- 增加的人际冲突和工作量与更高的错误率有关.
- 工作环境在错误文化管理和错误之间起到了调解作用;压力没有显著调解这种关系.
- 在安全态度和错误之间观察到一个意想不到的正相关性.
结论:
- 强有力的错误文化管理,积极的护理环境和团队合作是预防临床错误的关键.
- 改善工作环境和人际关系可以提高患者的安全.
- 建议进行长度研究,以评估改善安全和护理质量的干预措施.
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