促进积极的护理实践环境:初级保健中的随机试验结果
Soraia Cristina de Abreu Pereira1,2,3, Eduardo José Ferreira Dos Santos3,4,5,6, Rosilene Alves Ferreira7
1School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal, up.pt.
Journal of nursing management
|March 16, 2026
概括
积极护理实践环境促进计划 (PPAPEP) 适度地改善了护士的工作环境感知,但对安全气候的影响有限. 持续改善需要持续的干预和机构支持.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 护理实践环境显著影响护理质量,护士保留率和患者安全.
- 很少有结构化的干预措施来增强护理实践环境.
- 这项研究解决了需要基于证据的计划,以改善护理工作环境的需求.
研究的目的:
- 评估积极护理实践环境促进计划 (PPAPEP) 的有效性.
- 评估初级护理护士工作环境感知方面的改进.
- 检查护士对患者安全态度的变化.
主要方法:
- 一个随机,受控,双盲临床试验,涉及48名初级护理护士.
- 分为干预和控制组的分层随机化.
- 数据采集于干预前,干预后和3个月后的随访,使用经过验证的尺度表.
主要成果:
- 在PPAPEP中,护理实践环境的感知,特别是结构和流程的感知有所改善.
- 没有观察到安全气候的重大变化.
- 对实践环境的积极影响在随访时略有下降,环境感知和安全气候之间存在强烈的相关性.
结论:
- 在提高护理实践环境中,PPAPEP是有效的.
- 持续改善安全环境需要持续,加强干预和机构承诺.
- 促进工作条件和患者安全的综合战略至关重要.
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