临床护理中药物错误的结构模型:基于生态系统理论的结构方程模型
1Department of Nursing, Kyungil University, Gyeongsan, South Korea, kiu.ac.kr.
Journal of nursing management
|March 16, 2026
概括
一个积极的护理工作环境可以改善沟通,减少护士疲劳和药物错误. 有效的沟通是通过减轻这些风险来提高患者安全的关键.
科学领域:
- 护理科学 护理科学
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 药物错误是临床环境中患者安全的一个重大问题.
- 现有的研究往往孤立地检查药物错误的决定因素.
- 缺乏对护理工作环境,沟通,疲劳和药物错误之间的相互关系的全面理解,特别是在临床护理实践中.
研究的目的:
- 调查护理工作环境,专业间沟通,疲劳和药物错误之间的结构关系.
- 应用Bronfenbrenner的生态系统理论来理解临床护理中的这些复杂的相互作用.
- 在护理实践背景下,确定影响药物错误的关键因素.
主要方法:
- 一项涉及韩国四家三级医院230名临床护士的横截面研究.
- 用验证的自我报告问卷收集关于护理工作环境,沟通,疲劳和药物错误的数据.
- 使用结构方程建模 (SEM) 与确认因素分析 (CFA) 来分析数据并测试拟议的模型.
主要成果:
- 拟议的结构模型显示出良好的合适性,表明其有效性.
- 一个支持性的护理工作环境显著影响了沟通 (β=0.80,p<0.001).
- 有效的沟通与疲劳减少有关 (β=-0.78,p=0.005),这反过来又直接影响了药物错误 (β=0.32,p=0.003). 沟通也对药物错误产生了直接和间接的影响.
结论:
- 积极的护理工作环境对于促进有效的专业间沟通至关重要.
- 有效的沟通是减少护士疲劳,从而减少药物错误的关键媒介.
- 专注于工作环境和沟通协议的组织策略对于提高患者安全至关重要.
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