摘要
目的:调查我院护士对不良事件报告认知与态度的现状;探讨其影响因素,为完善护理不良事件报告系统提供依据。方法:选取我院495名护士进行调查。采用自行修订的"不良事件报告认知与态度问卷"进行调查。结果:①护士对不良事件的认知与态度的积极应答率为64.89%,总均分为(3.67±0.95)分,问卷5个维度按积极应答率的高低降序排列依次为执行意向、管理期望、科室文化、惩罚环境、报告认知。②年龄、护龄、职称与报告的认知和态度呈正相关(P<0.01)。③岗位、护龄是不良事件报告认知与态度的影响因素。④年龄、科室文化、惩罚环境、管理期望是不良事件执行意向的影响因素。结论:护士对不良事件报告的认知与态度是较正向的。年龄、护龄越大,职称、岗位越高,护士对不良事件报告的认知与态度越正向。岗位、护龄影响不良事件报告认知与态度。年龄、科室文化、惩罚环境、管理期望影响不良事件执行意向。建议医院针对目标群体的需求和特点,采取更具敏感性的干预策略;从系统的角度审视安全问题,开展系统化的安全管理,进一步完善不良事件报告系统,促进不良事件的报告行为。
Objective： To investigate nurses＇ cognitions and attitudes towards adverse event reporting, explore its influencing factors and improve the adverse event reporting system. Methods： 495 nurses were selected in our hospital by convenience sampling. The revised questionnaire of cognitions and attitudes towards adverse event reporting was used. Results： ① The positive response rate of nurses＇ cognitions and attitudes towards adverse events was 64.89%, with the total average score of 3.67±0.95. The positive response rate of the five dimensions in descending order were reporting intentions, management expectations, department culture, punishment environment, and reporting cognition. ② Age, length of service and professional title positively correlated with the reported cognitions and attitudes （P〈0.01）. ③ Position and length of service are the factors influencing nurses＇ cognitions and attitudes. ④ Age, department culture, punishment environment and management expectations are the factors influencing the executive intention of adverse events. Conclusions： ① Nurses＇ cognitions and attitudes towards adverse event reporting are positive. ② Senior nurses with longer length of service, higher professional titles and positions have more positive cognitions and attitudes towards adverse event reporting. ③ Position and length of service predict nurses＇ cognitions and attitudes. ④ Age, department culture, punishment environment and management expectations predict the executive intention of adverse events. ⑤ According to the needs and features of target population, hospital should carry out more sensitive intervention strategies, investigate safety problems from a systematic perspective, and improve the adverse event reporting system.
出处
《中国护理管理》
CSCD
2013年第5期29-32,共4页
Chinese Nursing Management
关键词
护士
不良事件
认知
态度
影响因素
nurse
adverse event
cognition
attitude
influencing factors
