目的:了解护士长的患者安全态度现状及其影响因素,为医院制订相关安全管理策略提供参考.方法:采用便利抽样方法,于2021年7月至8月选取全国共40所医院的1 048名护士长作为研究对象,采用一般资料调查表、中文修订版患者安全态度调查问卷(Chinese Version of Safety Attitude Questionnaire,C-SAQ)及护士职业价值观量表(Nurses'Profession Values Scale-revised,NPVS-R)对其进行问卷调查,以问卷星方式发放电子问卷.采用多元线性回归分析护士长的患者安全态度的影响因素.结果:护士长的患者安全态度总分为128.38±17.18,其中管理感知维度得分最高,工作条件维度得分最低;护士长的患者安全态度与其职业价值观呈正相关(r=0.608,P＜0.01);多元线性回归结果显示:是否参加过护理安全培训、月收入、所在医院级别和职业价值观得分是护士长的患者安全态度的影响因素(均P＜0.05).结论:护士长的患者安全态度处于中上水平,仍有待进一步提升;护士长的患者安全态度影响因素与是否参加过护理安全培训、较高的月收入及职业价值观有关.医院管理者可通过向护士长提供护理安全培训、合理提高薪资待遇及提高护士长的职业价值观来促进其患者安全态度的提升,从而促进患者的安全.
Current situation and influencing factors of safety attitudes among head nurses
Objective:This study aims to assess the current status and influencing factors of patient safety attitudes among head nurses,providing reference for hospitals to formulate relevant safety management strategies.Methods:From July to August 2021,a total of 1 048 head nurses from 40 hospitals nationwide were selected as the research subjects using a convenient sampling method.Data was gathered through the general information questionnaire,the Chinese Version of Safety Attitude Questionnaire(C-SAQ),and Nurses'Profession Values Scale-revised(NPVS-R),with electronic questionnaires distributed through Wenjuanxing platform.Multiple linear regression analysis was used to identify the influencing factors of head nurses'patient safety attitudes.Results:The overall score of head nurses'patient safety attitudes was 128.38±17.18,with the perception of management dimension scoring the highest and working conditions dimension scoring the lowest.There was a positive correlation between head nurses'professional values and their patient safety attitudes(r=0.608,P＜0.01).Multiple linear regression analysis results showed that participation in nursing safety-related training,monthly income,hospital level,and professional value scores were influencing factors of head nurses'patient safety attitudes(all P＜0.05).Conclusion:Head nurses generally exhibit a high-middle level of patient safety attitude but still need further improvement.Enhanced patient safety attitudes are associated with nursing safety training,higher monthly income,hospital level and professional values.The study suggests that hospital administrators can foster better patient safety attitudes by offering nursing safety-related training,increasing salaries appropriately,and enhancing the professional values of head nurses,thereby promoting overall patient safety.China[J].Journal of Nursing Administration,2017,17(5):308-311.https://doi.org/10.3969/j.issn.1671-315X.2017.05.002.
head nursesafety attitudeprofessional valueinfluencing factor
万方数据
维普
