对医院护士患者安全文化认知的调查

目的 了解护士掌握的患者安全文化水平,为制定改善患者安全措施提供客观依据.方法 采用医院护士的患者安全文化调查问卷对某省6所三级医院1 866名护士进行调查.结果 护士的医院患者安全水平总分为（3.57±0.42）分,问卷5个维度得分按降序依次为团队氛围、安全氛围、工作满意、对管理的感受、压力认知.护士的医院患者安全文化处于中等水平,得分较低的条目是：对不良事件的惩罚、工作压力、工作强度、人员配置等.结论 护理管理者应着眼于改善护理安全系统,关注潜在的护理隐患,营造积极的患者安全文化,减少或防范护理不良事件,促进患者安全.

Investigation on nurses' cognitive of patient safety culture in hospital

Objective To explore the level of patient safety culture of nurses, so as to provide more objective information for the developmental measures to improve patient safety culture. Methods 1 866 nurses from six grade-3 hospitals of a province were investigated by patient safety culture assessment scale. Results The total scores of patient safety culture of nurses was 3.57 ± 0.42, belongs to the middle-level. 5 factors in descending order according to the questionnaire scores was teamwork climate, safety climate, job Satisfaction,perception of management and stress recognition. The lower scores were the punishment of adverse events, job stress, work intensity, the staffing and so on. Conclusions It is very important that nurse managers should focus on improving a safer system in nursing, find out the potential risks, create a positive patient safety culture,and reduce or prevent adverse events of nursing in order to promote patient safety.