[1]郑庆超,李月娥,方茂华,等.二三级公立医院护士差错反感文化现状及影响因素分析[J].医学信息,2020,33(03):122-124,129.[doi:10.3969/j.issn.1006-1959.2020.03.037]
　ZHENG Qing-chao,LI Yue-e,FANG Mao-hua,et al.Analysis of the Status Quo of Nurses’ Error Resentment Culture and Its Influencing Factors in Secondary and Tertiary Public Hospitals[J].Medical Information,2020,33(03):122-124,129.[doi:10.3969/j.issn.1006-1959.2020.03.037]
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二三级公立医院护士差错反感文化现状及影响因素分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年03期
页码:
122-124,129
栏目:
调查分析
出版日期:
2020-02-01

文章信息/Info

Title:
Analysis of the Status Quo of Nurses’ Error Resentment Culture and Its Influencing Factors in Secondary and Tertiary Public Hospitals
文章编号:
1006-1959（2020）03-0122-04
作者:
郑庆超; 李月娥; 方茂华; 等
（湖南师范大学医学院护理系，湖南 长沙 410000）
Author(s):
ZHENG Qing-chao; LI Yue-e; FANG Mao-hua; ZHU Li-hua
(Department of Nursing,Medical College of Hunan Normal University,Changsha 410000,Hunan,China)
关键词:
差错反感文化; 护士; 二级医院; 三级医院; 差错管理
Keywords:
Error resentment culture; Nurse; Secondary hospital; Tertiary hospital; Error management
分类号:
R47
DOI:
10.3969/j.issn.1006-1959.2020.03.037
文献标志码:
A
摘要:
目的 调查二三级公立医院护士差错反感文化现状并探讨其影响因素，为改进医院差错管理策略提供参考。方法 通过便利抽样，于2019年7~8月采用一般资料调查表和差错反感文化量表抽取湖南省4所三级公立医院、3所二级公立医院的643名护士进行问卷调查，分析二三级公立医院护士差错反感文化感知现状和影响因素。结果 643名护士中，男性55名，女性588名，年龄以20~30岁为主，平均年龄（26.38±5.92）岁；两级医院护士以合同制员工为主（345名），数量超过在编、人事代理及临时工数总和的总和（298名）；本次调查科室包括内科、外科、急诊、儿科，护士受教育程度以大专、本科为主，平均月收入以3000~5000元为主。两级医院护士差错反感文化总体得分为（31.84±5.35）分，其中三级综合医院护士差错反感文化得分（31.13±4.89）分，低于二级综合医院护士差错反感文化得分（33.65±5.37）分，差异有统计学意义（P＜0.05）。多元线性回归分析显示，上级领导风格、医院等级、职称、性格类型是护士差错反感文化的影响因素。结论 两级公立医院护士差错反感文化的感知均处于中等水平，但二级医院护士的差错反感文化感知水平高于三级医院；差错反感文化影响着护士的工作质量，管理者应当培养护士积极的差错取向，降低差错反感文化，提高院内成员检错纠错的能力，激发护士工作的积极性。
Abstract:
Objective To investigate the current status of nurses’ error resentment culture in secondary and tertiary public hospitals and explore its influencing factors, so as to provide a reference for improving hospital error management strategies.Methods Through convenient sampling, from July to August 2019, 643 nurses from 4 third-level public hospitals and 3 second-level public hospitals in Hunan Province were selected for questionnaire survey using general data questionnaires and error resentment cultural scales, analyzing the status and influence factors of nurses’ perception of error resentment culture in public hospitals.Results Of the 643 nurses, 55 were males and 588 were females. The age was mainly 20 to 30 years old, with an average age of (26.38±5.92) years. The nurses in the two-tier hospitals were mainly contract staff (345). The total number of personnel agents and temporary workers (298); The survey departments included internal medicine, surgery, emergency department, pediatrics, nurses’ education level was mainly tertiary and undergraduate, and the average monthly income was mainly 3000~5000 yuan. The overall score of error resentment culture of nurses in the two-level hospital was(31.84±5.35) points, of which the score of nurses’ error resentment culture in the third-level general hospital was (31.13±4.89), which was lower than that of the nurses in the second-level general hospital(33.65±5.37) points, the difference was statistically significant(P<0.05). Multiple linear regression analysis showed that superior leadership style, hospital grade, job title, and personality type were the influencing factors of nurses’ error resentment culture.Conclusion The perception of error resentment culture among nurses in public hospitals at two levels is at a medium level, but the level of perception of error resentment culture among nurses in secondary hospitals is higher than that in tertiary hospitals. Error resentment culture affects the quality of nurses’ work. Managers should train nurses to actively error orientation, reducing error resentment culture, improving the ability of members in the hospital to detect and correct errors, and motivating nurses to work.

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更新日期/Last Update: 2020-02-01