上海市护士患者参与患者安全的态度及其影响因素分析

摘要

目的：了解上海市护士对患者参与患者安全的态度,分析其影响因素。方法采用方便抽样的方法对上海市12家医院580名护士患者参与患者安全的态度进行问卷调查,统计学分析后得分越高说明其态度越好。结果上海市护士对患者参与患者安全的态度均分(4.03920±0.51872)分,其中,决策性参与均分为(4.00060±0.56875)分、照护性参与均分为(4.19220±0.57374)分、诉求性参与均分为(3.43740±0.79840)分；不同等级医院与教育背景的护士对患者参与患者安全的态度比较,差异有统计学意义( F值分别为8.832,3.935；P<0.05)。结论上海市护士对患者参与患者安全的支持程度较高,且照护性参与>决策性参与>诉求性参与,其影响因素与护士所在医院等级及教育背景有关。%Objective To explore nurses′attitudes to patient engagement in patient safety and analyze the influencing factors. Methods With convenient sampling, a total of 580 nurses of 12 hospitals in Shanghai received a questionnaire survey for nurses′attitude to patient participation and patient safety. The higher score after statistical analysis explains the better attitude.Results Average score of nurses′ attitudes to patient engagement in patient safety was (4.039 2±0.518 72), while average score of decision-making participation was (4.000 60± 0.568 75), and caring-related involvement was (94.192 2±0.573 74) and complaint-related involvement was (3.437 4±0.798 40). There is significant difference in attitude of nurses in different levels of hospitals and different educational background to “patient participating in patient safety” ( F=8. 832, 3. 935;P<0. 05 ) . Conclusions Nurses′ attitude to patient engagement in patient safety is quite positive. Caring-related involvement is more welcomed than decision-making participation and complaint-related involvement among Shanghai nurses. Hospital level and educational background are the key influencing factors.