Conceptions of nurses concerning safety of patient and nurse in emergency service working environment

摘要

The objective of this study was to investigate emergency service nurses experiences and perceptions about safety of patient and nurse in emergency medicine working environment. It was a descriptive study and sample of the study was formed by 88 nurses who were working in emergency services in between the dates of 01.03.2009- 15.08.2009 and who volunteered to be participated. Data collection was performed by the Inquiry Form which was developed by the researcher and containing four categories (identifier characteristics of nurses, threatening events for patient safety and for nurse safety and unfavorable conditions of emergency service physical environment itself). Interpretation of data was made with SPSS (version 12) and frequency and percentage values of variables were documented. Nurses reported to give medical care in inappropriate conditions as the most common (21.2%) threatening event for patient safety and to act fast in little time as the most common (34.1%) threatening event for nurse safety. They also reported both of the two condition were reported less. Excess number of patient per nurse care (17.0%), the conscious level of the patient (22.7%), inadequate number of auxiliary health personnel to move the patients (27.7%) and security vulnerability and inadequate legal measures (29.9%) were reported most common reasons of threatening events. The results revealed that there were many threatening events for patient and nurse safety in emergency service working environment. This study showed that reporting rate of these events were less than estimated and quality management system of private hospitals were better than public ones.