PDF(Pubmed)
Abstract：
BACKGROUND: Patient safety is paramount for all healthcare agencies. Health professionals\' lack of patient safety competencies threaten patients\' lives, and increase patients, families, hospitals, and social burdens. The new nurse-related patient safety issues have particularly attracted much attention. The aim of this study was to examine the impacts of practice environment and job stress on new nurses\' patient safety attitudes by employing the job demands-resources model.
METHODS: The study used a cross-sectional structural equation modeling (SEM). A convenience sample of 370 new nurses was recruited from seven tertiary hospitals in Anhui province, China, from April 2022 to August 2022. Data were collected using self-report questionnaires including the Chinese version of the Nurse Job Stressors Scale, the Practice Environment Scale, and the Safety Attitudes Questionnaire.
RESULTS: New nurses\' patient safety attitudes scores were moderate (126.99 ± 14.39). Practice environment had a significant direct effect on job stress (β = -0.337, t = 6.120), patient safety attitudes (β = 0.604, t = 13.766), practice environment had an indirect effect on patient safety attitudes through job stress (β = 0.066, t = 3.690), and the indirect effect accounted for 9.9% of the total effect. This model was able to explain 48.3% of patient safety attitudes with moderate prediction accuracy.
CONCLUSIONS: This study emphasizes the importance of improving new nurses\' attitudes toward patient safety. Hospital administrators should develop policies and strategies to address job characteristics, and establish a favorable work environment to reduce new nurses\' job stress as well as to improve patient safety.
METHODS: The study used a cross-sectional structural equation modeling (SEM). A convenience sample of 370 new nurses was recruited from seven tertiary hospitals in Anhui province, China, from April 2022 to August 2022. Data were collected using self-report questionnaires including the Chinese version of the Nurse Job Stressors Scale, the Practice Environment Scale, and the Safety Attitudes Questionnaire.
RESULTS: New nurses\' patient safety attitudes scores were moderate (126.99 ± 14.39). Practice environment had a significant direct effect on job stress (β = -0.337, t = 6.120), patient safety attitudes (β = 0.604, t = 13.766), practice environment had an indirect effect on patient safety attitudes through job stress (β = 0.066, t = 3.690), and the indirect effect accounted for 9.9% of the total effect. This model was able to explain 48.3% of patient safety attitudes with moderate prediction accuracy.
CONCLUSIONS: This study emphasizes the importance of improving new nurses\' attitudes toward patient safety. Hospital administrators should develop policies and strategies to address job characteristics, and establish a favorable work environment to reduce new nurses\' job stress as well as to improve patient safety.
摘要：
背景：患者安全对所有医疗机构来说都是至关重要的。卫生专业人员“缺乏患者安全能力”威胁患者的生命，增加患者，家庭,医院,和社会负担。新护士相关患者安全问题尤其备受关注。这项研究的目的是通过采用工作需求-资源模型来检查实践环境和工作压力对新护士\'患者安全态度的影响。
方法：该研究使用了横截面结构方程模型（SEM）。从安徽省7家三级医院招募了370名新护士的便利样本，中国,从2022年4月到2022年8月。使用包括中文版护士工作压力源量表在内的自我报告问卷收集数据，实践环境量表，和安全态度问卷。
结果：新护士的患者安全态度得分中等（126.99±14.39）。实习环境对工作压力有显著的直接影响(β=-0.337,t=6.120),患者安全态度(β=0.604，t=13.766)，实习环境通过工作压力对患者安全态度有间接影响(β=0.066，t=3.690)，间接效应占总效应的9.9%。该模型能够解释48.3％的患者安全态度，具有中等的预测准确性。
结论：本研究强调了提高新护士对患者安全态度的重要性。医院管理者应针对工作特点制定政策和策略,建立良好的工作环境，减轻新护士的工作压力，提高病人的安全。
方法：该研究使用了横截面结构方程模型（SEM）。从安徽省7家三级医院招募了370名新护士的便利样本，中国,从2022年4月到2022年8月。使用包括中文版护士工作压力源量表在内的自我报告问卷收集数据，实践环境量表，和安全态度问卷。
结果：新护士的患者安全态度得分中等（126.99±14.39）。实习环境对工作压力有显著的直接影响(β=-0.337,t=6.120),患者安全态度(β=0.604，t=13.766)，实习环境通过工作压力对患者安全态度有间接影响(β=0.066，t=3.690)，间接效应占总效应的9.9%。该模型能够解释48.3％的患者安全态度，具有中等的预测准确性。
结论：本研究强调了提高新护士对患者安全态度的重要性。医院管理者应针对工作特点制定政策和策略,建立良好的工作环境，减轻新护士的工作压力，提高病人的安全。
