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.
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。