关键词: critical care incident reporting nursing patient safety quality of healthcare

来  源:   DOI:10.3390/nursrep14030133   PDF(Pubmed)

Abstract:
BACKGROUND: A robust safety culture is essential for ensuring high-quality healthcare delivery. From a nursing perspective, especially among critical patients, it fosters ongoing improvement by highlighting areas that need attention.
OBJECTIVE: This study aimed to evaluate the perception of patient safety culture among nurses within the critical care environment.
METHODS: An observational study was conducted at a central hospital in Portugal employing the Hospital Survey on Patient Safety Culture (HSPSC) questionnaire.
RESULTS: The study encompassed 57, nurses predominantly female (73.7%), aged 25-64. Most participants were general nurses (77.2%), with a significant proportion (61.4%) working in the emergency department and possessing an average tenure of 13 years at the facility. The perception of critical patient safety culture (CPSC) was predominantly positive (40.6%), varying by department, with intensive care nurses reporting the highest positivity rates. Teamwork was identified as a strong point, receiving 80.7% positivity, highlighting it as a well-established domain in the CPSC, whereas other domains were recognised as requiring enhancements.
CONCLUSIONS: The study pinpointed both strengths and weaknesses within the CPSC, offering a foundation for developing targeted strategies to bolster patient safety culture in critical care settings.
摘要:
背景:强大的安全文化对于确保高质量的医疗保健服务至关重要。从护理的角度来看,尤其是在危重患者中,它通过突出需要关注的领域来促进持续改进。
目的:本研究旨在评估重症监护环境中护士对患者安全文化的看法。
方法:一项观察性研究在葡萄牙的一家中心医院进行,采用医院患者安全文化调查(HSPSC)问卷。
结果:该研究包括57名护士,主要是女性(73.7%),年龄25-64大多数参与者是普通护士(77.2%),相当比例(61.4%)在急诊科工作,平均在该设施任职13年。对危重患者安全文化(CPSC)的感知主要为阳性(40.6%),因部门而异,重症监护护士报告的阳性率最高。团队合作被认为是一个强项,收到80.7%的阳性,强调它是CPSC中一个完善的领域,而其他领域被认为需要增强。
结论:该研究确定了CPSC内部的优势和劣势,为制定有针对性的策略以加强重症监护环境中的患者安全文化奠定基础。
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