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Abstract：
To investigate clinical nurses\' perception of adverse event risk and to analyze its influencing factors. A proportional stratified random sampling method was applied to recruit nurses from a hospital in Shiyan City, Hubei Province, China. The Nursing Adverse Event Risk Perception Scale, Organizational Support Questionnaire, Nurse Manager Leadership Behavior Questionnaire, Nursing Safety Behavior Questionnaire, and Burnout scale was used to investigate 1084 nurses. Univariate analysis, Pearson correlation analysis, and multiple linear regression analysis were used to analyze the influencing factors. The scores of the Nurses\' Risk Perception of Adverse Nursing Event Scale, Organizational Support Questionnaire, Nurse Manager Leadership Behavior Questionnaire, Nursing Safety Behavior Questionnaire, and Burnout Scale were 14.98 ± 5.39, 52.57 ± 10.00, 88.98 ± 21.08, 56.42 ± 5.03, 30.90 ± 21.49, respectively. According to the correlation analysis, nurses\' perception of adverse nursing events was positively correlated with the sense of organizational support (r = .457, P < .01), head nurses\' leadership behavior (r = .348, P < .01), and nurse safety behavior (r = .457, P < .01), and negatively correlated with the level of burnout (r = -.384, P < .01). According to the Regression analysis, nurses\' departments (β = .226, P < .001), daily working hours (β = 1.122, P < .001), adverse events experience (β = -1.505, P < .001), organizational support (β = .105, P < .001), head nurses\' leadership behavior (β = .072, P < .001), and burnout (β = -.052, P < .001) held an influence on nurses\' risk perception of adverse nursing event. These factors explained 42.5% of the total variation. Nurses\' risk perception of adverse nursing events needs to be improved. Nursing managers need to strengthen organizational support for nurses, change the leadership behavior of nurse managers, reduce nurses\' burnout, improve nurses\' risk perception of adverse nursing events, prevent adverse events, and ensure patient safety.
摘要：
调查临床护士对不良事件风险的认知，并分析其影响因素。采用按比例分层随机抽样的方法从十堰市某医院招聘护士,湖北省,中国。护理不良事件风险感知量表,组织支持问卷，护士经理领导行为问卷，护理安全行为问卷,采用倦怠量表对1084名护士进行调查。单变量分析,皮尔逊相关分析，用多元线性回归分析影响因素。护士不良护理事件风险感知量表评分,组织支持问卷，护士经理领导行为问卷，护理安全行为问卷,倦怠评分分别为14.98±5.39、52.57±10.00、88.98±21.08、56.42±5.03、30.90±21.49。根据相关性分析,护士对不良护理事件的感知与组织支持感呈正相关(r=.457,P<.01),护士长的领导行为(r=.348，P<.01)，和护士安全行为(r=.457，P<.01)，与职业倦怠水平呈负相关(r=-.384，P<.01)。根据回归分析,护士部门（β=.226，P<.001），每日工作时间（β=1.122，P<.001），不良事件经验（β=-1.505，P<.001），组织支持(β=.105，P<.001)，护士长的领导行为（β=.072，P<.001），职业倦怠（β=-.052，P<.001）对护士不良护理事件的风险感知有影响。这些因素解释了总变异的42.5%。护士对不良护理事件的风险感知有待提高。护理管理者需要加强对护士的组织支持,改变护士管理者的领导行为，减少护士的倦怠，提高护士对不良护理事件的风险感知，预防不良事件，并确保患者安全。
