背景:在医疗干预期间患者安全可能会受到威胁的原因之一是工作人员缺乏对患者安全指南的遵守。员工对患者安全指南的遵守程度与他们对工作和/或动机的感知奖励水平之间可能存在关系。
目的:研究奖励与遵守患者安全指南之间的关系,在动机和遵守患者安全指南之间,在印度尼西亚急诊科(ED)工作的护士中。
方法:这是一项针对印度尼西亚四家医院的101名护士的横断面研究。使用自我报告的问卷来收集有关参与者认为他们为工作获得的奖励水平的数据,参与者的工作动机水平,和参与者遵守患者安全指南。使用Spearman的等级相关检验来确定变量之间的关系。
结果:奖励与依从性之间存在统计学上的显着负相关关系(P=0.019,r=-0.233),这意味着那些认为自己的奖励低的人比那些认为自己获得了高奖励的人更有可能遵守患者安全指南。动机与患者安全指南的依从性之间存在统计学上显著的正相关(P=0.017,r=0.236),这意味着动机越高,参与者对患者安全指南的依从性越高。
结论:通过提供奖励来确保ED护士的工作积极性-例如体面的薪水,支持性的工作环境和职业发展机会-对于提高他们对患者安全指南的依从性很重要.
BACKGROUND: One of the reasons why patient safety may be put at risk during healthcare interventions is a lack of staff adherence to patient safety
guidelines. There could be a relationship between staff\'s adherence to patient safety
guidelines and their perceived level of reward for their work and/or motivation.
OBJECTIVE: To examine the relationship between reward and adherence to patient safety
guidelines, and between motivation and adherence to patient safety
guidelines, among nurses working in emergency departments (EDs) in Indonesia.
METHODS: This was a cross-sectional study of 101 nurses working in the EDs of four hospitals in Indonesia. Self-reported questionnaires were used to collect data on the level of reward participants felt they received for their work, the level of participants\' motivation for their work, and participants\' adherence to patient safety guidelines. Spearman\'s rank correlation testing was used to determine the relationships between variables.
RESULTS: There was a statistically significant negative relationship between reward and adherence (P=0.019, r=-0.233), which meant that those who perceived their reward as low were more likely to adhere to patient safety guidelines than those who felt they were highly rewarded. There was a statistically significant positive relationship between motivation and adherence to patient safety
guidelines (P=0.017, r=0.236), which meant that the higher the motivation, the higher participants\' level of adherence to patient safety guidelines.
CONCLUSIONS: Ensuring ED nurses are motivated for their work by offering rewards - such as a decent salary, a supportive workplace environment and career progression opportunities - is important to enhance their adherence to patient safety guidelines.