背景:外周静脉导管(PIVC)实践对患者安全的重要性正在增加。中小型医院在韩国提供医疗服务方面发挥着核心作用,但是缺乏质量改进的系统,使患者安全处于危险之中。本研究旨在确定护士的PIVC实践知识的程度,护理工作环境,患者安全文化感知会影响PIVC实践,从而为改善中小型医院的PIVC实践提供基础数据。
方法:本研究采用横断面描述性设计,以确定影响中小型医院PIVC护理实践的因素。149名护士返回的问卷收集了有关一般特征的数据,PIVC护理的实践知识,护理工作环境,患者安全文化感知,和PIVC实践。问卷数据采用描述性统计分析,独立t检验,单向方差分析,舍菲的测试,皮尔逊相关性,和层次回归分析。
结果:PIVC实践的平均得分为5分的4.60分。临床经验的长度,PIVC护理实践知识和患者安全文化感知是影响PIVC护理实践的重要因素,这些变量解释了其中26.2%的方差。
结论:中小型医院护士的PIVC实践可以通过提供基于最新标准或指南的教育和培训来改善,以促进知识和技能的获取。应实施针对中小型医院的运动和计划,以加强患者安全文化感知。确保PIVC实践的安全性。
BACKGROUND: The importance of the peripheral intravenous catheter (PIVC) practices on patient safety is increasing. Small and medium-sized hospitals play a central role in the provision of healthcare services in South Korea, but lack a system for quality improvement, leaving patient safety at risk. This study aimed to identify the extent to which the PIVC practice knowledge of nurses, the nursing working environment, and the patient safety-culture perception affect PIVC practices and thereby provide basic data for improving the PIVC practices in small and medium-sized hospitals.
METHODS: This study had a cross-sectional descriptive design to identify the factors affecting PIVC nursing practices in small and medium-sized hospitals. Questionnaires returned by 149 nurses collected data on general characteristics, practical knowledge of PIVC nursing, nursing working environment, patient safety-culture perception, and PIVC practices. The questionnaire data were analysed using descriptive statistics, the independent t-test, one-way ANOVA, Scheffé\'s test, Pearson correlation, and hierarchical regression analysis.
RESULTS: The mean score of PIVC practices was 4.60 out of 5. Length of clinical experience, practical knowledge of PIVC nursing and patient safety-culture perception were significant factors affecting the PIVC nursing practices, with these variables explaining 26.2% of the variance therein.
CONCLUSIONS: The PIVC practices of nurses in small and medium-sized hospitals can be improved by providing education and training based on the latest standard or guideline to facilitate the acquisition of knowledge and skills. And campaigns and programs to strengthen patient safety culture perception specific to small and medium-sized hospital should be implemented. to ensure the safety of PIVC practice.