護理人員進行病人安全異常事件通報行為意向及相關因素之探討-以某縣市轄內醫院急重症單位(急診、手術室、加護病房)為例

Research on intention of medical paramedics while making patient safety incident report-examples from main hospitals of certain district(ER, OR ,ICU)

趙紋華(Chao,Wenhua)

指導教授 ： 盧龍泉

國立中正大學/管理學院/企業管理學系/碩士(2012年)

摘要

摘要
本研究運用Ajzen(1985)的計畫行為理論架構，來預測及解釋某縣市轄區內4家醫院之急診、手術室及加護病房的護理人員進行病人安全異常事件通報行為意向及其相關因素。採立意取樣，共發出486份，回收442份，扣除無效問卷32份，有效回收率為84.4%。
本研究先以開放式引導式問卷進行填答，再依據問卷填答結果編製成結構式問卷，資料收集後以描述性統計分析、信度分析、因素分析、相關分析及迴歸分析進行資料分析，研究可歸納出以下結論：
一、護理人員進行病人安全異常事件通報行為意向受到態度、主觀規範及知覺行為控制所影響，影響最大
的為知覺行為控制信念之「適切性」，其次為「組織效能」，再次是態度信念之「信念認知」。
二、護理人員在態度之「信念認知」對於進行病人安全異常事件通報行為意向有顯著相關，個人的自我要
求及價值對於病人安全通報有顯著的正相關，而隱性態度呈現負相關。
三、護理人員在主觀規範之「直接或間接群體」對於進行病人安全異常事件通報行為意向有顯著相關。
四、護理人員在知覺行為控制之「適切性」、「組織效能」對於行為意向有顯著正相關。
本研究建議醫療機構或主管機關擬定護理人員教育訓練時須將病人安全相關專業知識納入課程中,同時可建立「鼓勵通報獎勵制度」並透過單位主管、衛生主管機構、病患及家屬或民間團體來以徵求更多參與者,因「病人安全 人人有責」。

關鍵字：病人安全、異常事件通報、計畫行為理論。

關鍵字

計畫行為理論 ； 異常事件通報 ； 病人安全

並列摘要

ABSTRACT
This research uses the structure of the theory of planned behavior (Ajzen, 1985) to predict and explain the behavior intention and relevant factors shown by those primary medical care personnel among those emergency rooms (ER), operating theatres (OT) and intensive care units (ICU) of 4 main hospitals in certain district while presenting patient safety incident report (PIR). Coming with purposive sampling, 486 questionnaires have been sent while 442 of them have just been taken back. Excluding those 32 invalid forms, the effective ratio is 84.4%.
This research starts with open-ended, leading questions, which, with its answers, make up another form of sheet, structural questionnaire. After data collection, we do data analysis through Descriptive Statistics Analysis, Reliability Analysis, Factor Analysis, Correlational Analysis and Regression Analysis and have come to the following conclusions.
1.While presenting PIR, objects of study were affected by attitude, subjective
norm and perceived behavioral control (PBC). Effected primarily by
appropriationess of PBC, secondary by organizational effectiveness of PBC and
then by attitude cognition.
2.There’s a significant connection between attitude cognition and behavior
intention while presenting PIR, which means PIR expression significantly shows
positive correlation with self-demand and self-worth and negative correlation
with implicit attitude.
3.There’s a substantial correlation between behavior intention and direct or
indirect subjective norm groups while presenting PIR.
4.There’s a substantial correlation between behavior intention and
appropriationess, organizational effectiveness of PBC while presenting PIR.
This research suggests that medical institutions or the competent authority should put medical expertise of patient safety into curriculum while preparing nursing training courses. At the same time, could also establish the “encourage informed of the reward system” to look for more participants through the head of the office, the health authorities, patients and their families, or even non-governmental organizations since “Patient Safety is Everyone’s Business.”

Key word: Patient Safety, patient safety incident report, The theory of
planned behavior

並列關鍵字

The theory of planned behavior ； patient safety incident report ； Patient Safety

參考文獻

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