病人安全風氣知覺之相關因素探討－以中部某教學醫院護理人員爲例

Factors Related to Registered Nurses? Perception of Patient Safety Climate: An Example of a General Hospital in Central Taiwan

黃雅儀(Ya-Yi Huang) ； 謝秀敏(Hsiu-Min Shieh) ； 陳素根(Su-Ken Cheng) ； 張菀真(Yu-Zhen Chang)

《長庚護理》 20卷1期 (2009/03) Pp. 26-36

https://doi.org/10.6386/CGN.200903_20(1).0003

摘要

護理人員之病人安全知覺與其安全行爲密切相關，欲促進護理人員之病人安全行爲，首先需瞭解其對病人安全之知覺。本研究旨在探索護理人員之病人安全風氣知覺及其相關因素，採描述相關性之量性研究設計，使用安全態度量表(Safety Attitude Questionnaire)作爲研究工具，研究對象爲中部某區域型教學醫院之護理人員，共收集458 份有效問卷，回覆率達76.7%。研究結果顯示護理人員所填答的病人安全風氣知覺平均爲58.14分，答題選項介於中等與正向之間，細究其中六個構面之得分，以合作風氣構面的知覺最正向、壓力認知構面的知覺最負向，顯示出研究醫院的護理人員普遍不認爲壓力對工作表現有影響。年齡、工作年資、能力進階職級、職位階級、病房別與護理人員之病人安全知覺呈現顯著相關；其中能力進階職級、病房別兩變項爲顯著之預測因子。要提昇整體護理人員的病人安全知覺，建議管理者可針對得分較不理想的構面予以加強，即提昇護理人員對壓力事件之認知，以及關注病人安全知覺得分偏低單位護理人員之需求，以提升整體護理人員的病人安全知覺，進而影響其病人安全行爲。

關鍵字

病人安全知覺 ； 病人安全態度 ； 病人安全風氣

並列摘要

Nurses' perception of patient safety climate closely related to their safety behavior. In order to promote nurses' safety behavior of patient care, we performed a survey about nurses' perception of patient safety climate. The study was carried out in a general hospital located in central Taiwan. The Safety Attitude Questionnaire created by Sexton, Thomas, and Helmreich was used as a measurement instrument. Four hundred and fifty-eight register nurses who had passed the probation stage were eligible for enrollment. The mean score of the patient safety climate was about 58.14. In six subscales, nurses scored the highest in team climate, and lowest in stress cognition. Factors affect nurses' perception of patient safety climate included nurses? age and their specialty. Nurses who worked at operation room, emergency room and intensive care unit scored the lowest of patient safety climate. Age was significantly associated with nurses' perception of patient safety climate. Staff who were older, senior, or in management level tend to score higher on patient safety climate. Even in the same organization, nurses had different perception of patient safety climate. In order to enhance nurses' whole perception of patient safety climate, the authors suggest that managers should improve the nurses' recognition of stress events, and pay more attention to the nurses whose perception of patient safety climate was negative.

並列關鍵字

patient safety perception ； patient safety attitude ； patient safety climate