比較有無發生醫療異常事件之護理人員在人格韌性及離職意願的差異

A Study of Medical Error Occurrence, Nurses' Hardiness and Intention to Leave

陳亞玲(Ia-Ling Chen) ； 張肇松(Chao-Sung Chang) ； 江惠英(Hui-Yiang Chiang) ； 林淑媛(Shu-Yuan Lin)

《新臺北護理期刊》 11卷1期 (2009/02) Pp. 39-49

https://doi.org/10.6540/NTJN.2009.1.005

摘要

The purpose of this study is to compare nurses' hardiness and intention to leave between those who had medical error with those didn't have such incident. This is a cross-sectional descriptive study. Purposeful sampling was applied, and the subjects in this study are nurses who worked in a medical center, a regional hospital and two district hospitals in southern Taiwan. 535 questionnaires were distributed, including personal basic characteristics, health related hardiness scale, and intention to leave questionnaire, and the response rate was 97%. Results show that: 1. individual characteristics, including marital status, age, children numbers, total nursing service years, working unit and service years in the unit, are significantly different between nurses who had medical errors with those who didn’t have medical errors. The hardiness of nurses who had medical errors is lower than those who didn’t have medical errors. Results of t tests show that the hardiness levels of the two groups are significantly different (p＜.05). The intention to leave of nurses who had medical errors is significantly different from those who didn't have medical errors (p＜ .05). We suggest that prevention strategies should be built in training programs for new nursing staffs in order to reinforce nurses' hardiness, which should prevent the occurrence of medical errors and reduce their intention to leave.

關鍵字

醫療異常事件 ； 人格韌性 ； 離職意願

並列摘要

The purpose of this study is to compare nurses' hardiness and intention to leave between those who had medical error with those didn't have such incident. This is a cross-sectional descriptive study. Purposeful sampling was applied, and the subjects in this study are nurses who worked in a medical center, a regional hospital and two district hospitals in southern Taiwan. 535 questionnaires were distributed, including personal basic characteristics, health related hardiness scale, and intention to leave questionnaire, and the response rate was 97%. Results show that: 1. individual characteristics, including marital status, age, children numbers, total nursing service years, working unit and service years in the unit, are significantly different between nurses who had medical errors with those who didn’t have medical errors. The hardiness of nurses who had medical errors is lower than those who didn’t have medical errors. Results of t tests show that the hardiness levels of the two groups are significantly different (p＜.05). The intention to leave of nurses who had medical errors is significantly different from those who didn't have medical errors (p＜ .05). We suggest that prevention strategies should be built in training programs for new nursing staffs in order to reinforce nurses' hardiness, which should prevent the occurrence of medical errors and reduce their intention to leave.

並列關鍵字

Medical error ； Hardiness ； Intention to leave