整合性文獻計量學觀點建構智慧結構：病人安全文化研究的演進

An Integrated Bibliometrics Approach to Construct the Intellectual Structure: The Evolution of Patient Safety Culture Studies

黃鴻基(Hung-Chi Huang)

指導教授 ： 王正華 ； 陳璧清

長榮大學/管理學院/經營管理研究所/博士(2015年)

https://doi.org/10.6833/CJCU.2015.00008

摘要

病人安全文化是一個新興議題，尤其它是改善病人安全及照護品質的要件。過去系統性的回顧研究並未能提供這個領域量化及客觀的全貌，因此本研究目的係藉由整合性文獻計量學的方法去建構病人安全文化研究的智慧結構。本研究採用關鍵詞方式搜尋Web of Science資料庫，獲得自1992年到2014年有關病人安全文化或氣候共1,364筆文獻及48,948筆引文資料。經整理最常被引用的文獻及引文資料，使用引文分析方法建立文獻歷史圖(historiograph)、採用共引文分析方法繪製社會網絡圖(sociogram)、及利用以引文為基礎的主路徑分析方法建構發展路徑(development path)。結果，從文獻歷史圖發現以醫院為對象的研究、以加護病房為對象的研究及建立病人安全文化因果模式等三條歷史軌跡；在社會網絡圖中明顯呈現從病人安全研究到病人安全文化研究、從安全氣候研究到病人安全氣候研究的現象；而由發展路徑可以將病人安全文化或氣候的研究明確的區分為發展測量工具與調查、建立因果關係模式及各國應用病人安全文化調查等三個階段。總而言之，整合型文獻計量學的觀點有助於對病人安全研究與實際工作有興趣人員，提供完整及明確病人安全文化或氣候研究的源起與發展，也提供對新研究方向與研究重點的建議。

關鍵字

病人安全文化 ； 病人安全氣候 ； 智慧結構 ； 社會網絡分析 ； 主路徑分析 ； 文獻計量學

並列摘要

While a patient safety culture is a relatively new topic, it is a core element in improving both patient safety and the quality of care. Past systematic review research does not provide details of the quantitative and objective overview of this field. Therefore, the aims of this study is to construct the intellectual structure of this emerging issue based on an integrated bibliometric approach. This work searched the Web of Science database collection using keywords method, identified a total of 1,364 documents and retrieved 48,948 cited references for patient safety climate or culture published from 1992 to 2014. The most-cited articles and references were profiled and analyzed, using citation analysis to create a historiograph, using co-citation analysis to map a sociogram, and using citation-based main path analysis to derive the development path. This study find that the historiograph show three historical trajectories, including of research in hospitals, research in ICUs and establish the causal model. In addition, the sociogram clearly present the phenomenon, from patient safety studies to patient safety culture studies, and from safety climate studies to the patient safety climate studies. Furthermore, the patient safety climate/culture studies can be divided into three stages: the development of measurement tools and survey, establish the causal model, and the application across countries based on the development path. In general, an integrated bibliometrics approach is very useful for researchers and practitioners interested in the field of patient safety to provide integral and clear evolution of the patient safety climate/culture studies, and for suggesting new research directions or alternative research priorities.

並列關鍵字

Patient Safety Culture ； Patient Safety Climate ； Intellectual Structure ； Social Network Analysis ； Main Path Analysis ； Bibliometrics

參考文獻

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