患者安全文化与护士工作压力之间的关系

Habib Elsaid Awad Dawa, Samah Faisal Fakhry, Fawzia mohamed Mohamed
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摘要

背景:患者安全是医疗服务质量的关键因素。护士是护理病人的最大群体,注意护理安全可以减少伤害、残疾、发病率和死亡率。然而,高压力会导致护理质量下降。目的:本研究旨在评估患者安全文化与护士工作压力之间的关系。研究对象和方法:研究对象包括(114 名)儿科护士。研究设计:本研究采用横断面分析设计。研究环境:本研究在开罗大学附属医院 Abou EL Reesh 儿童医院的所有住院部进行。工具:使用两种工具收集数据,即患者安全文化医院调查问卷》和《护理压力扩展量表》。结果只有(8.8%)护士对患者安全文化有较高的认识。大多数护士(91.2%)对患者安全文化的认知度较低。几乎所有护士(98.2%)的工作压力水平较高,而只有(1.8%)的护士工作压力水平较低。结论护士对患者安全文化的认识与其工作压力之间存在明显的统计学负相关。建议将患者安全文化作为护士入职培训和发展计划的一部分。医院高层管理者、政策制定者和决策者应注意跟踪导致压力的组织因素。定期召开员工会议,让护士公开表达自己的感受,并获得反馈和支持。
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Relationship between Patient Safety Culture and Job Stress among Staff Nurses
Background: Patient safety is a key element of the quality of health services. Nurses are the largest group that care for patients, observing safety in nursing care would reduce injuries, disability, morbidity and mortality. However, high stress can lead to a decline in the quality of nursing care. Aim: The current study aimed to assess the relationship between patient safety culture and job stress among staff nurses. Subjects and Method: The subject of this study included (114) pediatric staff nurses. they were selected randomly. Research design: Cross –sectional analytical design was used to conduct this study. Setting: This study was conducted at all inpatient departments in Abou EL Reesh children’s Hospital which is affiliated to Cairo University Hospitals. Tools: Data was collected by using two tools namely: Hospital Survey on Patient Safety Culture Questionnaire and Expanded Nursing Stress Scale. Results: Only (8.8%) the staff nurses had high awareness regarding total patient safety culture. While the majority (91.2%) of them had low awareness regarding total patient safety culture. Almost all (98.2%) of the staff nurses had high job stress level, while only (1.8%) the staff nurses had low job stress level. Conclusion: There was significant statistical negative correlation between staff nurses awareness about patient safety culture and their job stress. Recommendations: Integrate patient safety culture as a part of the orientation and development program for nurses. Hospital top management, policy and decision makers should pay attention to tracking organizational factors causing stress. Keeping regular staff meeting allow staff nurses to express their feeling openly and get feedback and support.
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