埃塞俄比亚大学医院手术室临床医生对围手术期安全的态度。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES International Journal for Quality in Health Care Pub Date : 2024-07-11 DOI:10.1093/intqhc/mzae051
Yophtahe Woldegrima Berhe, Yonas Admasu Ferede, Biresaw Ayen, Tadesse Belayneh Melkie, Aklilu Yiheyis, Nurhusen Riskey Arefayne, Yosef Belay Bizuneh
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引用次数: 0

摘要

背景:患者安全是优质医疗服务的基础,也是医疗系统的重中之重。维护患者安全可以减少患者在医疗过程中可能遭受的错误和伤害。手术室临床医生在确保患者安全方面起着至关重要的作用。本研究的总体目标是评估埃塞俄比亚西北部贡达尔大学综合专科医院(UoGCSH)手术室临床医生对围手术期安全的态度及相关因素:已获得贡德尔大学医学院麻醉系的伦理批准。对 UoGCSH 的手术室临床医生进行了横断面研究。数据收集采用自填式结构问卷,其中包括安全态度问卷(SAQ)。采用二元逻辑回归分析,以调整后的几率和 95% 的置信区间来描述相关性的强度:共有 260 名(回复率 76%)手术室临床医生参与了这项研究。对围术期安全态度的平均值(± SD)为 57.8 ± 0.9。只有 32 名(12.3%)手术室临床医生对围术期安全持积极态度。除压力识别领域外,大多数临床医生对 SAQ 的所有领域均持不利态度。年龄超过 30 岁[AOR:3.1,CI:1.1,8.7,P:0.035]、每周工作时间超过 40 小时[AOR:3.9,CI:1.4,11.1,P:0.01]、在眼科工作[AOR:12.0,CI:3.8,38.8,P <0.001]和妇科工作[AOR:3.6,CI:1.1,12.7 P:0.04]手术室,接受过围手术期安全培训[AOR:2.6,CI:1.1,6.5,P <0.03]与对围手术期安全持良好态度有关:结论:大多数手术室临床医生对围术期安全和 SAQ 的所有领域(压力识别领域除外)均持不利态度。年龄大于 30 岁、每周工作时间超过 40 小时、接受过与安全相关的培训以及在眼科和妇科手术室工作与对围术期安全持积极态度有关。
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Attitude toward perioperative safety among operation room clinicians at Ethiopian University Hospital.

Patient safety is a fundamental of good quality and also a high priority for the health-care system. Maintaining patient safety reduces errors and harm that patients can suffer during health care. The operating room clinicians have a vital role in ensuring patient safety. The general objective of this study was to assess attitudes towards perioperative safety and associated factors among the operation room clinicians at the University of Gondar Comprehensive Specialized Hospital (UoGCSH), Northwest Ethiopia, 2022. A cross-sectional study was conducted on operation room clinicians at UoGCSH. The data were collected by using a self-administered structured questionnaire that included the Safety Attitude Questionnaire (SAQ). Binary logistic regression analysis was employed, and the strength of association was described in adjusted odds ratios with a 95% confidence interval (CI). A total of 260 (76% response rate) operation room clinicians have participated in this study. The mean ± SD of attitude toward perioperative safety was 57.8 ± 0.9. Only 32 (12.3%) operation room clinicians have shown a favorable attitude toward perioperative safety. Most of the clinicians were found to have unfavorable attitudes toward all domains of SAQ except the stress recognition domain. Age >30 years [adjusted odds ratios (AOR): 3.1, CI: 1.1, 8.7, P = .035], working for ≥40 h/week (AOR: 3.9, CI: 1.4, 11.1, P = .01), working in ophthalmologic (AOR: 12.0, CI: 3.8, 38.8, P < .001) and gynecologic (AOR: 3.6, CI: 1.1, 12.7, P = .04) operation rooms, and having training on perioperative safety (AOR: 2.6, CI: 1.1, 6.5, P < .03) were found associated with having favorable attitude toward perioperative safety. Most operation room clinicians had an unfavorable attitude toward perioperative safety and all the domains of SAQ except the stress recognition domain. Older age  ≥ 30 years, working for ≥40 h/week, having safety-related training, and working in ophthalmologic and gynecologic operation rooms were found associated with having a favorable attitude toward perioperative safety.

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来源期刊
CiteScore
4.90
自引率
3.80%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The International Journal for Quality in Health Care makes activities and research related to quality and safety in health care available to a worldwide readership. The Journal publishes papers in all disciplines related to the quality and safety of health care, including health services research, health care evaluation, technology assessment, health economics, utilization review, cost containment, and nursing care research, as well as clinical research related to quality of care. This peer-reviewed journal is truly interdisciplinary and includes contributions from representatives of all health professions such as doctors, nurses, quality assurance professionals, managers, politicians, social workers, and therapists, as well as researchers from health-related backgrounds.
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