专业水平对护士医疗差错倾向的影响。

Necmettin İşci, Serap Altuntaş
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摘要

目的:本研究旨在探讨医院护士的职业专业水平与其医疗失误倾向之间的关系。这是一项描述性、相关性和横断面研究:研究于 2013 年 6 月至 2015 年 1 月期间在四家提供普通诊断、治疗和护理服务的医院进行。共有 459 名护士参与研究。调查问卷包括个人信息表、职业礼仪量表和护理医疗差错倾向量表。研究获得了医院伦理委员会和机构的批准。数据分析采用 Cronbach's alpha 分析、频数和百分比分布、描述性统计、Pearson 乘积正相关系数、Dunnett T3 事后检验、简单线性回归分析和 t 检验:护士的职业专业水平较高(M=137.06±15.23),医疗差错倾向水平较低(M=223.24±25.28)。大多数护士认为自己相当专业,以前未犯过任何医疗差错。两者之间存在强烈的、高度显著的负相关关系(p 结论:研究发现,护士的职业专业态度对其医疗失误倾向有负面影响。
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Effect of Professionalism Level on Tendency to Make Medical Errors in Nurses.

Aim: The aim of the present study was to examine the relationship between the occupational professionalism level of hospital nurses and their tendency to make medical errors. This was a descriptive, correlational, and cross-sectional study.

Method: The study was conducted between June 2013 and January 2015 in four hospitals providing general diagnosis, treatment, and care services. Four hundred fifty-nine nurses were included in the study. A questionnaire including a Personal Information Form, Professional Manner in Occupation Inventory, and Tendency to Medical Error in Nursing Scale was used to collect data. The study was approved by the hospitals' ethics committees and institutions. Data were analyzed using Cronbach's alpha analysis, frequency and percentage distributions, descriptive statistics, Pearson product-moment correlation coefficient, Dunnett T3 Post Hoc test, simple linear regression analysis, and t-test.

Results: Nurses' occupational professionalism levels were high (M=137.06±15.23), and tendency to medical error levels were low (M=223.24±25.28). The majority of the nurses considered themselves quite professional and had not made any medical errors previously. There was a strong and highly significant negative relationship (p<0.001) between their occupational professionalism and their tendency to medical error. There was a difference between the occupational professionalism levels of nurses who made and did not make an occupational error (p<0.05), as well as significant differences between their tendency to medical error according to their perception of themselves as professionals (p<0.05). The occupational professionalism manner of the nurses was determined to be 30% effective in their tendency to medical error.

Conclusion: The occupational professionalism manner of the nurses was found to negatively affect their tendency to medical error.

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