摘要
目的探究新入职护士的患者安全文化感知在道德敏感性与安全行为间的中介作用。方法采用便利抽样法,于2022年11—12月选取辽宁省沈阳市7所三级甲等综合医院的302名新入职护士为研究对象,采用一般资料调查表、护士安全行为量表、患者安全文化测评问卷、道德敏感性量表对其进行调查。结果本组新入职护士安全行为总分为(55.95±4.54)分,患者安全文化感知总分为(97.10±6.12)分,道德敏感性总分为(46.74±5.69)分。本组新入职护士安全行为总分与患者安全文化感知总分、道德敏感性总分呈正相关(r=0.634、0.472,均P<0.001),患者安全文化感知总分与道德敏感性总分呈正相关(r=0.564,P<0.001)。新入职护士的患者安全文化感知在道德敏感性与安全行为间起部分中介作用,中介效应占比67.2%。结论新入职护士道德敏感性可通过加强对患者安全文化感知间接影响其安全行为。建议护理管理者应加强及重视新入职护士的道德教育,提高其道德敏感性,从而增强患者安全文化意识,规范安全行为,保障患者安全。
Objective To explore the mediating effect of new nurses’perceptions of patient safety culture between moral sensitivity and safety behaviors.Methods Convenient sampling was used to select 302 new nurses from 7 tertiary grade-A hospitals in Shenyang City from November to December 2022,and they were surveyed using the General Information Questionnaire,the Nurse Safety Behavior Questionnaire,the Patient Safety Culture Assessment Questionnaire,and the Moral Sensitivity Questionnaire.Results The total score of new nurses’safety behavior,perceptions of patient safety culture,and moral sensitivity was 55.95±4.54,97.10±6.12,and 46.74±5.69,respectively.In this group,the total score of new nurses’safety behavior was positively correlated with that of perceptions of patient safety culture and moral sensitivity(r=0.634,0.472,both P<0.001),and the total score of perceptions of patient safety culture and that of moral sensitivity were positively correlated(r=0.564,P<0.001).New nurses’perceptions of patient safety culture played a partial mediating role between moral sensitivity and safety behaviors,with a mediating effect of 67.2%.Conclusion Moral sensitivity of new nurses can indirectly influence their safety behaviors by enhancing their perceptions of patient safety culture.It is recommended that nursing managers should strengthen and pay attention to the moral education of new nurses and improve their moral sensitivity,so as to enhance the awareness of patient safety culture,standardize safety behaviors,and ensure patient safety.
作者
齐柯雯
吴慧颖
QI Ke-wen;Wu Hui-ying(Operating Room,Shengjing Hospital of China Medical University,Shenyang 110004,China)
出处
《护理学报》
2024年第10期8-12,共5页
Journal of Nursing（China）
