重症监护室护士职业应对自我效能现状及对患者安全观念的影响

摘要/Abstract

摘要： 目的调查重症监护室护士职业应对自我效能与患者安全观念现状,并分析职业应对自我效能对患者安全观念的影响。方法采用整群抽样法,2023年4—6月抽取盐城市5所三级综合医院的重症监护室护士为调查对象。使用一般资料调查表、职业应对自我效能量表、患者安全态度量表进行调查,并对数据进行分析。结果 196名重症监护室护士职业应对自我效能总分为（28.22±6.06）分、条目均分为（3.14±0.67）分,患者安全态度总分为（113.89±15.84）分、条目均分为（3.67±0.51）分。不同户口性质、学历、劳务关系、职称、平均每月夜班数、半年内是否参加过安全教育的重症监护室护士的职业应对自我效能得分比较,差异均有统计学意义（均P<0.05）。不同户口性质、学历、劳务关系、职称、平均每月夜班数、半年内是否参加过安全教育的重症监护室护士的患者安全态度得分比较,差异均有统计学意义（均P<0.05）。重症监护室护士职业应对自我效能总分及各维度得分与患者安全态度总分及各维度得分均呈正相关（r=0.481~0.850,均P<0.01）。控制一般人口学变量对患者安全态度的影响后,职业应对自我效能可独立解释患者安全态度29.3%的变异。结论重症监护室护士职业应对自我效能处于中等偏下水平、患者安全态度处于中等偏上水平,职业应对自我效能对患者安全态度具有显著正向影响,可通过提高职业应对自我效能,进一步强化患者安全态度水平。

关键词: 重症监护室, 护士, 职业应对自我效能, 患者安全观念

Abstract: Objective To investigate the current situation of occupational coping self-efficacy and patient safety attitude among intensive care unit nurses,and to analyze the influence of occupational coping self-efficacy on patient safety attitude. Methods Cluster sampling was used to select intensive care unit nurses from five grade-A tertiary comprehensive hospitals in Yancheng City from April to June 2023 as the survey subjects. General information questionnaire,occupational coping self-efficacy scale,and patient safety attitude scale were used to conduct the survey,and the data were analyzed. Results The total score of occupational coping self-efficacy of 196 intensive care unit nurses was （28.22±6.06）points,with an average score of （3.14±0.67） points.The total score of patient safety attitude was （113.89±15.84）points,with an average score of （3.67±0.51）points. Comparison of occupational coping self-efficacy and patient safety attitude scores among intensive care unit nurses with different household registration types,education backgrounds,labor relationship,professional titles,average monthly night shifts,and whether they had participated in safety education within six months showed statistically significant differences（all P<0.05）. The total occupational coping self-efficacy score and each dimension score of intensive care unit nurses were positively correlated with the total patient safety attitude score and each dimension score（r=0.481-0.850,all P<0.01）. After controlling for the effects of general demographic variables on patient safety attitude,occupational coping self-efficacy independently explained 29.3% of the variance in patient safety attitude. Conclusion The occupational coping self-efficacy of intensive care unit nurses is at a moderate to low level,and the patient safety attitude is at a moderate to high level. The occupational coping self-efficacy has a significant positive effect on the patient safety attitudes,which could be further strengthened by improving occupational coping self-efficacy.

Key words: Intensive care unit, Nurses, Professional coping self-efficacy, Patient safety attitude

中图分类号:

R192.6

陈丽, 李青荷, 陈婷婷. 重症监护室护士职业应对自我效能现状及对患者安全观念的影响. [J]职业与健康, 2024, 40(18): 2510-2514.

CHEN Li, LI Qinghe, CHEN Tingting. Current situation of occupational coping self-efficacy among intensive care unit nurses and its impact on patient safety attitude. [J]OCCUPATION AND HEALTH, 2024, 40(18): 2510-2514.

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