Clinical risk and patient safety: a multicenter cross-sectional study to explore knowledge, attitudes and practice of hospital nurses

被引:0
作者
Guillari, Assunta [1 ]
Petitti, Tommasangelo [2 ]
Esposito, Maria Rosario [3 ]
Silvio, Simeone [4 ]
Teresa, Rea [1 ]
机构
[1] Univ Federico II, Publ Hlth Dept, Naples, Italy
[2] Campus BioMed Roma Univ, Res Unit Stat, Rome, Italy
[3] IRCCS G Pascale, Natl Canc Inst, Naples, Italy
[4] Tor Vergata Univ, Dept Biomed & Prevent, Rome, Italy
关键词
Patient safely; Knowledge; Attitudes; Practice; Nurses; Errors; ADVERSE DRUG-REACTIONS; CULTURE; PERCEPTIONS; IMPACT;
D O I
10.2427/13298
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: To investigate knowledge, attitudes, and behavior of nurses working in acute care hospitals regarding clinical risk and patient safety, and to identify predisposing factors. Design: Cross-sectional multicenter study. Methods: The study was conducted in thirteen non-teaching acute public and private hospitals of a region of southern Italy from September through December 2015. A structured self-report questionnaire was administered to clinical nurses working in the hospitals involved. Three multivariate linear and logistic regression models have been constructed: knowledge of the definition of an adverse event; attitude towards risk of making an error while working; and nurses who reported at least one error in the past 12 months. Results: The sample consisted of 484 respondents out of 670 (72.2%) nurses approached. The final multivariable model showed that educational courses about patient safety play a significant role in nurses gaining knowledge of adverse events. In the absence of organization-wide patient safety programs, nurses with low knowledge levels showed a significantly higher perceived risk. Nurses (n=96) who made errors over the past 12 months had discussed them with head nurses (75%) and colleagues (41.7%). Anonymous reporting to the organization was very low, with only 8.3% of nurses who had made an error submitting an anonymous report. Conclusions: Managers should implement multimodal improvement strategies aimed at enabling nurses' to recognize the critical issues of the system and to increase their reporting, in order to make the organizations safer.
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页码:1 / 9
页数:9
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