| Summary: | 碩士 === 高雄醫學大學 === 醫務管理學研究所碩士在職專班 === 99 === Objectives:
Through the empirical research in understanding the safety cognition of nursing staff for patients, the factors that affect nursing staff’s safety culture cognition towards patient and the impact to the medical incident report.
Methods:
In the research framework, the demographic characteristics (educational level, age, marital status) and vocational characteristics (years of service, job title, department, continuing education for patients’ safety, advanced nursing care) are the control variables. Two other factors, patient safety cognition and patient safety culture cognition are the independent variable. The medical incident reporting situation will be considered as the dependent variable. This research allows me to investigate the impact of nursing staffs’ patient safety cognition and patient safety cultural cognition found in medical incident report.
Results:
The nursing staff’s cognitive score on patient safety in the overall average is 4.61 ± 0.38, the nursing staff’s cognitive score of the patient safety culture in the overall average is 3.42 ± 0.34. Demographic characteristics of the age (p value = 0.019), and vocational characteristics such as job title (p value = 0.040) and clinical service years (p value = 0.028) are significant differences at the unit level of patient safety culture. Vocational characteristics of the clinical service years in such of these three areas of patient safety, including “the prevention of patient falls” (p value = 0.004), “to encourage incident reporting “(p value = 0.008), “to enhance public participation in patient safety “(p value = 0.028), are significant differences in cognitive scores. Service units in the four areas of patient safety, “to enhance drug safety” (p value = 0.030), “to increase surgery correction “(p value = 0.011), ”to improve patient identification accuracy” (p value = 0.022), “the transfer of patients to improve communication and safety” (p value = 0.007) are significant differences in cognitive scores. Under the unit level of patient safety culture significantly correlates to incident reporting cases (P = 0.005) and it is a negative predictor to incident report. It appears that high patient safety culture perception but low incident report status is the case study. Only thirty percent of the nursing staff had the experience of medical incidents report in the previous year.
Implication:
Although the patient safety cognitive scores and patient safety culture scores of nursing staff are high, there are still over sixty percentages of nurses had never been informed of abnormal events. In the previous year, the abnormal events were not properly reported that indicates the status of high patient safety cognition is associated with low medical incident report. Thus, I proposed to strengthen the educational courses for nursing staff in patient safety and medical aspects of incident report in order to improve the process of medical incident report system. Thus, it will enhance the implementation of patients’ safety.
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