The Investigation And Analysis Of Nureses’ Cognitive And Attitude Of Adverse Event Reporting

Objective To investigate the nurses’cognitive and attitudes towards the adverse event reporting; explore its influencing factors and improve the adverse event reporting system for care.Methods516nurses were selected from Nanjing drum tower hospital, the affiliated hospital of Nanjing university medical school by convenience sampling method to participate in a survey. The revised questionnaires of cognitive attitudes towards the adverse events report were used. The data were analyzed by SPSS17.0statistical software, statistical methods include descriptive statistics analysis, analysis of variance, correlation, t-test analysis, multiple linear regression analysis, inspection level take a=0.05.Results①The positive response rate of nurses’cognitive attitude towards adverse events was64.89%, total average score (3.67±0.95). Five factors in descending order were reporting intentions (73.87%、3.82±0.92), management expectations (71.90%、3.79±0.88) department culture (63.46%、3.66±0.98), punishment environment(58.99%、3.49±0.99), reporting cognition (54.60%、3.57±1.12). There were statistically significant difference among five factors influencing nurses’cognitive attitude towards adverse events, including different age, length of service, professional title, marriage, position, department (P<0.05).②age, length of service professional title, position and report of the cognitive and attitude is a weak positive related (P<0.01).③Multiple linear regression analysis of with nurses’cognitive attitude towards adverse events showed that position, working age entered into the regression equation;④Multiple linear regression analysis with nurses’adverse events of reporting intentions showed that department culture, punishment environment, position, age, management expectations, length of service entered into the regression equation.Conclusions①Nurses’cognitive attitude towards adverse events report is positive. The dimension of nurses’cognitive attitude towards adverse events report differs in age, length of service, professional title, marriage, position and departments. cognitive degree, implementation intentions in different age, length of service, professional title, marriage, position have differences:younger and shorter length of service, the nurses’cognitive degree and executive intention are lower; nurses with primary titles have lower cognitive degree and implementation intentions than those with senior titles; management expectations differs in various titles:nurses with primary titles have lower management intention than those with senior titles; department culture differs in various positions:nurses with no position have lower culture scores than the head nurses; cognitive degree differs in various departments.②Older nurses with longer length of service, higher title and position have more positive cognitive attitudes towards adverse events report.③osition and length of service are the factors influencing cognitive attitude.④he age, department culture, punishment environment and management expectations are the factors influencing the executive intention of adverse events.⑤According to the needs and features of target group, the hospital should adapt more sensitive intervention strategies:such as organizing more training on security theory and risk management, focusing on young nurses and nurse with no position; investigating safety problems from the systematic perspective, and, improve the adverse events reporting system.