ICU Nurses Psychoiogical Capital The Realationship Between Core Competence And Patient Safety Culture Cognition Reserch

Objective This study aimed to describe the status of psychological capital, core ability and cognition of patient safety in ICU nurses, to examine the difference of psychological capital, core ability and cognition of patient safety among the demographic characteristics, and to explore the relationships among psychological capital, core ability and cognition of patient safety.Methods This study was a cross-sectional correlational study using convenience sampling to enroll 335 ICU nurses in 3 hospitals in Jinlin province. The questionnaire used in the study included 4 parts:demographic information, psychological capital scale, core competency scale, and awareness of patient safety culture scale. In the study, descriptive statistics, independent t test, ANOVA, and Pearson correlation analysis were performed to analyze the data using SPSS 17.0.Results1. Descriptive statistics of psychological capital, core ability and cognition of patient safety1) The total score of psychological capital was 4.63 (SD=0.70). The 4 dimensions of social psychological capital with scores from high to low were ordered as: self-efficacy (4.75±0.78), toughness (4.61±0.81), hope (4.57±0.79), (4.56±1.03).2) The total score of social core ability was 4.12(SD=0.62). The 4 dimensions of core ability with scores from high to low were ordered as:the ability of nursing care to the critically ill patient (4.15±0.64), the ability of education and training (4.12±0.73), ability of applying the ICU setting and management (4.11±0.71), and the ability of applying technical skills (4.10±0.72).3) The total score of patient safety culture cognition was 3.47(SD=0.70). The 6 dimensions of patient safety culture cognition with scores from high to low were ordered as:unsafe act (3.52±1.17), security resources (3.41q0.87), team (3.39 ±0.89), fear of humiliation (3.22±0.96), take the initiative to report (3.10± 1.22), and psychological safety (2.99±0.94)2. Difference of psychological capital, core ability and cognition of patient safety in ICU nurses among demographic characteristics1) The independent t test and one way ANOVA analysis showed that, there were statistical difference of self-management behavior among age, gender, work status, family income, self-care levels, times enrolling in diabetes education, times of hospitalization, and family disease history.2) There were statistical difference of core ability among age, nationality, educational background, professional titles. There was no significant difference of core ability among ICU time marriage, type, position, department, ICU training, the specialized subject certificate, office, hospital level.3) There were statistical difference of cognition of patient safety among age, ICU time, nationality, education, job title, duties. There was no statistically significant difference of cognition of patient safety marriage, the type of department, ICU training, specialized subject certificate, office, hospital level.3.Correlations among psychological capital, core ability and cognition of patient safety in ICU nurses1) Psychological capital and the four dimensions (hope, optimism, self-efficacy and toughness) statistically positively correlated with core ability scores and the four dimensions (using the ICU setting and management ability, the ability to critically ill patient care, using specialized technology, education and training)2) Psychological capital and the four dimensions (hope, optimism, self-efficacy and toughness) statistically negatively correlated with safety culture cognition scores and five dimensions (team, security resources, superior value, fear of humiliation, unsafe ACTS), and statistically positively correlated with the other two dimensions (psychological security and take the initiative to report).3) The core capability and four dimensions (using the ICU setting and management ability, the ability to critically ill patient care, using specialized technology, education and training) statistically positively correlated with safety culture cognition scores and five dimensions (team, security resources, superior value, fear of humiliation, unsafe ACTS).Conclusion:1. The status of psychological capital among the participants was in mid level, and the dimension of self-efficacy was in the lowest level. The influencing factors of psychological capital included age, gender, work status, family income, self-care levels, times enrolling in diabetes education, times of hospitalization, and family disease history.2. The status of core ability was in the upper level, the dimension of ability to care for critically ill patients was in the highest level, and the dimension of technical skill was in the lowest level. The influencing factors of core ability included age, nationality, educational background, professional titles, ICU time.3. The status of cognition of patient safety culture was in the upper level, and the dimension of superior value was in the highest level. The influencing factors of cognition of patient safety culture included age, ICU time, nationality, education, job title, duties.4. psychological capital, core ability and cognition of patient safety correlated with each other.