| Objective:In this study,the nursing staff of a county hospital in Qiqihar City was selected as the research object,and the "Nursing Personnel Adverse Event Report Cognitive and Attitude Survey Scale" was selected as the tool for the investigation and study.The multidimensional knowledge of the nursing staff And the attitude of the nursing staff,by analyzing the general demographic characteristics of nurses(age,age,title,education,department,training,etc.)on the impact of adverse events reported to understand the factors that hinder the staff reported,and then And puts forward some countermeasures for the purpose of improving the level of scientific research of nursing staff.At the same time,it provides some basis and reference for the research and comparison of relevant research.Methods:Extensively reviewed the adverse event reporting system,adverse events report the attitude and attitude of Chinese and foreign literature,for the development of the study provides a theoretical support and method reference.A questionnaire was used to study the nursing staff of a hospital in Qiqihar city.A total of 235 questionnaires were issued.The questionnaire was 226 copies.The questionnaire mainly includes the basic information of the nursing staff and the cognitive attitude of the nurses' bad event report(the questionnaire adopts 5 dimensions as the carrier,including the report cognition,the punishment environment,the department culture,the execution intention,the department culture,the management Expect a total of 28 entries),while analyzing the basic information of nurses on the attitude of nursing staff adverse events reported.In this study,we use Epidata3.0 to double the data and establish the database,and use the statistical software SPSS 20.0 for data processing and analysis.Using the variance analysis,t test and other statistical methods to P <0.05 on behalf of the difference was statistically significant,and then in-depth analysis and comparison of nurses adverse event awareness and attitude.Results:1.Nurses' awareness and attitudes towards adverse event reporting are generally at a moderate level.2.Nursing staff on the adverse events reported and cognitive dimensions in the age,title,education,departments,marriage,age,gender and other aspects are different.In the age and age of age,the younger,the shorter the degree of care work,nursing staff on the adverse events reported that the lower the cognitive and attitude score;in terms of titles,no job titles or lower grades of nurses in the cognitive level,The performance intention of the two dimensions than the senior title of the nursing staff score;marital status and gender adverse care report on the perception and attitude of the impact is not obvious,only in individual dimensions of the differences;Attitude scores are also different among different departments.3.In the basic data of nurses,age is one of the important influencing factors of cognition and attitudes of nursing adverse events.The differences of the three dimensions of cognition,execution intention and punishment environment among nurses of different age groups are statistically significant(P <0.05),and there was no statistical significance in the two dimensions of departmental culture and management expectation(P> 0.05).(P <0.05),but there was no significant difference between the two groups(P <0.05),but there was no significant difference between the two groups There was statistical significance(P> 0.05).There were statistically significant differences in the five dimensions of management expectation,report cognition,execution intention,punishment environment and departmental culture(P <0.05).(P <0.05).There was no statistically significant difference in the dimensions of nursing in the department(P> 0.05),but there was no significant difference between the two groups(P> 0.05)).(P <0.05).There was no significant difference in the three dimensions of executive intention,management expectation and departmental culture(P> 0.05).There was no significant difference between the two groups(P> 0.05)).(P <0.05).In the "report cognition","department culture" and "punishment environment",the differences among the groups of people in different marriage groups were statistically significant in "implementation intention" and "management expectation" There is no statistically significant difference in dimensions.(P <0.05).The differences between the two groups were statistically significant(P <0.05).The differences between the two groups were significant(P <0.05).In the "executive intention" and "management expectation","department culture","punishment environment" Dimensional differences were not statistically significant.Through the correlation analysis,we can see that the correlation between age,title,nursing age,education and the total score is positively correlated.Among them,the relevance of the title is the strongest and the gender is the weakest.The marital status is negatively correlated with the total score.The multivariate analysis of the cognitive and attitudes of the adverse events was analyzed.The adjustment coefficient R2 was 0.522,which indicated that the three variables of the title,education and nursing age of the equation could explain 52.2% of the total variation.The way of the implementation of adverse events reporting pathways,the hospital internal reporting system,network communication tools,these two kinds of adverse events reported by the nursing staff has been generally recognized,recognized e-mail,verbal channels were 46.46% and 43.81%,only 17.26 care Personnel think that the way the phone can be reported as one of the ways of adverse events.85.40% of the nurses considered that the reporting of adverse events was shared between the case and the experience,and that there was a positive error in the recurrence of similar errors.79.65% of the nurses considered that the adverse event report could promote work Process optimization,to help the continuous improvement of care services,and to enable patients to be timely treatment,reduce losses,78.32% of the staff that the adverse event report can improve the safety awareness of nurses,there are 66.81% of nursing staff that adverse events report help the hospital Identify the need to strengthen the training of the object.68.14% of nurses are more inclined to carry out ideological education to actively cooperate with them in the implementation of confidentiality,non-punitive attitude towards concealment of adverse events,and 42.92% of nurses consider punishment for concealing reports of irregularities Should be linked with the performance evaluation of individuals and departments,but only 29.20% of the nursing staff that should abolish the relevant qualifications of qualified personnel,26.11% of the staff that should be implemented on the quality assessment of the department punitive measures.Conclusions: 1.Nurses' awareness and attitudes towards adverse event reporting are generally at a moderate level.2.Nurses on the adverse events reported and cognitive dimensions in the age,title,education,departments,marriage,age,gender and other aspects are different.In the age and age of age,the younger,the shorter the degree of care work,nursing staff on the adverse events reported that the lower the cognitive and attitude score;in terms of titles,no job titles or lower grades of nurses in the cognitive level,The performance intention of the two dimensions than the senior title of the nursing staff score;marital status and gender adverse care report on the perception and attitude of the impact is not obvious,only in individual dimensions of the differences;Attitude scores are also different among different departments.3.Academic qualifications,nursing age,title is the adverse events reported that the impact of cognitive and attitudes.Hospitals to improve the report of nurses awareness and attitude,new nurses and non-functional general nurses and low education nurses is the focus of training and attention;hospital managers in the relevant training,should be based on the characteristics of the hospital itself To carry out training to enhance the effectiveness and effectiveness of training.4.In the way of reporting,the hospital adverse event reporting system and the network communication tool recognition is higher,the nursing staff reports the significance of the adverse events in the general level,most nursing staff for the concealment of the punishment bias towards moral education,Nursing safety awareness needs to be further improved. |
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