| Summary: | 碩士 === 義守大學 === 管理研究所碩士班 === 94 === Purpose:
The purposes of this study were (1) to understand the pattern and causes of medical error that made by nursing staff, (2) to understand the response behavior that related to the characteristics of nursing staff to patient’s safety, (3) to understand the response behavior of nursing staff to medical error, and (4) to explore the factors that influence the response behavior of nursing staff to medical error.
Methods:
This study was done by means of purposive sampling with questionnaire survey for the clinical nursing staff. A total of 518 copies were sent out in 2 Feb 2006. Of the returned questionnaires, 412 copies were effective with an effective return rate of 79.5%.Chinese version of SPSS 10.0 was used for statistical analysis. Reliability was tested by Cronbach α. Methods used for data analysis included mean, percentile, t test, Pearson correlation, χ2 test, variance, and logistic regression.
Results:
The mean score of patient’s safety recognition was 6.07. The attitude of nursing staff toward patient’s safety was 70% to 80% in agreement as regard to “education and strategy factors”, “causes of error and response behavior factors”, and “team work and communication factors”.
Response behavior showed positive correlations between (1) “medical error pattern complications” and “prudence and knowledge-pursuing factors”; (2) ”systemic and environmental factors of medical error” and “refuge and concealment factors”; working load factors” and “depressed emotion factors”; (3) “education and policy factors”, “causes of error and response behavior factors”, and “prudence and knowledge-pursuing factors”; “nursing care factors” and “refuge and concealment factors”; “announcement and management”, “team and idea”, “nursing care and “communication and discussion factors”; and “causes of error and response behavior factors”, “nursing care factors”, and “depressed emotion factors”. Response behavior also showed negative correlations between (4) age and “prudence and knowledge-pursuing factors”, and seniority and “refuge and concealment factors”.
Suggestions:
(1) Clinical affairs: setting annual goal, analyzing the causes of unusual events, establishing and following the remedy, to decrease the reappearance of medical injury. (2) Administration: raising the reporting rate of unusual events, establishing the safety culture by non-financial encouragement and consistent education, organizing emergent team and precautious alarm system, to limit the destruction by rapid response. (3) Education: enhancing the recognition of the basical and systemic problem-solving by nursing staff, helping themf with the ability of pressure-control and problem-oriented response behavior by adding curriculum of social science and management science.
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