بررسی نگرش پرستاران شاغل در بخش مراقبت های ویژه نسبت به موانع افشای خطاهای پزشکی به بیماران در بیمارستان های آموزشی و درمانی شهرستان جهرم در سال 1403

نوع مقاله : مقاله پژوهشی

نویسندگان
1 مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم پزشکی جهرم، جهرم، ایران
2 استادیار گروه یورولوژی، دانشگاه علوم پزشکی جهرم، جهرم، ایران.
3 کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی جهرم، جهرم، ایران.
4 دانشیار گروه بیهوشی، دانشگاه علوم پزشکی جهرم، جهرم، ایران.
5 مربی ، گروه پرستاری، دانشکده پرستاری، دانشگاه علوم پزشکی جهرم، جهرم، ایران.
چکیده
مقدمه: اهمیت بروز خطاهای پزشکی در سیستم درمانی و عدم گزارش تمامی این موارد به طور دقیق سبب به خطر افتادن ایمنی بیمار در نتیجه ی اینگونه خطاها و عدم گزارش توسط کادر درمان به خصوص پرستاران می شود. بنابراین هدف از انجام این مطالعه بررسی نگرش پرستاران شاغل در بخش مراقبت های ویژه نسبت به موانع افشای خطاهای پزشکی به بیماران در بیمارستان های آموزشی و درمانی شهرستان جهرم در سال 1403 می باشد.
روش کار: این مطالعه توصیفی- مقطعی بر روی 118 نفر از پرستاران شاغل در بخش مراقبت های ویژه بیمارستان های آموزشی-درمانی شهرستان جهرم انجام شد. ابزار گردآوری اطلاعات شامل دو پرسشنامه اطلاعات دموگرافیک و پرسشنامه نگرش پرسنل پرستاری نسبت به موانع افشای خطاهای پزشکی بود.
نتایج: ﻣﯿﺎﻧﮕﯿﻦ نگرش پرستاران نسبت به موانع افشا ی خطا های پزشکی 39/11±71/92 بود. ﻣﯿﺎﻧﮕﯿﻦ ﻧﮕﺮش ﻧﺴﺒﺖ ﺑﻪ ﻣﻮاﻧﻊ اﻓﺸﺎی ﺧﻄﺎﻫﺎی پزشکی بر حسب عوامل کارکنان67/3±34/17 و بیمار 06/5±14/34 بود. ﻣﯿﺎﻧﮕﯿﻦ ﻧﮕﺮش ﻧﺴﺒﺖ ﺑﻪ ﻣﻮاﻧﻊ اﻓﺸﺎی ﺧﻄﺎﻫﺎی پزشکی بر حسب عوامل ماهیت خطا 89/2±08/16 که در سطح متوسط و ﻣﯿﺎﻧﮕﯿﻦ ﻧﮕﺮش ﻧﺴﺒﺖ ﺑﻪ ﻣﻮاﻧﻊ اﻓﺸﺎی ﺧﻄﺎﻫﺎی پزشکی بر حسب عوامل سازمانی 31/5±15/25 بوده است که در سطح خوب قرار داشتند.
نتیجه گیری: نتایج مطالعه حاضر نشان داد که نگرش پرستاران در زمینه افشای خطای پزشکی در سطح مطلوب و مثبت قرار دارد. این نتایج نشان‌دهنده اهمیت ملاحظات اخلاقی و حرفه‌ای در نگرش پرستاران است و بر لزوم تدوین سیاست‌هایی برای حمایت از پرستاران و افزایش آگاهی بیماران درباره اهمیت افشای خطاها تأکید دارد.
کلیدواژه‌ها

عنوان مقاله English

Studying the attitudes of nurses working in intensive care units towards obstacles to disclosing medical errors to patients in educational and therapeutic hospitals in Jahrom city in 2024

نویسندگان English

navid kalani 1
Mohammad Reza Rezaeimehr 2
Samira Ghayomian 3
Mohammad Sadegh Sanie Jahromi 4
Shohreh Javadpour 5
1 Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran
2 Assistant Professor of Urology, Department of Urology, Jahrom University of Medical Sciences, Jahrom, Iran.
3 Student Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran
4 Department of Anesthesiology, Jahrom University of Medical Sciences, Jahrom, Iran
5 Instructor of Critical Care Nursing, Jahrom University of Medical Sciences, Jahrom, Iran
چکیده English

Introduction: The importance of medical errors in the healthcare system and the failure to report all these cases accurately endangers jeopardizes patient safety as a result of such errors and failure to report by medical staff, especially nurses. Therefore, the purpose of this study is to investigate the attitudes of nurses working in the intensive care units towards the barriers to disclosing medical errors to patients in educational and medical hospitals in Jahrom, 2024.
Methods: In this cross-sectional-analytical study, 118 nurses working in the intensive care units of educational and therapeutic hospitals in Jahrom were included in the study. The data collection tool included two demographic information questionnaires and nurses' attitudes questionnaire towards the barriers of disclosing medical errors.
Results: The mean and standard deviation of nurses' attitudes towards the barriers to disclosing medical errors was 71.92±11.39. The average attitude towards barriers to medical error disclosure in terms of staff factors was 17.34±3.67 and patient factors were 34.14±5.06, which were at an average level. The average attitude towards barriers of disclosing medical errors in terms of nature of error factors was 16.08±2.89, which was at an average level, and the average attitude towards barriers of disclosing medical errors in terms of organizational factors was 25.15±5.31, which were at a good level.
Conclusion: The results of the present study showed that nurses' attitudes towards medical error disclosure were at a desirable and positive level.

کلیدواژه‌ها English

Medical Errors
Nurses
Intensive Care Unit
Patients
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