Investigation on the Status of Safety Culture Cognition of Nursing Staff in a Top Level Comprehensive Chinese Medicine Hospital in Henan

Xu Gaiping; Bao Yinsu

doi:10.3969/j.issn.1006-7256.2018.05.004

Abstract：Objective:To understand the status of safety culture cognition of the nursing staff in a top level comprehensive Chinese medi -cine hospital in Henan Province ,so as to provide reference for effective patient safety management .Methods:A total of 600 clinical nurses in a top level comprehensive Chinese medicine hospital in Henan Province were randomly selected .Descriptive statistical analysis , chi square test,Logistic regression analysis and grade correlation test (Spearman)were carried out.Results:This group of nursing staff′s posi-tive reaction rate of 6 dimensions including organizational learning and continuous improvement and management ,promotion on safety ex-pectations and actions ,group cooperation ,the management of patient safety support ,collaboration between departments ,the error feedback and communication was over 70％,with advantages in the field of safety culture .The 4 dimensions′positive reaction rate was less than 50％,including the incident frequency ,the openness of communication ,personnel allocation ,non-punitive response to errors ,that means it need to be improved,called the inferior field.86.4％of the nurses were excellent or good at the overall evaluation of the safety of the pa -tients in the department.The number of adverse events reported by different departments was statistically different (P<0.01).Whether he direct contact with patients is related to the overall assessment of patient safety and the working time per week is related to the overall as -sessment of patient safety(P<0.01).Conclusion:The nursing staff has a good overall safety culture ,but the non-punitive culture,the fre-quency of adverse event report ,and the staffing need to be improved .