三级甲等医院护士感染预防和控制护理缺失现状及影响因素

Current situation and influencing factors of nurses' missed nursing care in infection prevention and control in tertiary first-class hospitals

摘要:

目的 调查护士感染预防和控制护理缺失现状及影响因素,为构建针对性方案改善临床感染预防和控制护理缺失现象提供参考。方法 采用便利抽样法,于2023年10—11月选取浙江省2所三级甲等医院369名护士作为调查对象,采用一般资料调查表、感染预防和控制护理缺失量表、医院伦理氛围量表、安全态度量表进行问卷调查,采用单因素分析、Pearson相关分析及多元线性回归分析影响因素。结果 共回收有效问卷364份,有效问卷回收率为98.64%。364名护士感染预防和控制护理缺失分量表B得分为(48.94±15.06)分,分量表C得分为(47.88±14.54)分。医院伦理氛围得分为(103.00±16.01)分,安全态度得分为(128.50±17.00)分。多元线性回归分析显示,感染预防和控制护理缺失的影响因素为临时聘用方式、工作科室为院前急救及医院伦理氛围得分低(均P＜0.05)。结论 护士感染预防和控制护理缺失处于中等偏下水平, 仍有提升空间,护理管理者应改善医院伦理氛围,针对不同工作科室及聘用方式的护士采取相应干预手段以减少护士感染预防和控制护理缺失的发生。

Abstract:

Objective To investigate the current status and influencing factors of nurses’ missed nursing care in infection prevention and control, and provide reference for establishing targeted programs to improve nursing care situation in clinical infection prevention and control. Methods From October to November 2023, 369 nurses from two tertiary first-class hospitals in Zhejiang Province were selected as surveyed subjects by convenience sampling methods. General information questionnaire, missed nursing care in infection prevention and control survey, hospital ethical climate survey, and safety attitudes questionnaire were used for questionnaire survey. Univariate analysis, Pearson correlation analysis, and multiple linear regression analysis were adopted to analyze the influencing factors. Results A total of 364 valid questionnaires were collected, with a respond rate of 98.64%. The scores of 364 nurses’ missed nursing care in infection prevention and control survey B and C were (48.94±15.06) and (47.88±14.54) points, respectively. The score of hospital ethical climate was (103.00±16.01) points, and the score of safety attitude was (128.50±17.00) points. Multiple linear regression analysis showed that the influencing factors for missed nursing care in infection control and prevention were temporary employment modes, work at pre-hospital emergency departments, and low scores in hospital ethical climate (all P<0.05). Conclusion Nurses’ missed nursing care in infection prevention and control is at a lower-middle level, there is still room for improvement. Nur-sing managers should reduce missed nursing care in infection prevention and control by improving the hospital ethical climate and taking appropriate intervention measures for nurses in different departments and employment styles.