Current analysis and strategy of nursing staffs′ adverse event report intention

Abstract

Objective To probe into the current nuring staff′s adverse event report recognition and attitude, and analyze its influencing factors, so as to perfect the system of nursing adverse event report and provide evidence to enhance the intention of nurse′s report. Methods By convenient sampling method, a total of 460 nurses were selected to investigate the recognition and attitude of nurse reporting adverse event in one level three class A hospital in Beijing. Results The overall positive response rate of nursing staffs′ adverse event report recognition and attitude was 69.13%, and the overall score of adverse event report intention was (3.86±0.55), which was in the moderate and above level; in which the recognition acquired the highest score while the report execution intention was the lowest score. The age, education background, title, occupation and nursing work experience had positive correlation with the recognition and attitude of report (P<0.05). Department culture and punishment environment were the main influencing factors impacted on nursing staffs adverse event execution. Conclusions Nurses have positive recognition and attitudes toward adverse event report, but the report′s execution intention is low. The manager should build up a harmony and positive atmosphere in order to construct non-punishment report system for nursing staffs, train positive safety culture, utilize scientific management, and promote the adverse event report. Key words: Nursing staffs; Patient′s safety; Adverse event; Report intention