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Correlation between psychophysiological response and hospital management model for nurses involved in medication errors

机译:涉及用药错误的护士心理生理反应与医院管理模式的相关性

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Because hospitals in Taiwan now place a lot of emphasis on hospital accreditation, leading to a heavy workload for nurses, nurses are unintentional involved in patient medication errors (MEs). In this research, we explore the possible correlation between psychophysiological responses of nursing staff and a hospital management model regarding MEs. We conducted a cross-sectional study design in one hospital in central Taiwan. A total of 345 nurses at Tali Jen-Ai Hospital l were selected. A questionnaire was chosen as the study instrument. The questionnaire asked the following information: basic data, classification of MEs, frequency and severity of psychophysiological responses, and information about the hospital’s management model and support system. We found that the hospital management model had a significant negative correlation with the frequency of physiological symptoms (r = -0.14, p < .01). Likewise, the support system also had a substantial negative correlation with the scores of the physiological symptom, behavioral responses, and psychophysiological responses. Using multiple regression analysis adjusted for work duration, job title, and degree of injury, we found that the support system was significantly correlated with the nurses’ psychophysiological responses. Both the hospital management and the support system decreased the psychophysiological responses of the nurses. Therefore, we recommend that supervisors implement a management strategy to deal specifically with MEs. When nurse managers have frequently empathy and no-blame attitude to replace disrespectful or skeptical ways to nurse with ME, they will empower their enthusiasm and responsibility to improve the reduction of ME.
机译:由于台湾的医院现在非常重视医院认证,导致护士工作量繁重,因此护士无意间参与了患者用药错误(ME)。在这项研究中,我们探讨了护理人员的心理生理反应与有关ME的医院管理模型之间的可能相关性。我们在台湾中部一家医院进行了横断面研究设计。塔里仁爱医院l共选择了345名护士。选择问卷作为研究工具。问卷要求提供以下信息:基本数据,ME的分类,心理生理反应的频率和严重性以及有关医院管理模式和支持系统的信息。我们发现,医院管理模式与生理症状的发生频率显着负相关( r = -0.14, p <.01)。同样,支持系统也与生理症状,行为反应和心理生理反应的得分有很大的负相关。通过对工作时间,职称和受伤程度进行调整的多元回归分析,我们发现支持系统与护士的心理生理反应显着相关。医院管理和支持系统都降低了护士的心理生理反应。因此,我们建议主管实施管理策略以专门处理ME。当护士管理人员经常有同情心和无怨无悔的态度来代替不尊重或怀疑的方式来护理我时,他们将增强他们的热情和责任,以改善我对我的减少。

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