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护士用药安全能力对用药环境和用药不安全行为的调节效应 被引量:7

Moderating effect of nurses′medication safety competence on the relationship between medication environment and unsafe medication behaviors
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摘要 目的探讨护士用药安全能力在用药环境影响其用药不安全行为中的调节作用。方法采用一般资料调查表、护士用药环境感知量表、用药安全能力量表及护士用药不安全行为量表对303名护士进行调查。结果护士用药安全能力得分105.44(88.41,118.01)分,用药环境得分100.00(93.00,106.00)分,用药不安全行为得分12.00(9.00,18.00)分;用药环境(β=-0.331,P<0.05)及用药安全能力(β=-0.251,P<0.05)均能负向预测护士用药不安全行为;护士用药安全能力对用药环境与用药不安全行为具有调节作用(β=0.216,P<0.05),调节效应边界值为123分。结论用药环境及用药安全能力对护士用药不安全行为有直接作用;护士较高的用药安全能力能够缓冲用药环境对其用药不安全行为的不良影响,进而降低用药不安全行为。 Objective To explore the moderating role of nurses′medication safety competence on the relationship between medication environment and unsafe medication behaviors.Methods Totally,303 registered nurses were selected by convenient sampling.They were asked to fill out the general information questionnaire,the Nurses′Perception of Medication Environment Scale,Medication Safety Competence Scale and Nurses′Medication Unsafe Behavior Scale.Results The nurses scored a median of 105.44(IQR:88.41-118.01)points in medication safety competence,100.00(IQR:93.00-106.00)points in medication environment,and 12.00(IQR:9.00-18.00)points in unsafe medication behaviors.Medication environment(β=-0.331,P<0.05)and medication safety competence(β=-0.251,P<0.05)could negatively predict nurses′unsafe medication behaviors.Nurses′medication safety competence played a moderating role between medication environment and unsafe medication behaviors(β=0.216,P<0.05),and the boundary value of moderating effect was 123 points.Conclusion Medication environment and medication safety competence have a direct effect on nurses′unsafe medication behaviors.Nurses′higher competence of medication safety can buffer the adverse effects of medication environment on their unsafe medication behaviors,thus reducing their unsafe medication behaviors.
作者 张楠楠 寇洁 常淑莹 王艳玲 Zhang Nannan;Kou Jie;Chang Shuying;Wang Yanling(International Medical Center of Henan Provincial People's Hospital,Key Labrratory of Nursing of Henan Province People's Hospital of Zhengzhou University,Zhengzhou 450003,China)
出处 《护理学杂志》 CSCD 北大核心 2022年第24期30-34,共5页 Journal of Nursing Science
基金 2021和2022年河南省医学科技攻关计划省部共建重点项目(SBGJ202102003)。
关键词 护士 用药安全能力 用药环境 用药不安全行为 用药错误 护理安全 护理风险 nurse medication safety competence medication environment unsafe medication behaviors medication error nursing safety nursing risks
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