三甲医院护士差错反感文化与职业偏差行为的现况及关系研究
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女,本科,主管护师

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陕西省重点研发计划项目(2023-YBSF-170);空军军医大学第一附属医院科研项目(XJHL22D210)


Error aversion culture and workplace deviance among nurses in Grade 3A hospitals:relationship between the 2 variables
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    目的 了解三甲医院护士差错反感文化与职业偏差行为现状,探讨两者的关系,为制订管理对策以减少护士职业偏差行为提供思路。方法 2024年4-6月,以方便抽样法抽取西安市6所三甲医院的1 420名护士,采用一般资料调查表、差错反感文化量表、护士职业偏差行为量表展开调查。结果 三甲医院护士差错反感文化得分(26.68±6.34)分,职业偏差行为得分(29.83±7.13)分。差错反感文化、年龄、职称、工作年限是影响三甲医院护士职业偏差行为的主要因素(均P<0.05),可解释职业偏差行为总变异的71.2%,其中差错反感文化占26.0%。结论 三甲医院护士差错反感文化处于中等偏下水平,职业偏差行为处于低等水平。管理者可以通过建立良好的差错管理制度,培养护士良好的差错学习氛围,树立包容差错的科室文化,并重点关注年龄小、职称低、工作年限短的护士,鼓励其勇于面对差错,合理处理差错,进一步降低护士职业偏差行为。

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    Objective To understand the current situation of error aversion culture and workplace deviance of nurses in Grade 3A hospitals, and to explore the influence of error aversion culture on workplace deviance of nurses in Grade 3A hospitals, so as to provide ideas for later research and countermeasures for reducing workplace deviance of nurses.Methods From April to June 2024, 1 420 nurses from Xi ′an Grade 3A hospitals were selected and investigated by a general data questionnaire, the Error Aversion Culture Scale and the Nurses Workplace Deviance Scale.Results The error aversion culture score of nurses in Grade 3A hospitals was (26.68±6.34) points, and the workplace deviance score was (29.83±7.13) points.Error aversion culture, age, professional title and working years were the main factors affecting the workplace deviance of nurses in Grade 3A hospitals (all P<0.05), which could explain 71.2% of the total variation, among which error aversion culture accounted for 26.0%.Conclusion The culture of error aversion of nurses in Grade 3A hospitals is below the medium level, and the workplace deviance is in the lower level.Relevant personnel can establish a good error management system, cultivate a good error learning atmosphere for nurses, and establish an error-tolerant department culture, and focus on nurses who are younger, have lower job titles and shorter working years, so as to encourage them to face up to errors and deal with them reasonably, thus further reducing nurses′ workplace deviance.

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史姗姗,雷娟,朱莲,周跃飞.三甲医院护士差错反感文化与职业偏差行为的现况及关系研究[J].护理学杂志,2025,(17):1-4

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  • 收稿日期:2025-02-05
  • 最后修改日期:2025-04-28
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  • 在线发布日期: 2025-10-10