关键词: 患者安全文化, 认知, 实践, 质性研究, 护理管理研究, 安全管理

Abstract:

Objective To further understand the cognition and practice of NICU（Neurosurgical Intensive Care Unit）nurses on patients’ safety culture,so as to provide references for promoting the construction of patients’ safety culture.Methods 12 nurses in NICU were interviewed in an in-depth semi-structured way by phenomenological research methods. The interview materials were transcribed,coded,analyzed,described and organized.Results The cognition of NICU nurses on patients’ safety culture can be summarized into 2 themes including high recognition and affirmation,and support of patients’ participation in patients’ safety. The obstacles affecting the construction of patients’ safety culture can be extracted into 5 themes,namely improper allocation of nursing human resources,lack of climate for all staff to participate in patients’ safety,lack of education and training system for patients’ safety,imperfect reporting mechanism of non-punitive adverse events and inadequate attention to psychological support of nurses.Conclusion Nurses play leading and exemplary roles in the construction of patients’ safety culture in hospitals. To explore the cognition of nurses on patients’ safety culture and the factors affecting their practical behaviors can provide a reference for the establishment of a scientific and systematic management system of patients’ safety culture.

Key words: Patient Safety Culture, Cognition, Practice, Qualitative Research, Nursing Administration Research, Safety Management