摘要： 目的 了解护理本科生的课堂学习和临床实践中患者安全知识能力感知现状,并探究两者间存在差异的影响因素。方法 采用患者安全能力感知量表对7个地区的732名护理本科生进行问卷调查。结果 护理本科生的患者安全能力感知课堂学习版得分为（61.20±9.63）分,临床实践版得分为（64.09±9.09）分,两者总分间的差异具有统计学意义（t=2.61,P<0.001）。患者安全能力总水平的自我评价,在校理论学习,与在实践过程中是否发生过护理差错是护理专业本科学生在课堂学习与临床实践中所感知到的患者安全能力水平差异的影响因素,可解释总变异程度的13.0%。结论 护理专业本科学生的患者安全能力感知水平较低,有待于进一步提高,且在课堂与临床教学中存在差距。护理教育者在课堂与临床教学中,需要重视对于护理专业学生患者安全知识与技能及自信心的培养,重点关注有发生过护理差错的学生。

关键词： 教育,  护理,  学士,  病人安全,  教育,  护理,  因素分析,  统计学,  Education,  Nursing,  Baccalaureate,  Patient Safety,  Education,  Nursing,  Factor Analysis,  Statistical 

Abstract: Objective To investigate the current status of perception of patients' safety ability and its influencing factors among undergraduate nursing undergraduates.Methods A total of 732 undergraduates from seven regions of China were selected by convenience sampling and the Health Professional Education in Patient Safety Survey（H-PEPSS）was used for investigation.Results The total score of H-PEPSS of nursing undergraduates was（61.20±9.63）and（64.09±9.09） in the classroom and clinical practice versions,respectively. There was a significant difference between them（t=2.61,P<0.001）.Multivariate linear regression analysis showed that self-evaluation ability of patient safety,patient safety training courses participation,whether making mistakes during practice were the influencing factors of patient safety ability level perceived by undergraduates in classroom and clinical practice which accounted for 13.0% of the total variance.Conclusion The low level of perception of patient safety ability of undergraduates,which needs to be further improved. There is a gap between the students' perception of patients' safety ability in classroom and clinical practice. In the classroom and clinical teaching,nursing educators should pay attention to the cultivation of patient safety knowledge,skills and self-confidence,and focus on students who have made mistakes.

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收稿日期: 2019-07-01

基金资助: 福建医科大学大学生创新创业资助项目(C18155)

作者简介: 原晓欢：女,本科在读,E-mail：<email>1211894348@qq.com</email>