The support to hospital nurse for escape from malpractice and the test of a Medical Safety Leaning Scale

目的：探讨医院护理人员对医疗事故的支持对医疗安全学习的影响。方法：采用邮寄问卷的方法，对6,460名医院护理人员进行调查。我们使用Hayashi等人的“医疗安全学习量表：MSLS”，根据以往的医疗事故经验测量医疗安全相关学习。使用t检验，MSLS得分计算的基础上，是否收到或没有（是/否）的11个支持项目，并在MSLS的6个分量表的支持的有效性进行了分析。关于MSLS在支持项目上的得分，基于是否收到这些项目，除了“工作调动或接收休假”之外，在所有项目上观察到医疗安全相关学习的显着差异。支持项目“传授所需的技能和知识”和“学习预防医疗事故的技能”的效果最好（σ = 0.63）。结论：支持与促进医疗安全相关学习相关，适当的支持内容与有效学习相关。

A study on the influence of support of hospital nurses on medical safety-related learning on the basis of past experiences of medical malpractice.Purpose: To examine the influence of support received by hospital nurse s, who had involvement in medical malpractice, in promoting medical safety-related learning on the basis of past experiences of medical accidents.Methods: A mail survey was conducted on 6,460 hospital nurses. We used “Medical Safety Learning Scale: MSLS” by Hayashi et al. to measure medical safety-related learning on the basis of previous experiences of medical accidents. Using the t-test, MSLS scores were calculated on the basis of whether each of the 11 support items were received or not (yes/no), and the effectiveness of support in relation to the 6 subscales of the MSLS was analyzed.Results: There were 2,523 valid responses. With regard to MSLS scores on support items on the basis of whether or not these items were received, a significant difference in medical safety-related learning was observed for all items except “work transfer or receiving leave.” The support items “skills and knowledge required were taught” and “learning skills to prevent malpractice” were most effective (σ = 0.63).Conclusion: Support was associated with promotion of medical safety-related learning, and appropriate support content was linked to effective learning.