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

基于以往医疗事故经验的医院护士支持对医疗安全相关学习的影响研究目的：探讨有医疗事故经历的医院护士所获得的支持对其在医疗事故经验基础上促进医疗安全相关学习的影响。方法：对6460名医院护士进行邮件调查。我们使用Hayashi等人的“医疗安全学习量表：MSLS”，在以往医疗事故经验的基础上测量医疗安全相关学习。采用t检验，根据11个支持项是否得到（是/否）计算MSLS得分，并分析支持效果与MSLS 6个分量表的关系。结果：有效问卷2523份。对于基于是否收到这些项目的支持项目的MSLS得分，除“工作调动或休假”外，所有项目的医疗安全相关学习均存在显著差异。支持项“教授所需的技能和知识”和“学习预防医疗事故的技能”最有效（σ = 0.63）。结论：支持与促进医疗安全相关学习有关，适当的支持内容与有效的学习有关。

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.