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

以以往医疗事故经验为基础，探讨医院护士支持对医疗安全知识学习的影响。目的：根据以往医疗事故经验，考察参与医疗事故的医院护士S所获得的支持对促进医疗安全知识学习的影响。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，测量与医疗安全相关的学习。采用t检验，根据是否收到11个支持项目(是/否)计算MSLS得分，并对MSLS的6个分量表进行有效性分析。至于MSLS在支持项目上的得分，根据这些项目是否收到这些项目，观察到所有项目在与医疗安全相关的学习上存在显著差异，但“工作调动或休假”除外。支持项目“已教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的学习有关，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.