关键词: 护理管理；患者安全文化；护士；认知；横断面调查

Abstract: Objective: To investigate the nurses' perception of patient safety culture in central and western China and its influencing factors. Methods: A convenient sampling method was adopted to select 3996 nurses from 6 general hospitals in 3 provinces in central and western China. The survey was conducted by using the Hospital Patient Safety Culture Questionnaire developed by the US Healthcare Research and Quality Organization. Results: The overall positive rate of the Hospital Patient Safety Culture Questionnaire was 66.6%. The positive rate of each dimension was 39.4%-86.2%. The positive rate of patient safety grade was 79.8%, and the reporting rate of adverse events within one year was 30.0%. Supervisor/Manager Expectations and Actions Promoting Patient Safety, Management Support for Patient Safety, Staffing, Organizational Learning and Continuous Improvement, Non-punitive Response to Error and other factors could influence the nurses' overall perception of patient safety, which could explain 51.2% variation of nurses' overall perception of patient safety. Conclusion: The perception of nurses' patient safety culture is at a medium level, which is affected by many factors. Nursing managers should pay attention to non-punitive response to error, staffing configuration, improvement of incidents reporting frequency, objectively understanding of the influence of patient safety culture on nurses' perception, and continuous improvement of nursing management to promote patient safety.

Key words: nursing management; patient safety culture; nurse; perception; cross-sectional survey