护理人员对医疗纠纷和相关法律法规认知状况的调查与分析.docVIP

护理人员对医疗纠纷和相关法律、法规认知状况的调查与分析 MODERNNURSING2006,Vo1.12,No.5 护理人员对医疗纠纷和相关法律,法规认知状况的 调查与分析 孙元美 【摘要】目的调查分析当前发生医疗纠纷的现状,护惠双方的态度,主要原因,护理人员对有关 医疗法律,法规的知晓程度,提出相应对策.方法自行设计调查表,随机对江苏省5所综合性三级甲 等医院发放调查表409份,由护理人员自愿填写,回收且资料完整进入统计的378份,占总发放数 92.结果调查表明患者与护士发生医疗纠纷的现状分别为:护士被骂占47.88,被打占5.O2, 发生纠纷占13.2护理人员对发生医疗纠纷的认识分别为:主要责任医忠双方.主动沟通可以有效 的减少矛盾.处理医疗纠纷最佳时间在萌芽状态.护患纠纷发生的主要原因前3位分别为:患者对医 疗费用不满,缺乏与患者沟通交流,违反操作常规.护理人员对《医疗事故处理条例》相关知识知晓程度 分jl0为:医生下达口头医嘱不执行占2.65,医务人员是不是医疗事故的主体,回答是的占48.护理 人员对医疗相关法律,法规知晓程度:护士未取得执业证书回答不可以执业的仅占11.64,学习过《中 华人民共和国护士管理法》,《母婴保护法》者分别为:6O.23,44.71.结论医疗纠纷其构成复杂, 形式多样.加强护惠沟通,制定突发事件预案,加强风险管理和有关法律,法规学习有利于减少纠纷发 生. 【关键词】医疗纠纷;护士;法律 Investigationandanalysisofnursingstaffscognitiononmedicaldisputeandrelevantlawsandregulations SUNYuan—mei.NursingDepartment.theSecondAffiliatedHospitalofNanjingMedical University,Naing210011,ina [Abstract]ObjectiveToinvestigateandanalyzethestatusandattitudeofnursesandpatientsof medicaldisputesaswellasmaincausesandnursesmasteringofmedicallaw,thenproposetherelated countermeasure.Methods409self—designedquestionnaireswereusedtoinvestigatenursesin5general hospitals(3grade)inJiangsuprovince.Thenursesfilledinthequestionnairesvoluntarily.378effective questionnairesaccountfor92in409questionnaires.ResultsItindicatedthatthestatusofmedicaldis— putesincluded:patientsscoldednurse(accountedfor47.880A),nursewerestroked(5.02),theoc- currenceofdispute(13.2).Attitudeofnursingstafftomedicaldisputeswerethatbothmedicalwork— ersandpatientswereresponsibleformedicaldisputes,positivecommunicationmightreducemedicaldis— putesonset,thebesttimeofdealingwithmedicaldisputeswasinitsbudstatus.Themainreasonsof medicaldisputeswere;patientswereunsatisfactorywithhospitalizationfee,nurseslackedcommunica— tionwithpatient.violatetheoperatingrules.MasteringstatusofnursingstaffonOrdinanceofDealing withMedicalAccidentwere:nursesdonotcarryoutdoctorsoralorderaccountfor2.650A,48of thenursesthoughtmedicalworkerswerenotthemainbodyofmedicalaccident.Thestatusofnurses masteringofmedicallawwere:11.64ofthenurs