| Objective:1. To describe the level of registered clinical nurses and doctors,knowledge, attitudes and behaviors about Critical value report in Sichuan general tertiary-level hospitals.2. To identify the correlation among the nurses and doctors,knowledge, attitudes and behaviors regarding the Critical value report in Sichuan general tertiary-level hospitals.3. To identify the influencing factors of the nurses and doctors,knowledge, attitudes and behaviors regarding the Critical value report in Sichuan general tertiary-level hospitals.Methods: Critical values report knowledge scale, critical values report attitude scale and critical values report behavior scale were used to investigate1640 nurses and doctors from eight general tertiary-level hospitals. A purposive sampling method was used. All the data collected were analyzed using the SPSS version 19.0.Results:1. Critical value report knowledge1) The average critical value report knowledge questionnaire score of1500 nurses and doctors was 47.03±9.27. 65.1% nurses and doctors, critical value report knowledge score was at the high level, 34.3% at the middle level,0.6% at the low level.2) The three lowest items of critical value report knowledge scale were "Different crowds should be set different point of critical value reporting value"(1.06 ± 1.129), " ’Patient safety goals issued by the Ministry of Health,that refer to critical value reporting requirements"(2.99 ± 1.099), and "Critical value reporting quality control and evaluation system"(3.01 ±1.016).3) There was a significant difference between nurses or doctors who have the different ages(p<0.01), years since licensure(p<0.01), educational level(p<0.01), working wards(p<0.01), employment relationship(p<0.01),professional title(p<0.01), and whether accepting the study or training on the Critical value report(p<0.01) by univariate analysis. Years since licensure was the mainly influencing factor of critical value report score by multivariate analysis.2.Critical value report attitude1) The average critical value report attitude questionnaire score of 1500 nurses and doctors was 62.18±5.70. 98.3% nurses and doctors, critical value report attitude score was at the high level, and 1.7% at the middle level,No one was at the low level.2) The three lowest items of critical value report attitude scale were "Leadership recognition and praise can improve enthusiasm of critical value processing "(2.00±0.834), " compared to critical value processing, nurses or doctors prefered to do normal value processing"(2.50±0.995) and "It would not affect the outcomes that critical value processing was completed by other staff "(2.70±1.068).3) There was a significant difference between the nurses or doctors whohave the different ages(p<0.05), years since licensure(p<0.01), educational level(p<0.01), working wards(p<0.01), employment relationship(p<0.01),role of nurse or doctor(p<0.01), professional title(p<0.05), and whether accepting the study or training on the Critical value report(p<0.01) by univariate analysis. Critical value report knowledge and role of nurse or doctor were mainly influencing factor of critical value report attitude score by multivariate analysis.3. Critical value report practice1) The average critical value report practice questionnaire score of 1500 nurses and doctors was 66.01±7.486. 94.1% nurses and doctors, critical value report practice score was at the high level, 5.9% at the middle level. No one was at the low level.2) The three lowest items of critical value report practice scale were "Self evaluation of the effect of the critical value processing"(3.48±0.965), "Self reflection of the critical value processes and methods"(3.50±0.991), and "learning ‘Patient safety goals’ "(3.52±1.005).3) There was a significant difference between the nurses or doctors who have the different ages(p<0.01), years since licensure(p<0.01), educational level(p<0.01), working ward(p<0.01), employment relationship(p<0.01), role of nurse or doctor(p<0.01), and professional title(p<0.01), whether accepting the study or training on the Critical value report(p<0.01) by univariate analysis. Critical value report knowledge and attitude were mainly influencing factor of critical value report practice by multivariate analysis.4.The correlation among the knowledge, attitude and practice of critical value reportThe knowledge was significantly correlated with the attitude(r=0.401,P<0.01),the attitude was significantly correlated with the practice( r=0.404,P<0.01),the knowledge was significantly correlated with the practice(r=0.560,P<0.01).Conclusion:1.The registered clinical nurses and doctors’ knowledge, attitude and practice of critical value report in Sichuan general tertiary-level hospitals were at the higher level.2.The nurses and doctors who have the different ages were at the different level of knowledge, attitude and practice. The knowledge, attitude and practice level of nurses and doctors who were below 25 age was lower.3.The nurses and doctors who have the different years since licensure were at the different level of knowledge, attitude and practice. The knowledge,attitude and practice level of nurses and doctors who were below 3 years was lower.4.The nurses and doctors who have the different educational level were at the different level of knowledge, attitude and practice. The level of above/including master degree’s nurses and doctors was lower.5.The nurses and doctors who working in the different wards were at the different level of knowledge, attitude and practice. The level of nurses and doctors from Emergency department \ Operating room and ICU was lower than that from Internal medicine department\ surgery department pediatrics department.6.The nurses and doctors who have the different employment relationship were at the different level both of knowledge and practice. The level of contrace staff was lower.7.Nurses and doctors have different level of attitude and practice. Thelevel of doctors was lower than nurses.8.The nurses and doctors who have the different professional titles were at the different level of knowledge, attitude and practice. The level of senior title nurses and doctors was higher.9.The nurses and doctors who have accepted the study or training on the critical value report were at the higher level of knowledge, attitude and practice.10 The nurses and doctors who worked at Class Ⅲ Grade Ⅱ hospital had the same level of knowledge, attitude and practice as that worked at ClassⅢ Grade Ⅰ hospital.11.The knowledge, attitude and practice of the critical value report were positively correlated. |
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