Article(id=1322931572978098338, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322931549481599694, articleNumber=null, orderNo=null, doi=10.12102/j.issn.1009-6493.2026.12.016, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1753632000000, receivedDateStr=2025-07-28, revisedDate=1776268800000, revisedDateStr=2026-04-16, acceptedDate=null, acceptedDateStr=null, onlineDate=1793341065878, onlineDateStr=2026-10-30, pubDate=1782316800000, pubDateStr=2026-06-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793341065878, onlineIssueDateStr=2026-10-30, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793341065878, creator=13701087609, updateTime=1793341065878, updator=13701087609, issue=Issue{id=1322931549481599694, tenantId=1146029695717560320, journalId=1220038315760373764, year='2026', volume='40', issue='12', pageStart='2001', pageEnd='2192', issueExtLink='null', onlineDate='null', pubDate='1782316800000', pubDateStr='2026-06-25', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793341060276, creator='13701087609', updateTime=1793343118019, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322940180335829530, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322931549481599694, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322940180335829531, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322931549481599694, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=2123, endPage=2128, ext={EN=ArticleExt(id=1322931573175230627, articleId=1322931572978098338, tenantId=1146029695717560320, journalId=1220038315760373764, language=EN, title=Influencing factors of nurses' fulfillment of core responsibilities for "ensuring patient safety" under the new definition by the International Council of Nurses, columnId=1220689488284668633, journalTitle=Chinese Nursing Research, columnName=Comprehensive Study, runingTitle=null, highlight=null, articleAbstract=
Objective

To explore the facilitating and obstructive factors for nurses to fulfill the responsibility of ensuring patient safety in the context where the International Council of Nurses has incorporated this responsibility into the core duties of nurses,and to provide empirical evidence for the construction of a systematic support strategy.

Methods

The purposive sampling method was adopted to select experts in the fields of medicine,nursing,management,and education for semi-structured interviews.Content analysis was used for data collection and analysis.

Results

A total of 16 interviewees were included.The facilitating factors for nurses to fulfill their responsibilities of ensuring patient safety included four themes:enhancement of professional values and professional autonomy,initial formation of national policy support and industry consensus,leadership commitment and systematic support,and positive participation intentions from patients and their families.The obstructive factors included four themes:increased occupational pressure and ambiguous accountability,structural barriers in internal collaboration,shortage of resources and lagging training system,and absence of a fair safety culture and non-punitive mechanism.

Conclusions

The International Council of Nurses' inclusion of patient safety in the core responsibilities of nurses is a high recognition of the value of the nursing profession,driving the transformation of the nursing role towards a more proactive and leadership-oriented paradigm.It is suggested that all parties work together to maximize the utilization of existing facilitating factors,and create a supportive system for nurses to fulfill their core safety responsibilities.

, authors=Tong LIU1, Jie MI1, Liping LIU2, Qinghua ZHAO2, Yingzhuo MA1, Jun WANG2, Xinyi ZHAO1, Shangqin LIU1, Mingzhao XIAO2, authorsList=Tong LIU, Jie MI, Liping LIU, Qinghua ZHAO, Yingzhuo MA, Jun WANG, Xinyi ZHAO, Shangqin LIU, Mingzhao XIAO, authorCompany=null, correspAuthors=Mingzhao XIAO, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322931573514969252, articleId=1322931572978098338, tenantId=1146029695717560320, journalId=1220038315760373764, language=CN, title=国际护士会新定义下护士履行保障患者安全核心职责的影响因素, columnId=1220689488938980091, journalTitle=护理研究, columnName=综合研究, runingTitle=null, highlight=null, articleAbstract=
目的

探讨国际护士会将保障患者安全纳入护士核心职责的背景下,护士履行该职责的促进因素与障碍因素,为构建系统化的支持策略提供实证依据。

方法

采用目的抽样法,选取医疗、护理、管理及教育领域的专家进行半结构化访谈,采用内容分析法进行资料整理与分析。

结果

共纳入16名访谈对象。护士履行保障患者安全职责的促进因素包括职业价值与专业自主性提升、国家政策支持与行业共识初步形成、领导力承诺与系统性支持、患者及家属的参与意愿呈现积极态势4个主题;障碍因素包括职业压力加剧与问责模糊化、内部协作存在结构性壁垒、资源匮乏与培训体系滞后、公正的安全文化与非惩罚机制的缺位4个主题。

结论

国际护士会将保障患者安全纳入护士核心职责是对护理专业价值的高度认可,推动着护理角色向更主动、领导型范式转变。建议多方共同努力,最大化利用现有促进因素,为护士履行其核心安全职责创造支持性系统。

, authors=刘彤1, 米洁1, 刘丽萍2, 赵庆华2, 马应卓1, 王俊2, 赵欣怡1, 刘尚琴1, 肖明朝2, *, *, authorsList=刘彤, 米洁, 刘丽萍, 赵庆华, 马应卓, 王俊, 赵欣怡, 刘尚琴, 肖明朝, authorCompany=null, correspAuthors=肖明朝, authorNote=

刘彤,护师,博士研究生

, correspAuthorsNote=
肖明朝,E-mail:
XIAO Mingzhao, E-mail:
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Macneil M, journalName=Health Expectations, refType=null, unstructuredReference=Abelson J,Tripp L,Macneil M,et al.Development of the Engage with Impact Toolkit:a comprehensive resource to support the evaluation of patient,family and caregiver engagement in health systems[J].Health Expectations,2023,26(3):1255-1265., articleTitle=Development of the Engage with Impact Toolkit:a comprehensive resource to support the evaluation of patient,family and caregiver engagement in health systems, refAbstract=null), Reference(id=1322931582432059647, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322931572978098338, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=26, rfOrder=25, authorNames=国家卫生健康委员会办公厅, journalName=null, refType=null, unstructuredReference=国家卫生健康委员会办公厅.关于印发《患者安全专项行动方案(2023—2025年)》的通知[EB/OL].[2025-07-05].https://www.gov.cn/zhengce/zhengceku/202310/content_6908044.htm., 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General information of the respondents(n=16)

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编号性别年龄(岁)学历职称专业领域工作年限(年)机构类型所在地区
N1女48硕士研究生正高级护理教育与研究26医学院校西北
N2男46博士研究生副高级临床医学与教育18医疗机构华中
N3女52硕士研究生正高级护理管理与教育30医疗机构华东
N4男51博士研究生正高级卫生政策研究29卫生部门东北
N5女44硕士研究生中级临床药学22医疗机构西南
N6男50硕士研究生副高级医学检验27医疗机构西北
N7女43博士研究生副高级卫生政策研究19卫生部门西南
N8男61硕士研究生正高级医院管理与患者安全38医疗机构华东
N9女49本科副高级临床护理28医疗机构华中
N10女46硕士研究生中级临床护理20医疗机构华南
N11男52硕士研究生正高级临床医学与教育26医疗机构华南
N12男53博士研究生副高级患者安全管理31行业协会华北
N13女46硕士研究生正高级医疗质量管理26行业协会华北
N14女48硕士研究生正高级护理教育研究35医学院校华北
N15女62本科正高级护理管理与研究42医疗机构西南
N16女52博士研究生正高级医院运营管理30医疗机构华北
), ArticleFig(id=1322931578632020197, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322931572978098338, language=CN, label=表1, caption=

受访者的一般资料(n=16)

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编号性别年龄(岁)学历职称专业领域工作年限(年)机构类型所在地区
N1女48硕士研究生正高级护理教育与研究26医学院校西北
N2男46博士研究生副高级临床医学与教育18医疗机构华中
N3女52硕士研究生正高级护理管理与教育30医疗机构华东
N4男51博士研究生正高级卫生政策研究29卫生部门东北
N5女44硕士研究生中级临床药学22医疗机构西南
N6男50硕士研究生副高级医学检验27医疗机构西北
N7女43博士研究生副高级卫生政策研究19卫生部门西南
N8男61硕士研究生正高级医院管理与患者安全38医疗机构华东
N9女49本科副高级临床护理28医疗机构华中
N10女46硕士研究生中级临床护理20医疗机构华南
N11男52硕士研究生正高级临床医学与教育26医疗机构华南
N12男53博士研究生副高级患者安全管理31行业协会华北
N13女46硕士研究生正高级医疗质量管理26行业协会华北
N14女48硕士研究生正高级护理教育研究35医学院校华北
N15女62本科正高级护理管理与研究42医疗机构西南
N16女52博士研究生正高级医院运营管理30医疗机构华北
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国际护士会新定义下护士履行保障患者安全核心职责的影响因素
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刘彤 1 , 米洁 1 , 刘丽萍 2 , 赵庆华 2 , 马应卓 1 , 王俊 2 , 赵欣怡 1 , 刘尚琴 1 , 肖明朝 2, *, *
护理研究 | 综合研究 2026,40(12): 2123-2128
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护理研究 |综合研究 2026 , 40 (12) : 2123 -2128
国际护士会新定义下护士履行保障患者安全核心职责的影响因素
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刘彤1, 米洁1, 刘丽萍2, 赵庆华2, 马应卓1, 王俊2, 赵欣怡1, 刘尚琴1, 肖明朝2, *, *
作者信息
  • 1重庆医科大学护理学院,重庆 400016
  • 2重庆医科大学附属第一医院护理研究中心
通讯作者:
肖明朝,E-mail:
XIAO Mingzhao, E-mail:
作者简介:

刘彤,护师,博士研究生

Influencing factors of nurses' fulfillment of core responsibilities for "ensuring patient safety" under the new definition by the International Council of Nurses
Tong LIU1, Jie MI1, Liping LIU2, Qinghua ZHAO2, Yingzhuo MA1, Jun WANG2, Xinyi ZHAO1, Shangqin LIU1, Mingzhao XIAO2
Affiliations
  • 1School of Nursing, Chongqing Medical University, Chongqing 400016 China
  • 2Nursing Research Center, the First Affiliated Hospital of Chongqing Medical University
出版时间: 2026-06-25 doi: 10.12102/j.issn.1009-6493.2026.12.016
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目的

探讨国际护士会将保障患者安全纳入护士核心职责的背景下,护士履行该职责的促进因素与障碍因素,为构建系统化的支持策略提供实证依据。

方法

采用目的抽样法,选取医疗、护理、管理及教育领域的专家进行半结构化访谈,采用内容分析法进行资料整理与分析。

结果

共纳入16名访谈对象。护士履行保障患者安全职责的促进因素包括职业价值与专业自主性提升、国家政策支持与行业共识初步形成、领导力承诺与系统性支持、患者及家属的参与意愿呈现积极态势4个主题;障碍因素包括职业压力加剧与问责模糊化、内部协作存在结构性壁垒、资源匮乏与培训体系滞后、公正的安全文化与非惩罚机制的缺位4个主题。

结论

国际护士会将保障患者安全纳入护士核心职责是对护理专业价值的高度认可,推动着护理角色向更主动、领导型范式转变。建议多方共同努力,最大化利用现有促进因素,为护士履行其核心安全职责创造支持性系统。

患者安全  /  护士  /  核心职责  /  促进因素  /  障碍因素  /  质性研究
Objective

To explore the facilitating and obstructive factors for nurses to fulfill the responsibility of ensuring patient safety in the context where the International Council of Nurses has incorporated this responsibility into the core duties of nurses,and to provide empirical evidence for the construction of a systematic support strategy.

Methods

The purposive sampling method was adopted to select experts in the fields of medicine,nursing,management,and education for semi-structured interviews.Content analysis was used for data collection and analysis.

Results

A total of 16 interviewees were included.The facilitating factors for nurses to fulfill their responsibilities of ensuring patient safety included four themes:enhancement of professional values and professional autonomy,initial formation of national policy support and industry consensus,leadership commitment and systematic support,and positive participation intentions from patients and their families.The obstructive factors included four themes:increased occupational pressure and ambiguous accountability,structural barriers in internal collaboration,shortage of resources and lagging training system,and absence of a fair safety culture and non-punitive mechanism.

Conclusions

The International Council of Nurses' inclusion of patient safety in the core responsibilities of nurses is a high recognition of the value of the nursing profession,driving the transformation of the nursing role towards a more proactive and leadership-oriented paradigm.It is suggested that all parties work together to maximize the utilization of existing facilitating factors,and create a supportive system for nurses to fulfill their core safety responsibilities.

patient safety  /  nurses  /  core responsibilities  /  facilitating factors  /  obstructive factors  /  qualitative research
刘彤, 米洁, 刘丽萍, 赵庆华, 马应卓, 王俊, 赵欣怡, 刘尚琴, 肖明朝. 国际护士会新定义下护士履行保障患者安全核心职责的影响因素. 护理研究, 2026 , 40 (12) : 2123 -2128 . DOI: 10.12102/j.issn.1009-6493.2026.12.016
Tong LIU, Jie MI, Liping LIU, Qinghua ZHAO, Yingzhuo MA, Jun WANG, Xinyi ZHAO, Shangqin LIU, Mingzhao XIAO. Influencing factors of nurses' fulfillment of core responsibilities for "ensuring patient safety" under the new definition by the International Council of Nurses[J]. Chinese Nursing Research, 2026 , 40 (12) : 2123 -2128 . DOI: 10.12102/j.issn.1009-6493.2026.12.016
2025年6月,国际护士会(International Council of Nurses,ICN)发布了“护理”及“护士”新定义,这是对2002年版本的首次系统性修订[1-2]。新定义在护士的4项基本职责(促进健康、预防疾病、恢复健康、减轻痛苦)上补充了提升健康素养、保障患者安全、协助康复与适应、维护生命全周期(包括临终期)尊严的新职责。值得关注的是,此次修订首次将保障患者安全提升至护士核心职责的战略高度。患者安全是医疗质量的基石,世界卫生组织(WHO)将患者安全定义为卫生保健领域中有组织的行动框架,通过创建其文化、过程、程序、行为、技能和环境,能够降低安全风险,减少可避免伤害的发生,并在错误发生时降低影响[3-4]。在此框架下,ICN明确定位了护士在系统性风险控制与患者安全保障中的领导者、设计者和监督者的关键角色。研究表明,护士作为临床一线的主力,贯穿诊疗全流程,尤其在突发公共卫生事件与风险防控管理等方面具有不可替代作用[5-6]。因此,此次调整既是ICN长期对WHO倡导全球患者安全行动的具体响应,也是应对日益复杂医疗环境等现实挑战的必然举措。实现这一职能转型,要求护士从被动执行者转变为安全管理的主动设计者和责任人,亟须相应教育、政策与资源支持。然而,尽管患者安全的重要性已成为全球共识,国内外对患者安全研究多集中于管理层面或不良事件上报,对于此次职责重构所带来的系统性变革及其赋能路径关注不足。作为连接理论与实践的关键力量,临床医护及医学教育专家是影响护士新职责落地的核心利益相关方,其引领作用至关重要[7-8]。基于此,本研究采用描述性质性研究,基于专家视角,探究ICN新定义下护士履行保障患者安全职责的促进和障碍因素,以期推进该职责在我国的规范化实施和制定有效策略提供参考。
遵循最大差异抽样原则,采用目的抽样法,在全国范围内选取符合纳入及排除标准的专家作为研究对象。纳入标准:对ICN更新护理和护士定义有一定的了解;在护理、医疗、管理、教育、卫生政策、患者安全等研究领域工作≥10年;具有副高级及以上职称,或具有中级职称且取得硕士研究生学历;知情同意并自愿参与本研究。排除标准:近半年内岗位发生重大变动者;因身体或个人原因等无法完成访谈者。本研究通过重庆医科大学附属第一医院伦理委员会批准(伦理编号:ZZ2025-486-01)。样本量以访谈资料达到理论饱和为原则,当连续分析3份访谈资料均未再出现新的主题,且与既有主题高度重复时,初步认定达到饱和,在此基础上继续增加2人验证无新主题,最终纳入16名访谈对象。为保护受访者隐私,对受访者姓名采用N1~N16编号。受访者的一般资料见表1。
查阅相关文献,由研究小组初步拟定访谈提纲,咨询2名相关领域教授(1名护理管理教育、1名医院管理专家)的意见,采用目的抽样法,选取符合纳入标准的2名专家进行预访谈,根据出现的问题进行修改并对提纲进行修改与完善,最终形成正式访谈提纲。正式访谈提纲如下:您对ICN将“保障患者安全”纳入护士核心职责的理解与感受是怎样的?您认为新增该职责将会对护士产生哪些影响?是创造了机遇还是带来了压力?您认为赋能护士履行该职责面临哪些困难和挑战?目前最缺乏的资源是什么?您知道有哪些外部政策导向或行业要求(如国家专项行动、评审标准)在推动或影响这项新职责的落地?在推动护士承担新职责的过程中,您认为哪些角色至关重要,他们分别应承担怎样的责任?您认为护士作为关键推动者,要履行这一职责,需要具备哪些新知识和能力?您观察到患者或家属在参与保障自身安全方面,参与意愿和能力如何?您对当前患者安全建设还有什么建议吗?您的期望是什么?
采用一对一的半结构化访谈法收集资料,线上线下相结合(线上通过腾讯会议平台进行)。由2名接受过系统学习质性研究相关理论及课程的博士研究生担任访谈者。1名访谈者负责主持访谈,另外1名访谈者负责观察和记录访谈过程中受访者的非言语信息。访谈前与受访者预约时间和地点,选择安静、不受干扰的环境;向受访者介绍本研究的目的与意义,说明保密原则,访谈录音征得受访者同意。每次访谈持续时间为40~60 min,访谈过程中,访谈者以开放、中立的态度引导访谈,不做诱导式提问,鼓励受访者自由、深入地表达观点,根据实际情况进行追问,适当调整访谈提纲的顺序。
每次访谈结束后,研究者将录音资料在24 h内逐字逐句转录为文字资料,包括现场观察记录的非言语信息,插入到相应的录音文本中。由研究小组共同进行质量把控,确保研究资料转录的真实性、客观性及准确性。数据收集与资料分析同步进行,采用传统内容分析法对访谈资料进行整理和分析。同时,整合相关领域的政策文件作为补充资料,用于理解专家观点提供宏观政策背景,与访谈数据相互验证,检验并阐释访谈中的主题。当出现意见不一致时,由课题组讨论确定最终结果。
共提炼4个主题,识别出4个促进因素和4个障碍因素。
ICN新定义从全球行业层面明确了护士在患者安全中重要的领导者角色,这一变革显著增强了护士群体的职业自豪感和专业认同感。N1:“极大肯定了护士在患者安全中不可或缺的专业角色”。N9:“我们的日常工作被赋予新的意义,被认可、被肯定,令我感到自豪(扬起嘴角)”。11名受访者表示这一认可不仅提升了专业地位,更体现了护理工作在医疗安全中的核心价值。N3:“在突发公共卫生事件中,护士展现出关键作用,此次职责更新进一步拓展了护理专业的内涵”。同时,新职责也为护士在医疗团队中争取话语权、参与安全决策提供了权威的理论依据和合法性,有效推动了专业自主性的提升,使护士在跨专业团队协作中能够更加主动地发挥作用。N12:“护士应成为患者安全的倡导者、引领者,而非被动执行者”。N11:“从护士处方权到职责更新,感觉到护士的专业自主性不断提升、职业范围在不断拓展”。
职责的明确化也使护士在应对不良事件时面临更大的问责压力。这种压力既来自外部环境,也源于护士自身的责任意识。6名受访者认为新定义提高了职业要求,N10:“工作要求明显提高,任何疏忽,就可能被视为失职”。N15:“压力更大了,责任更重了,需要时刻保持高度警觉”。值得关注的是,保障患者安全的职责边界存在一定的模糊性,容易引发角色冲突和压力。3名受访者表达了担忧,N14:“那是不是以后有问题都要找护士‘背锅’了”。N8:“以前是医务处管,现在是护理部管吗,还是应该一起管呢”。因此,在新职责背景下,应明确医疗机构内部的权责分工,建立协同管理机制。
国家通过专项行动等政策持续推进患者安全建设,赋能护士的重要性已在行业中形成初步共识。N4:“近年来出台的等一系列政策为医疗机构开展患者安全工作指引了方向,行业正逐步形成统一目标和行动框架”。5名受访者认为将患者安全指标与绩效考核挂钩,有助于增强政策执行的约束力与效能。N7:“政策支持对护士工作积极性的提升至关重要”。N16:“医院科室的绩效考核确实没有患者安全指标,政策下来后我想逐渐就会有的”。
患者安全是一项系统性工程。N12:“需建立多方协作机制,依靠医生、护士、其他医疗专业人员、患者及家属、管理层乃至整个社会的共同参与”。然而,医疗系统内部存在“部门壁垒”,包括观念上的隔阂、标准化沟通工具缺失等都会严重制约多学科协作效果。N2:“患者安全需要医护密切协作,单靠护士无法完成”。N11:“沟通障碍往往源于缺乏统一、规范的工具。比如推广SBAR沟通模式,可显著提升团队间信息传递的准确性与协作效率”。
无论是临床专家还是教育者,均认为履行新职责需依托多层次、结构化的系统性支持,包括自上而下的领导力承诺、高效的信息化技术工具、结构化的教育培训体系、充足的人力资源配置以及完善的组织文化等。N8:“这种领导力不只是护理部主任、护士长的决心,而是自上而下的、透明的、院级领导班子的真实承诺”。只有这样才能在资源分配、政策倾斜和考核体系上真正将患者安全置于优先地位。N16:“需要领导真正重视患者安全工作,愿意投入人力、财力、时间等资源”。
7名受访者提到,人力资源的短缺和工作负荷过重严重阻碍了新职责的落实。N6:“护士经常需要承担大量非护理工作,难以专注于患者安全”。N9:“人力资源不足是夜班差错发生的重要原因”。同时,护士的人身安全和福祉缺失直接影响了患者安全工作的开展。N15:“离职率很高,究其根本还是福利待遇没有提上去”。N10:“职责增加了但是如果护士的社会地位和福利待遇等没有相应的变化,就会引发人员流失、职业偏见等社会效应”。此外,全周期、系统化培训体系尚未健全,不同层级护士的能力建设存在明显短板。院校教育层面,患者安全理念培养仍显薄弱。N2:“要及早在医学院校根植患者安全理念”。N14:“需将患者安全理念如主线贯穿整个课程体系,而非仅开设患者安全课程,何况目前还有许多学校并没有开设这门课”。临床岗位培训层面,亦缺乏分层、持续的培训方案设计。N1:“低年资护士由于经验不足,更容易发生不安全事件”。N8:“需要建立分层培训体系,针对不同年资护士提供差异化的培训内容,比如新护士应侧重于规章制度与风险识别培训,而资深护士则要学习根因分析等更进阶管理工具”。此外,培训内容未能及时应对技术迭代带来的新型风险。N11:“随着电子医嘱、输血系统、手术机器人等新技术的应用普及,培训须及时更新以应对新的安全隐患”。社会大众教育层面,安全意识教育仍有欠缺,限制了更广泛安全文化的形成。N1:“仅靠专业人员推动影响有限,应提升公众对患者安全的认知,如同普及消防意识”。N7:“可在社区健康宣传活动中加入患者安全内容,比如居家用药安全”。
10名受访者观察到患者及家属表现出参与自身安全管理的积极意愿,这种自下而上的参与需求与自上而下的文化建设形成了良性互动。N5:“患者应当是自身安全的第一责任人”。N6:“没有人比患者自己更关心自己的健康和安全了”。N2:“鼓励患者参与身份核对、用药、治疗决策等环节,可自构第一道安全防线”。N13:“应当将患者和家属纳入安全管理团队,使其成为真正的合作伙伴”。这种多元参与态势为安全文化建设提供了重要基础。
患者安全文化是医疗质量与安全管理的核心基础,其建设直接影响临床工作的成效。N12:“没有这种文化氛围,护士都怕担责,都选择隐瞒,那所有的安全工具、流程、制度都形同虚设”。文化建设是一个需长期坚持并系统性引导的过程,N3:“必须不断强调和固化,改变医务人员的观念,提高患者安全意识”。患者安全文化的核心是非惩罚性不良事件上报机制的有效落实,然而该机制在实践中的运行效果并不理想。N13:“我认为目前做得还不够好(摇头、叹息),非惩罚往往仅限于经济层面,流于形式,未能真正分析、利用好数据,反而使护士产生恐惧和抵触情绪”。
ICN新定义的发布标志着护理专业发展的一个重要分水岭,其核心在于推动了护理专业角色的根本性范式转变。研究结果提示新职责通过确立护士在患者安全体系中的核心地位,拓展了护士职业边界,明确了护士核心价值,提升了护士专业认同。从专科护士到高级实践护士的角色发展,以及护士多点执业、“互联网+”护理、护士处方权等实践探索,均表明护理专业正从传统执行者向决策引领者转型[9-10]。《全国护理事业发展规划(2021—2025年)》明确提出要拓展护理服务领域,加强护士队伍建设,与ICN所强调的护士领导力角色理念相一致[11]。因此,建议护士群体必须主动拥抱这一变革:第一,积极转变角色认知,树立安全倡导者与责任人的专业身份;第二,主动提升专业素养,通过继续教育和专业培训掌握风险评估、质量改进等领导力核心技能;第三,积极参与患者安全文化建设,在不良事件报告系统改进、安全流程优化等方面发挥主导作用;第四,勇于在多学科团队中发声,以专业自信争取应有的决策参与权和话语权。
政府及卫生行政部门在政策支持层面,应根据ICN新定义及时调整、完善相关制度和支持政策,为护士履行安全职责提供清晰的制度保障和持续动力。在人力资源层面,须系统性解决长期存在的护理人力资源短缺问题,出台指导性政策推动科学的护患比配置,建立合理的薪酬待遇增长机制,切实增强护士福祉,提高护士队伍稳定性[12-13]。在教育体系层面,护理专业现作为国家控制的重点专业,其人才培养和实践规范直接关系到医疗质量与公众健康[14]。因此,应着力优化护理学历教育结构,提高护理硕士研究生及以上学历护士比例,为护理领导力的提升储备高层次人才[15]。此外,建议教育部与国家卫生健康委员会协同推动护理教育改革,将患者安全胜任力作为专业认证的核心要素,指导高等院校将患者安全课程融入医学教育体系,实现院校教育、毕业后教育和继续教育全周期培养[16-19]。
医疗机构是护士履行安全职责的关键场域,须构建良好的支持性环境。第一,医院领导层须将患者安全置于战略优先地位,通过预算配置、绩效评价和激励机制等方式将承诺转化为实际行动。第二,积极营造患者安全文化氛围,以学习改进为导向,健全不良事件上报与分析系统,营造团队“敢于报告、乐于改进”的文化氛围[20]。第三,打破学科及部门壁垒,完善患者安全协作管理与问责机制,推广SBAR、TeamSTEPPS等结构化科学工具使用,促进医、护、药、技等多学科间沟通与协作[21-23]。第四,构建贯穿职业发展全周期的分层培训体系,加强低年资护士的风险识别能力与高年资护士的质量改进项目领导力培养,同时积极应对新技术相关风险防控。第五,赋能患者及家属,通过健康宣教等多种方式,鼓励患者及家属参与到安全管理中,共同构筑医-护-患三方协同的安全防线[24-25]。
保障患者安全是一项需社会多元主体共同参与的系统工程[26],需提升患者、家属及社会公众的安全认知与参与能力。建议由医疗卫生机构、专业协会与政府媒体协同,通过新媒体平台、社区健康服务、公众科普活动等多渠道,科普“世界患者安全日”、居家用药安全、就医沟通技巧、病情监测、慢性病管理等内容,提升公众的认知水平和参与能力[27]。尤为关键的是,应重视患者参与工具的开发与推广,如《用药核对清单》、术后康复教学短视频等,引导患者及家属成为自身安全的主动参与者和合作者,最终构建政府主导、医院主体、社会协同、患者参与的患者安全多元共建共治新格局。
本研究采用描述性质性研究方法,系统探究了ICN新定义下赋能护士履行保障患者安全职责的促进与障碍因素。研究结果揭示了职业价值与专业自主性提升、国家政策支持与行业共识初步形成等4个重要促进因素,职业压力加剧与问责模糊化、内部协作存在结构性壁垒等4个障碍因素。因此,需要政府、医疗机构、医务人员、患者及家属、社会大众等多方共同努力,最大化利用现有促进因素,为护士履行其核心安全职责创造支持性系统。

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2026年第40卷第12期
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doi: 10.12102/j.issn.1009-6493.2026.12.016
  • 接收时间:2025-07-28
  • 首发时间:2026-10-30
  • 出版时间:2026-06-25
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  • 收稿日期:2025-07-28
  • 修回日期:2026-04-16
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    1重庆医科大学护理学院,重庆 400016
    2重庆医科大学附属第一医院护理研究中心

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肖明朝,E-mail:
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species
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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