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ID 14836913
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タイトル Factors Associated with Health Care Worker Compliance with Procedure Manuals and Rules
著者
Shigeru, Fujita
Division of Health Policy and Health Service Research, Department of Social Medicine, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Kanako, Seto
Division of Health Policy and Health Service Research, Department of Social Medicine, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Takefum,i Kitazawa
Division of Health Policy and Health Service Research, Department of Social Medicine, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Kunichika, Matsumoto
Division of Health Policy and Health Service Research, Department of Social Medicine, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Yinghui, Wu
Shanghai Jiao Tong University School of Medicine
[役割]Author
Tomonori, Hasegawa
Division of Health Policy and Health Service Research, Department of Social Medicine, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
出版地 Tokyo
出版者 The Medical Society of Toho University
上位タイトル
Toho Journal of Medicine (Toho Journal of Medicine). Vol.2, No.3  (2016. 09) ,p.80- 85
識別番号
ISSN
21891990
JaLCDOI info:doi/10.14994/tohojmed.2016.018
抄録 Background: Health care workers in hospitals are expected to comply with procedure manuals and rules. We investigated factors associated with compliance with procedure manuals and rules among health care workers classified by type of compliance behavior. Methods: In 2012, all health care workers (n = 12076) in 18 Japanese hospitals were asked to complete an anonymous, self-administered, cross-sectional, questionnaire survey. Respondents were categorized into four groups according to their responses to two questions regarding their understanding and compliance with manuals and rules in their hospital. The four groups were safe worker, intentional violator, overconfident worker, and reckless worker. A generalized linear mixed model was used to identify factors associated with classification in the latter three groups. Results: The response rate was 75.6% (9124/12076). Being an intentional violator or reckless worker was associated with lower job satisfaction (odds ratios [ORs]: 1.67 for intentional violator, 1.65 for reckless worker) and lesser perceived supervisor reliability (ORs: 1.96 for intentional violator, 1.62 for reckless worker). The number of night shifts worked in a month was associated with being an intentional violator (OR for ≥ five shifts, 2.02). Being a physician (OR, 2.21), perception of staffing as insufficient (OR, 1.33), and participation in in-house patient safety workshops during the previous year (OR, 0.49) were associated with being a reckless worker. Conclusions: Rules compliance among health care workers was associated with job satisfaction, perceived reliability of the supervisor, number of night shifts worked in a month, being a physician, perception of staffing, and participation in in-house patient safety workshops during the previous year.
キーワード
quality of health care
patient safety
compliance
violation
professional misconduct
注記 Original Article
言語
eng
資源タイプ TOHO University Scholarly Publication
ジャンル Journal Article
著者版フラグ publisher
アクセス条件 東邦大学医学会
Index
/ Public / Toho Journal of Medicine / Vol.2 / No.3(p.73-105)
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