研究背景與目的：病人安全為全球持續重視的醫療照護議題，近幾年病安事件頻傳，不僅造成病人生命安全的危害，更讓醫療機構聲譽重創，而重視病人安全文化能減少醫療疏失並提升醫療品質及病人滿意度。研究目的將分析不同背景變項在護理人員病人安全文化及住院病人滿意度之差異，及護理人員病人安全文化對病人滿意度之影響情形。研究方法：採回溯性問卷調查法，以中部某醫學中心護理人員及住院病人或家屬為研究對象，研究工具為護理人員「病人安全態度量表」及「住院病人滿意度調查」，所得資料以統計軟體IBM SPSS Statistics 24.0版及SAS進行描述性統計、獨立樣本t檢定、單因子變異數分析、複迴歸分析。研究結果：（1）擔任主管、不同之受雇別、教育程度、年齡及年資之護理人員在病人安全文化之態度有顯著差異。（2）不同性別、年齡及身分別病人對住院滿意度有顯著差異（3）「診療過程」會受到「工作狀況」的正向影響；而「環境設施」會受到「對壓力的認知」正向影響及「對管理的感受」負向影響；而「友善服務」會受到「對壓力的認知」及「復原力」的正向影響；「住院病人整體滿意度」則受到「單位安全的風氣」的負向影響並受到「對工作的滿意」及「對壓力的認知」的正向影響。結論及建議：護理人員病人安全文化態度對住院病人滿意度部分有顯著影響。建議透過營造更具人性化工作環境，多關懷醫療相關人員、協助其紓解情緒壓力，並讓病人及家屬參與照護流程，傾聽需求，以提升對病人安全的認知及照護。 Background and objectives:Patient safety is a continuing issue of medical care in the world, In recent years, frequent incidents of sickness and health have not only caused the harm of the patient's life safety, but also made the reputation of medical institutions hit hard. Paying attention to the culture of patient safety can reduce medical malpractice and improve medical quality and patient satisfaction. The study purposes: To analyze the differences between different background variables in nursing staff's patient safety culture and inpatient satisfaction, and the influence of nursing staff patient safety culture on patient satisfaction. Research method: The retrospective questionnaire method was used to investigate the nursing staff and in-patients or relatives of a medical center in the middle of the country. The study tools included the “Patient Safety Attitude Scale” and “Inpatient Satisfaction Survey” for the nursing staff. Statistical software IBM SPSS Statistics 24.0 and SAS were used for descriptive statistics, independent sample t-test, one way ANOVA, andregression analysis. Results of the study: (1) Therewas a significant difference in the attitude of the nurses serving as supervisors, different types of employment, education, age and seniority in the culture of illness and safety. (2) Patients with different genders, ages, and acupuncture groups had significant differences in hospital satisfaction (3) “Diagnostics and treatment process”be positively affected by “working conditions”; and “environmental facilities” positively affected by “awareness of stress”. It had a negative impact on the impact and “feelings of management”; “friendly service”wassubject to “awareness of stress” and the positive effect of “resilience”; The negative influence of "" was positively influenced by "satisfaction with work" and "cognition of stress." . Conclusions and recommendations: The safety culture attitude of nursing staff has a significant impact on the satisfaction of inpatients. It is suggested that through the creation of a more humane work environment, more care should be given to medical-related personnel to help relieve emotional stress, and patients and their families should be involved in the care process to listen to the needs so as to raise awareness and care for patient safety.
