数字健康素养作为患者安全文化的预测因素：来自约旦护士多中心研究的证据

摘要(中文译文)

医疗保健的数字化要求护士具备强大的数字健康素养（DHL），以确保患者安全。本研究旨在评估DHL与约旦注册护士对PSC的看法之间的关系，并确定与不同DHL水平相关的人口统计和专业因素。2025年7月至9月，在约旦的五家公立、私立和大学附属医院进行了一项多中心、横断面调查。采用分层随机抽样方法招募了500名注册护士。数据是使用经过验证的七部分复合问卷收集的。使用描述性统计、可靠性分析（Cronbach's alpha）和结构方程模型对数据进行分析。结果证实了该研究的主要假设，揭示了DHL和PSC之间显著且强烈的正预测关系（β = 0.42, p < 0.001),DHL解释了PSC中28.1%的方差。护士报告总体DHL水平中等（M = 3.28),在操作技能方面具有优势，但在评估信息可靠性方面信心较低。对患者安全文化的看法是积极的（M = 3.71),团队合作氛围评分最高（M = 4.21) 对管理层的看法最低（M = 3.34). 发现DHL存在显著差异；高等教育（p < .001) 在大学附属医院工作（p = 0.001) 与更高的能力有关。值得注意的是，根据年龄或经验年限，没有观察到显著差异。缺乏足够的培训和时间不足被确定为技术使用的主要组织障碍。数字健康素养与约旦护士更好的患者安全文化显著相关，这更多地是由组织和教育因素驱动的，而不是代际刻板印象。为了实现数字健康投资的安全效益，机构应加强护士的数字和批判性评估技能，并消除组织障碍。

Abstract

The digitalisation of healthcare requires nurses to possess strong Digital Health Literacy (DHL) to ensure patient safety. This study aimed to evaluate the relationship between DHL and perceptions of PSC among registered nurses in Jordan and to identify the demographic and professional factors associated with varying levels of DHL. A multi-center, cross-sectional survey was conducted from July to September 2025 across five public, private, and university-affiliated hospitals in Jordan. A sample of 500 registered nurses was recruited using stratified random sampling. Data were collected using a validated, seven-part composite questionnaire. Data were analyzed using descriptive statistics, reliability analysis (Cronbach's alpha), and structural equation modelling. The results confirmed the study's primary hypothesis, revealing a significant and strong positive predictive relationship between DHL and PSC ( = 0.42, < 0.001), with DHL explaining 28.1% of the variance in PSC. Nurses reported moderately high DHL overall ( = 3.28), with strengths in operational skills but lower confidence in evaluating information reliability. Perceptions of patient safety culture were positive ( = 3.71), with Teamwork Climate rated highest ( = 4.21) and Perceptions of Management lowest ( = 3.34). Significant disparities in DHL were found; higher levels of education ( < .001) and working in a university-affiliated hospital ( = 0.001) were associated with higher competency. Notably, no significant differences were observed based on age or years of experience. Lack of adequate training and insufficient time were identified as the primary organisational barriers to technology use. Digital health literacy was significantly associated with better patient safety culture among Jordanian nurses, driven more by organisational and educational factors than generational stereotypes. To realise the safety benefits of digital health investments, institutions should strengthen nurses' digital and critical appraisal skills and remove organisational barriers.

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