摘要
目的调查临床护士临床决策能力现状及其影响因素,为改善及提高临床护士正确的临床决策能力提供参考和依据。方法采用方便抽样法,选取陕西300名临床护士为研究对象,采用一般资料调查表、临床决策量表和综合决策风格量表进行调查研究,用单因素分析及多元线性回归等方法分析临床护士临床决策能力的影响因素。结果临床护士临床决策能力总分为(163.85±13.78)分,达到临床决策能力高水平标准(146.68~200.00)分。Spearman秩相关分析结果为:临床决策能力的总得分以及各个维度的得分结果与理智型决策风格得分结果呈现明显的正相关关系(P<0.05);寻找信息或新信息维度的得分情况仅与直觉-冲动型决策风格的得分情况呈负相关关系(P<0.05);回避型决策风格与寻找信息或新信息、明确目标和价值、临床决策能力总分、寻找可选择的方案维度等得分均呈负相关(P<0.05)。多元线性回归结局为:理智型决策风格能够正向影响临床护士临床决策能力,回避型决策风格能够负向影响临床护士临床决策能力。结论临床护士的临床决策能力一直都维持在比较恒定的高水平,他们受理智型和回避型决策风格影响的程度比较大。医疗管理者需要举办针对性培训活动等措施,促进临床护士理智型决策风格的构建,尽量减少回避型决策风格的影响,从而提高临床护士的临床决策能力。
Objective:To investigate the current situation and influencing factors of clinical nurses’clinical decision-making ability,and provide a reference and evidence for improving and enhancing the correct clinical decision-making ability of clinical nurses.Methods:A total of 300 clinical nurses in Shaanxi Province were selected as the research subjects by using the convenience sampling method.The General Information Questionnaire,Clinical Decision-Making Scale,and Comprehensive Decision-Making Style Scale were used to conduct the investigation and study.The influencing factors of clinical nurses’clinical decision-making ability were analyzed by using single-factor analysis and multivariate linear regression.Results:The total score of clinical nurses’clinical decision-making ability was(163.85±13.78)points,reaching the high-level standard of clinical decision-making ability(146.68-200.00)points.The results of Spearman rank correlation analysis showed that there was a significant positive correlation between the total score and the score of each dimension of clinical decision-making ability and the score of rational decision-making style(P<0.05).The score of the dimension of searching for information or new information was only negatively correlated with the score of intuitive-impulsive decision-making style(P<0.05).Avoidant decision-making style was negatively correlated with the scores of seeking information or new information,clarifying goals and values,the total score of clinical decision-making ability,and the dimensions of finding alternative solutions(P<0.05).The results of multiple linear regression showed that rational decision-making style can positively affect clinical nurses’clinical decision-making ability,while avoidance decision-making style can negatively affect it.Conclusion:The clinical nurses’clinical decision-making ability has been maintained at a relatively constant high level,and it is greatly influenced by rational and avoidant decision-making styles.Medical managers need to organize t
作者
张飒乐
李英
牛露露
王静
马卫平
苏利
曹德杰
姚晚侠
ZHANG Sale;LI Ying;NIU Lulu;WANG Jing;MA Weiping;SU Li;CAO Dejie;YAO Wanxia(School of Medicine,Xi’an Peihua University,Xi’an 710125,China;Disinfection and Supply Center,Northwest Women’s and Children’s Hospital,Xi’an 710003,China;Gastroenterology Endoscopy Center,Ankang Central Hospital,Ankang 725000,China;Neurological Intensive Care Unit,Xi’an Gaoxin Hospital,Xi’an 710075,China;Department of Surgery II,Hanzhong Central Hospital,Hanzhong 723000,China)
出处
《中国医学伦理学》
北大核心
2024年第7期798-806,共9页
Chinese Medical Ethics
基金
陕西省自然科学基金项目“养老护理员技能网络培训及信息管理平台的研发和利用”(2022JM-597)
陕西省自然科学基金项目“正念减压疗法在护士压力和睡眠质量中的应用研究”(2023-JC-YB-806)
西安培华学院校级科研国家项目培育专项(PHKT2202)。
关键词
临床护士
决策能力
决策风格
临床伦理
clinical nurse
decision-making ability
decision-making style
clinical ethics
