关键词: Clinical decision making Confounding factor Nursing students Social media

来  源:   DOI:10.1186/s12912-024-02108-3   PDF(Pubmed)

Abstract:
BACKGROUND: The ability of a nurse to make effective clinical decisions is the most important factor that can affect the treatment quality. However, several factors can affect the ability of nursing and midwifery students to make effective clinical decisions.
OBJECTIVE: This study aims to identify the confounding factors that may affect the clinical decision making of nurses and thus patient outcomes after the COVID-19 pandemic in Jordan.
METHODS: A descriptive cross-sectional design was employed in this study. An online self-administered questionnaire was distributed to 269 nursing and midwifery students selected through purposive sampling, 224 of whom completed the questionnaire. The valid and reliable nursing decision-making instrument, which consisted of 24 items, was employed to gather the data, and descriptive statistics and simple linear regression were employed for the data analysis. Data was collected from November to the end of December 2022.
RESULTS: Among the respondents, 72.8% were female, and the average age was 20.79 years (SD = 1.44). The vast majority of the respondents (94.6%) was unmarried, and 74.1% were pursuing a nursing degree. The simple linear regression analysis showed that clinical decision making had a negative and significant relationship with social media usage of an average of 6 h a day (β=-0.085). Moreover, the male nursing students obtained lower clinical decision-making scores (β= -0.408) compared with the female nursing students.
CONCLUSIONS: Social media usage and gender have a considerable effect on the clinical decision making of the nursing and midwifery students. Therefore, the confounding factors that can affect the clinical decision making of nurses should be discussed further, and strategies to address such factors should be implemented.
摘要:
背景:护士做出有效临床决策的能力是可以影响治疗质量的最重要因素。然而,几个因素会影响护理和助产专业学生做出有效临床决策的能力。
目的:本研究旨在确定约旦COVID-19大流行后可能影响护士临床决策以及患者预后的混杂因素。
方法:本研究采用描述性横断面设计。通过目的性抽样,向269名护理和助产专业学生分发了在线自我管理问卷,其中224人完成了调查问卷。有效可靠的护理决策工具,由24个项目组成,被用来收集数据,并采用描述性统计和简单线性回归进行数据分析。数据收集自2022年11月至12月底。
结果:在受访者中,72.8%为女性,平均年龄为20.79岁(SD=1.44)。绝大多数受访者(94.6%)未婚,74.1%攻读护理学位。简单线性回归分析显示,临床决策与平均每天6h的社交媒体使用呈负相关(β=-0.085)。此外,与女护生相比,男护生的临床决策得分较低(β=-0.408)。
结论:社交媒体使用和性别对护理和助产专业学生的临床决策有相当大的影响。因此,影响护士临床决策的混杂因素,应实施解决这些因素的战略。
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