目的:调查沟通能力与沟通能力之间的关系,专业自主性和临床推理,并确定影响肿瘤科护士临床推理能力的因素。
方法:横截面描述性设计。
方法:参与者包括147名肿瘤科护士,他们在癌症病房有一年以上的临床经验。全球人际沟通能力量表,使用Schutzenhofer专业自主性量表和护士临床推理量表(NCRS)收集数据。数据采用描述性统计分析,独立t检验,单向方差分析,Pearson相关分析和层次多元回归分析
结果:沟通能力(r=0.59)和专业自主性(r=0.46)与临床推理能力呈显著正相关。临床经验,沟通能力,年龄和专业自主性是统计学显著的预测因素,解释了48.6%的临床推理能力.
结论:肿瘤科护士的临床推理能力与他们的沟通能力和专业自主性成比例增加。因此,肿瘤科护士必须加强他们的沟通能力和专业自主权,以提高他们的临床推理能力。
■加强沟通能力和专业自主性是肿瘤科护士提高临床推理能力的必要条件。为了提高护士的沟通能力,必须系统地,定期地设计和部署以实践为重点的交流教育计划。此外,为了增加护士的职业自主权,有必要通过工作单位的定期轮换来扩大他们的临床经验,并在机构上努力留住有经验的护士。
■我们遵守了STROBE检查表。
■这项研究的参与者是在网上招募的。他们被告知研究的目的,方法和可用性,只有在他们同意自愿参与的情况下,才能进行调查。
OBJECTIVE: To investigate the relationships among communication competence, professional autonomy and clinical reasoning and to identify the factors that influence clinical reasoning competence in oncology nurses.
METHODS: Cross-sectional descriptive design.
METHODS: Participants included 147 oncology nurses with more than a year of clinical experience in cancer wards. The Global Interpersonal Communication Competence Scale, Schutzenhofer Professional Autonomy Scale and Nurses Clinical Reasoning Scale (NCRS) were used to collect data. Data were analysed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation analysis and hierarchical multiple regression analysis.
RESULTS: Communication competence (r = 0.59) and professional autonomy (r = 0.46) showed significant positive relationships with clinical reasoning competence. Clinical experience, communication competence, age and professional autonomy were statistically significant predictors and explained 48.6% of clinical reasoning competence.
CONCLUSIONS: The clinical reasoning competence of oncology nurses increases proportionally with their communication competence and professional autonomy. Therefore, oncology nurses must reinforce their communication competence and professional autonomy to enhance their clinical reasoning competence.
UNASSIGNED: The reinforcement of communication competence and professional autonomy is necessary for oncology nurses to enhance their clinical reasoning competence. In order to improve nurses\' communication competence, practical-focused communication education programmes must be designed and deployed systematically and periodically. In addition, to increase nurses\' professional autonomy, it is necessary to expand their clinical experiences through the regular rotation of working units and to make institutional efforts to retain experienced nurses.
UNASSIGNED: We have adhered to STROBE checklist.
UNASSIGNED: Participants in the study were recruited online. They were informed of the study\'s purpose, method and usability and the survey could only be conducted if they consented to participate voluntarily.