目的:本研究旨在探讨医院护士恐惧行为对其临床决策认知的影响。这种理解可以提供见解,以改善工作环境,提高护士临床决策能力,指导医疗机构相关设备管理和政策制定。
背景:术语“恐惧症”是指个人无法使用智能手机或无法访问智能手机时所经历的焦虑和恐惧。护理临床决策是一个复杂的过程,包括对患者的病理状况和病史的细致评估,除了护理知识的应用和根植于批判性思维的体验式学习。临床决策感知的概念被定义为对一个人的决策过程的有意识的认知理解。这显著影响了医疗保健专业人员的临床决策能力,从而影响患者护理质量。影响这些临床决策感知的因素一直是广泛研究的主题。然而,国内尚无关于护士恐惧行为对其临床决策感知的影响的研究。
方法:使用基于在线交付模式的横断面描述性调查。
方法:采用描述性横断面调查设计。使用方便采样,我们于2023年5月对南京某三甲医院的护士进行了调查.数据是使用社会人口统计学数据表格收集的,恐惧症问卷和护理临床决策量表。包括独立样本t检验在内的技术,单向方差分析,采用Pearson相关分析和线性回归分析探讨恐惧症的程度及其对临床决策感知的影响。在收集的284份问卷中,272被认为是有效的,导致95.8%的有效响应率。
结果:数据显示,参与者表现出中等水平的恐惧症(54.01±24.09)和临床决策感知(144.94±20.08)。在恐惧症和临床决策感知之间存在强烈的负相关(r:-0.365,P<0.001)。这项研究强调,随着恐惧症程度的加剧,护士的临床决策认知随着恐惧症的增加而下降。
结论:恐惧行为会妨碍护士对临床决策的感知,可能导致不准确或错误。护士必须明智地使用手机,实践自我调节,减轻恐惧症对他们决策的破坏性影响。此外,医疗机构应促进相关教育或工艺政策,规范手机使用,提高护士的效率和决策能力,提高患者护理质量,减少医疗错误,确保患者健康和安全。
OBJECTIVE: This study aimed to explore the impact of nomophobic behaviors among hospital nurses on their clinical decision-making perceptions. This understanding can offer insights to enhance the work environment, improve the clinical decision-making ability of nurses and guide medical institutions in the management of related equipment and policy development.
BACKGROUND: The term \"nomophobia\" refers to the anxiety and fear individuals experience when they cannot use their smartphones or when smartphones are not accessible. Nursing clinical decision-making is a complex process, including a meticulous assessment of the patient\'s pathological condition and medical history, alongside the application of nursing knowledge and experiential learning rooted in critical thinking. The concept of clinical decision-making perceptions is defined as a deliberate cognitive understanding of one\'s decision-making processes, which significantly influences the clinical decision-making capabilities of healthcare professionals, thereby impacting the quality of patient care. The factors influencing these clinical decision-making perceptions have been the subject of extensive research. However, there is no Chinese research on the impact of nurses \' nomophobic behaviors on their clinical decision-making perception.
METHODS: A cross-sectional descriptive survey using online-based delivery modes was used.
METHODS: A descriptive cross-sectional survey design was employed. Using convenience sampling, we surveyed the nurses from a tertiary hospital in Nanjing in May 2023. Data were gathered using a sociodemographic data form, the Nomophobia Questionnaire and the Clinical Decision-Making in Nursing Scale. Techniques including the independent sample t-test, one-way ANOVA, Pearson correlation analysis and linear regression analysis were employed to probe the degree of nomophobia and its effects on their perception of clinical decision-making. Out of 284 questionnaires gathered, 272 were deemed valid, resulting in a 95.8% effective response rate.
RESULTS: The data revealed that participants exhibited a medium level of nomophobia (54.01 ± 24.09) and clinical decision-making perceptions (144.94 ± 20.08). A robust negative correlation was discerned between nomophobia and clinical decision-making perceptions (r: -0.365, P<0.001). This study highlighted that as the degree of nomophobia intensified, nurses\' clinical decision-making perceptions decreased with the increase in nomophobia.
CONCLUSIONS: Nomophobic behaviors can hamper nurses\' perception of clinical decision-making, potentially leading to inaccuracies or errors. Nurses must use mobile phones judiciously, practice self-regulation and mitigate the disruptive effects of nomophobia on their decision-making. In addition, medical institutions should foster relevant education or craft policies to regularize mobile phone use, augmenting nurses\' efficiency and decision-making prowess, enhancing patient care quality, diminishing medical errors and ensuring patient health and safety.