緊急治療室の看護師のコア自己評価が,臨床的意思決定に対する認識に与える影響:横断的研究
Ya-Xin Song1, Chang Lu1, Ying An2
1School of Nursing, Capital Medical University, Beijing, 100069, China, ccmu.edu.cn.
Journal of nursing management
|February 16, 2026
まとめ
緊急治療室 (ED) の看護師の核心的な自己評価を向上させることは,彼らの臨床的意思決定に肯定的な影響を及ぼします. 介護管理者は,看護師の自己効能と認知力を強化することで,介護の質を向上させることができます.
科学分野:
- 介護看護 介護看護とは
- 心理学 心理学とは
- ヘルスケア・マネジメント・ヘルスケア・マネジメント
背景:
- 緊急治療室 (ED) の看護師は,臨床的決定に影響を与える時間とリソースの制約に直面しています.
- 性格の重要な特徴である自己評価は,仕事のやる気と業績に影響を与えます.
- ED看護師のコア自己評価と臨床意思決定の知覚の間の関連性は不明である.
研究 の 目的:
- 緊急治療室の看護師の臨床的意思決定に対する認識に対するコア自己評価の影響を調査する.
- ED看護師の臨床的意思決定に関連する要因を探求する.
主な方法:
- 中国,北京の30の公立病院の578人の登録ED看護師を対象とした横断調査.
- オンラインや現場でのアンケートを通じて収集されたデータで,社会人口統計,自己評価,臨床意思決定を評価しています.
- 統計分析には,tテスト,ANOVA,ピアソン相関,多重線形回帰が含まれていました.
主要な成果:
- EDの看護師は,中程度のコア自己評価 (39.16±6.38) と高い臨床的意思決定認識 (150.12±18.32) を報告しました.
- 重要な正の相関 (r=0.567,p<0.001) は,コア自己評価と臨床的意思決定の知覚の間に発見されました.
- ヘッドナース/マネージャーのポジション,環境の不確実性,不満足感は,意思決定に関する認識と関連していた.
結論:
- ED看護師の自己評価の改善は,臨床意思決定の質を高めることができます.
- 介護管理者は,インセンティブシステムを導入し,リソースを提供し,批判的思考を促進すべきである.
- これらの戦略は,看護師の自己効能と価値認識を高め,ケア品質を向上させることができます.
関連する概念動画
Nursing Evaluation
4.5K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.5K
Patient-centered Care
3.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K
Critical Thinking I
5.4K
Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career...
5.4K
Nursing Ethical Principles II
2.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.3K
Ethical Dilemmas I
2.1K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
2.1K
The Professional Nurse
6.9K
Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
Communication skills: These are critical characteristics, especially speaking and listening.
Communication skills: These are critical characteristics, especially speaking and listening.
6.9K

