注册护士在急诊室的分类决策:一个仪器开发研究
Gudrun Reay1, James A Rankin1,2, Karen L Then1
1Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
Journal of advanced nursing
|June 3, 2024
概括
开发并验证了一种新的选决策工具 (TDMI),用于测量急诊部注册护士的决策. 22项工具证明了可靠性和有效性,提供了一种改善护理教育和患者护理的方法.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 临床评估 临床评估
背景情况:
- 紧急诊所 (ED) 护理涉及复杂的决策.
- 量化选决策对于改善患者流动和安全至关重要.
- 现有的工具可能无法完全捕捉ED分拣决策的细微差别.
研究的目的:
- 开发和测试心理测量测量决策工具 (TDMI).
- 创建一个可靠和有效的工具来评估ED注册护士的决策过程.
- 为选教育和实践中的有针对性的干预提供基础.
主要方法:
- 一个五阶段的开发和测试过程.
- 概念定义由有基础的理论,其次是项目生成和修订.
- 通过重点小组和专家审查建立的面部和内容有效性.
- 通过探索性因子分析对204名分拣护士的数据进行心理测量属性评估.
主要成果:
- TDMI是一个22项,四个因素的工具:临床判断,管理敏度,专业协作和创造空间.
- 探索性因子分析支持四因素结构,解释了48.64%的差异.
- 该仪器表现出良好的内部一致性,Cronbach的alphas范围从0.596到0.822.
结论:
- TDMI符合面部有效性,内容有效性和内部一致性的标准.
- 该仪器适合在临床环境中进行进一步的测试和改进.
- TDMI为量化分类决策提供了宝贵的工具,使得有针对性的干预和人员发展成为可能.
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