认知偏见和情境因素解释护士跌倒风险判断的变化:一个多中心横截面研究
Miyuki Takase1, Naomi Kisanuki1, Yoko Sato2
1Yasuda Women's University, School of Nursing, 6-13-1 Yasuhigashi, Asaminami-Ku, Hiroshima-Shi, Hiroshima 7310153, Japan.
International journal of nursing studies advances
|June 17, 2025
概括
护士是一个护士.
科学领域:
- 护理 护理 护理
- 医疗保健决策制定 医疗保健决策制定
- 患者安全 患者安全
背景情况:
- 跌倒风险评估是一个复杂的护理过程,其变化原因不明.
- 现有研究强调了护士在跌倒风险评估中的不一致性.
- 这种变化的适当性和驱动因素仍然不太清楚.
研究的目的:
- 为了调查护士如何判断患者跌倒的风险.
- 探索认知偏见,情境因素和护士跌倒风险判断之间的关联.
主要方法:
- 在日本西部的六家医院进行了335名护士的在线调查.
- 护士在18个病人的情景中对跌倒的可能性进行了评价.
- 认知偏差的评估 (基准率忽视,信念偏差,可用性偏差) 使用验证的措施.
主要成果:
- 影响跌倒风险评估的关键因素包括患者要求协助,使用安眠药,管道/排水管和流动性.
- 评估的变化与护士的性别,教育,临床专业以及对可用性偏见的敏感性有关.
- 线性混合效应回归模型确定了判断和可变性的重要预测因素.
结论:
- 虽然临床判断中的一些变化可能反映了个性化护理,但由于认知偏见的不一致性是有问题的.
- 医疗保健组织应实施有针对性的培训,以提高上下文专业知识和减轻认知偏见的影响.
- 提高护士减少认知偏差影响的能力,对于准确的跌倒风险评估至关重要.
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