中国一家三级医院护士的决策疲劳:关于患病率和预测因素的跨部门研究
Weidi Wang1, Huan Xiao1, Xueqing Liu1
1Department of Nursing, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
International nursing review
|August 9, 2025
概括
护士经历了中度的决策疲劳. 改善睡眠质量,更高的弹性和更好的组织支持显著减少了这种疲劳,有利于患者护理和护士福祉.
科学领域:
- 护理研究 护理研究
- 医疗保健管理的管理
- 认知心理学 认知心理学
背景情况:
- 护理的苛刻性质涉及频繁的高风险决策,可能导致决策疲劳.
- 决策疲劳会对患者护理质量和护士心理健康产生负面影响.
- 系统的调查对于理解和解决护理中的决策疲劳至关重要.
研究的目的:
- 评估中国一家三级医院护士中决策疲劳的流行情况.
- 确定影响这一群体决策疲劳的关键预测因素.
主要方法:
- 在中国的一家大型三级医院,对925名护士进行了横截面电子调查.
- 经过验证的仪器测量了弹性 (CD-RISC-10),感知到的组织支持 (NPOS) 和决策疲劳 (DFS).
- 在报告研究结果时遵循了STROBE的指导方针.
主要成果:
- 通过925个有效的问卷,实现了94.10%的响应率.
- 护士的平均决策疲劳得分为10.19±5.91.
- 回归分析表明,睡眠质量,弹性和仪器支持解释了决策疲劳变异的22.4%.
结论:
- 护士报告说,他们的决策疲劳程度中等.
- 更好的睡眠质量,更高的弹性和更强的感知仪器支持与较低的决策疲劳有关.
- 建议针对睡眠,弹性培训和组织支持的干预措施来缓解决策疲劳.
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