人类因素在护理人员临床判断中的作用 - 一个修改后的Delphi研究
Anna Poranen1, Anne Kouvonen2,3, Hilla Nordquist1,2,4
1Faculty of Medicine, University of Helsinki, Helsinki, Finland.
PloS one
|September 15, 2025
概括
护理人员 护理人员
科学领域:
- 紧急医疗服务 (EMS)
- 人类因素研究研究
- 临床判断 临床判断
背景情况:
- 护理人员的临床判断至关重要,但受到变化的EMS环境的挑战.
- 影响护理人员决策的人类因素仍未得到充分探索.
研究的目的:
- 在各种EMS情况下确定影响护理人员临床判断的关键人为因素.
- 从经验丰富的护理人员中收集专家的共识.
主要方法:
- 一个经过修改的Delphi研究,涉及高级芬兰护理人员 (≥5年经验).
- 三轮专家评估使用利克尔特尺度和主题分析.
- 达成共识的门设置为≥75%.
主要成果:
- 47名专家参与了调查;在各轮调查中,响应率各不相同.
- 在13个关键的人类因素上达成共识.
- 发现的四个最重要的因素是:不安全的地点,个人态度,医生支持和解决问题的能力.
结论:
- 确定了四个重要的影响护理人员临床判断的人类因素.
- 组织应优先考虑护理人员的职业安全资源和心理健康支持.
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