伊朗德黑兰重症监护病房护士之间的护士-医生合作,自主和决策能力:一项跨部门研究
Sogand Sarmadi1, Neda Sanaie2, Mahsa Boozari Pour2,3
1Student Research Committee, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
PloS one
|December 9, 2025
概括
更高的专业自主权和专业间合作与重症监护护士更好的临床决策有关. 这些因素是改善护理实践和患者安全的关键.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 临床实践 临床实践
背景情况:
- 重症监护室 (ICU) 护士的临床决策对于患者的安全至关重要.
- 假设专业自主和专业间的协作会影响决策质量.
- 对于伊朗ICU设置中的这些因素,存在有限的经验证据.
研究的目的:
- 研究ICU护士之间感知到的自主性,护士与医生的合作以及临床决策能力之间的关系.
- 提供关于影响伊朗ICU护士决策的因素的经验数据.
主要方法:
- 涉及德黑兰400名ICU护士的横截面研究.
- 利用经过验证的波斯仪器来衡量跨专业合作,专业自主性和临床决策.
- 使用相关性和多重线性回归分析,遵守STROBE指南.
主要成果:
- 在感知到更高的自主权,更大的专业间合作和改善临床决策之间发现了积极的关联.
- 自主和协作在多变量模型中独立预测决策能力.
- 研究样本采用了直观分析的决策方法.
结论:
- 增加的专业自主权和专业间的协作是独立相关的加强自我报告的临床决策在ICU护士.
- 由于横截面设计,无法确定因果关系.
- 建议使用客观指标进行进一步的纵向研究,以探索因果关系并为策略提供信息.
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