影响马来西亚护士临床决策技能的因素:三级一般线性混合效应分析
Nur Hidayah Zainal1, Nur Syahmina Rasudin2, Kamarul Imran Musa3
1Integrated Clinical Simulation Centre, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
International journal of nursing studies advances
|February 24, 2026
概括
护士的临床决策技能受到个人因素的影响,如批判性思维和经验,以及医院类型和地区. 这些发现强调了需要多层次战略来改善护理实践和患者的结果.
科学领域:
- 护理研究 护理研究
- 医疗保健服务研究 医疗服务研究
- 多层次建模多层次建模
背景情况:
- 临床决策对于安全的护理实践至关重要.
- 以前的研究往往侧重于个体因素,忽视了层次影响.
- 了解多层次决定因素对于有效的护理至关重要.
研究的目的:
- 检查影响马来西亚护士临床决策技能的个人,医院部门和区域因素.
- 应用多层次分析来揭示护理实践中的复杂关系.
主要方法:
- 在马来西亚的40个医院部门进行了796名注册护士的定量,横截面研究.
- 使用三级混合效应回归模型来分析嵌套数据.
- 从不同地区收集数据以捕捉区域差异.
主要成果:
- 个人因素,如批判性思维,多年的经验和基础教育后的资格,显著预测了决策能力.
- 在教学,私人和普通医院的护士比地区医院的护士得分更高.
- 在批判性思维与临床决策之间的关联中,观察到区域差异很大.
结论:
- 临床决策是个体和背景因素的结果.
- 研究结果支持在护理教育和政策中制定有针对性的战略.
- 通过多层次的方法提高护理能力可以改善患者的治疗结果.
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