Wu Min, Yang Jinqiu, Liu Lingying, Ye Benlan
Xiamen University, P.R. China.
Xiamen University, P.R. China
West J Nurs Res. 2016 Aug;38(8):974-91. doi: 10.1177/0193945916633458. Epub 2016 Feb 22.
This study aims to investigate the influencing factors on nurses' clinical decision-making (CDM) skills. A cross-sectional nonexperimental research design was conducted in the medical, surgical, and emergency departments of two university hospitals, between May and June 2014. We used a quantile regression method to identify the influencing factors across different quantiles of the CDM skills distribution and compared the results with the corresponding ordinary least squares (OLS) estimates. Our findings revealed that nurses were best at the skills of managing oneself. Educational level, experience, and the total structural empowerment had significant positive impacts on nurses' CDM skills, while the nurse-patient relationship, patient care and interaction, formal empowerment, and information empowerment were negatively correlated with nurses' CDM skills. These variables explained no more than 30% of the variance in nurses' CDM skills and mainly explained the lower quantiles of nurses' CDM skills distribution.
本研究旨在探讨影响护士临床决策（CDM）技能的因素。2014年5月至6月间，在两家大学医院的内科、外科和急诊科进行了一项横断面非实验性研究设计。我们使用分位数回归方法来识别CDM技能分布不同分位数上的影响因素，并将结果与相应的普通最小二乘法（OLS）估计值进行比较。我们的研究结果显示，护士在自我管理技能方面表现最佳。教育水平、经验和总体结构赋权对护士的CDM技能有显著的正向影响，而护患关系、患者护理与互动、形式赋权和信息赋权与护士的CDM技能呈负相关。这些变量解释的护士CDM技能方差不超过30%，且主要解释了护士CDM技能分布的较低分位数。
