Department of Emergency Medicine , Nanjing Drum Tower Hospital, Medical School, Jiangsu University.
Affiliated Hospital of Jiangsu University, Zhenjiang City, Jiangsu Province 212001, People's Republic of China.
Nurse Educ Pract. 2024 May;77:103978. doi: 10.1016/j.nepr.2024.103978. Epub 2024 May 9.
This study aimed to explore the impact of nomophobic behaviors among hospital nurses on their clinical decision-making perceptions. This understanding can offer insights to enhance the work environment, improve the clinical decision-making ability of nurses and guide medical institutions in the management of related equipment and policy development.
The term "nomophobia" refers to the anxiety and fear individuals experience when they cannot use their smartphones or when smartphones are not accessible. Nursing clinical decision-making is a complex process, including a meticulous assessment of the patient's pathological condition and medical history, alongside the application of nursing knowledge and experiential learning rooted in critical thinking. The concept of clinical decision-making perceptions is defined as a deliberate cognitive understanding of one's decision-making processes, which significantly influences the clinical decision-making capabilities of healthcare professionals, thereby impacting the quality of patient care. The factors influencing these clinical decision-making perceptions have been the subject of extensive research. However, there is no Chinese research on the impact of nurses ' nomophobic behaviors on their clinical decision-making perception.
A cross-sectional descriptive survey using online-based delivery modes was used.
A descriptive cross-sectional survey design was employed. Using convenience sampling, we surveyed the nurses from a tertiary hospital in Nanjing in May 2023. Data were gathered using a sociodemographic data form, the Nomophobia Questionnaire and the Clinical Decision-Making in Nursing Scale. Techniques including the independent sample t-test, one-way ANOVA, Pearson correlation analysis and linear regression analysis were employed to probe the degree of nomophobia and its effects on their perception of clinical decision-making. Out of 284 questionnaires gathered, 272 were deemed valid, resulting in a 95.8% effective response rate.
The data revealed that participants exhibited a medium level of nomophobia (54.01 ± 24.09) and clinical decision-making perceptions (144.94 ± 20.08). A robust negative correlation was discerned between nomophobia and clinical decision-making perceptions (r: -0.365, P<0.001). This study highlighted that as the degree of nomophobia intensified, nurses' clinical decision-making perceptions decreased with the increase in nomophobia.
Nomophobic behaviors can hamper nurses' perception of clinical decision-making, potentially leading to inaccuracies or errors. Nurses must use mobile phones judiciously, practice self-regulation and mitigate the disruptive effects of nomophobia on their decision-making. In addition, medical institutions should foster relevant education or craft policies to regularize mobile phone use, augmenting nurses' efficiency and decision-making prowess, enhancing patient care quality, diminishing medical errors and ensuring patient health and safety.
本研究旨在探讨医院护士的手机恐惧症行为对其临床决策感知的影响。这一理解可以为改善工作环境、提高护士的临床决策能力提供依据，并为医疗机构管理相关设备和制定政策提供指导。
“手机恐惧症”是指个体在无法使用智能手机或无法接触到智能手机时产生的焦虑和恐惧。护理临床决策是一个复杂的过程，包括对患者病理状况和医疗史的细致评估，以及应用根植于批判性思维的护理知识和经验学习。临床决策感知的概念被定义为对自身决策过程的深思熟虑的认知理解，这对医疗保健专业人员的临床决策能力有显著影响，从而影响患者护理质量。影响这些临床决策感知的因素已成为广泛研究的主题。然而，中国尚未有关于护士手机恐惧症行为对其临床决策感知影响的研究。
采用基于在线的横断面描述性调查。
采用横断面描述性调查设计。我们于 2023 年 5 月在南京的一家三级医院使用便利抽样法调查了护士。采用社会人口统计学数据表格、手机恐惧症问卷和护理临床决策量表收集数据。采用独立样本 t 检验、单因素方差分析、皮尔逊相关分析和线性回归分析等技术，探究手机恐惧症的程度及其对临床决策感知的影响。在收集的 284 份问卷中，有 272 份被认为是有效的，有效应答率为 95.8%。
数据显示，参与者表现出中等程度的手机恐惧症（54.01±24.09）和临床决策感知（144.94±20.08）。手机恐惧症与临床决策感知之间存在显著负相关（r：-0.365，P<0.001）。研究表明，随着手机恐惧症程度的加剧，护士的临床决策感知会随着手机恐惧症的增加而降低。
手机恐惧症行为会干扰护士的临床决策感知，可能导致不准确或错误的决策。护士在使用手机时必须谨慎，进行自我调节，并减轻手机恐惧症对其决策的干扰。此外，医疗机构应加强相关教育或制定政策，规范手机使用，提高护士的工作效率和决策能力，提升患者护理质量，减少医疗差错，确保患者的健康和安全。
