Alnjadat Rafi, Almomani Eshraq, Al Hadid Lourance, Al-Omari Amer, Fraihat Alaa
Irbid University College, Al-Balqa Applied University, P.O. Box: 20, Irbid, 22110, Jordan.
Faculty of Nursing, Al-Balqa Applied University, Irbid, Jordan.
BMC Nurs. 2024 Jun 24;23(1):424. doi: 10.1186/s12912-024-02108-3.
The ability of a nurse to make effective clinical decisions is the most important factor that can affect the treatment quality. However, several factors can affect the ability of nursing and midwifery students to make effective clinical decisions.
This study aims to identify the confounding factors that may affect the clinical decision making of nurses and thus patient outcomes after the COVID-19 pandemic in Jordan.
A descriptive cross-sectional design was employed in this study. An online self-administered questionnaire was distributed to 269 nursing and midwifery students selected through purposive sampling, 224 of whom completed the questionnaire. The valid and reliable nursing decision-making instrument, which consisted of 24 items, was employed to gather the data, and descriptive statistics and simple linear regression were employed for the data analysis. Data was collected from November to the end of December 2022.
Among the respondents, 72.8% were female, and the average age was 20.79 years (SD = 1.44). The vast majority of the respondents (94.6%) was unmarried, and 74.1% were pursuing a nursing degree. The simple linear regression analysis showed that clinical decision making had a negative and significant relationship with social media usage of an average of 6 h a day (β=-0.085). Moreover, the male nursing students obtained lower clinical decision-making scores (β= -0.408) compared with the female nursing students.
Social media usage and gender have a considerable effect on the clinical decision making of the nursing and midwifery students. Therefore, the confounding factors that can affect the clinical decision making of nurses should be discussed further, and strategies to address such factors should be implemented.
护士做出有效临床决策的能力是影响治疗质量的最重要因素。然而，有几个因素会影响护理和助产专业学生做出有效临床决策的能力。
本研究旨在确定可能影响约旦护士临床决策的混杂因素，从而确定新冠疫情后对患者预后的影响。
本研究采用描述性横断面设计。通过目的抽样选取269名护理和助产专业学生，向他们发放一份在线自填式问卷，其中224人完成了问卷。采用由24个项目组成的有效且可靠的护理决策工具收集数据，并运用描述性统计和简单线性回归进行数据分析。数据收集时间为2022年11月至12月底。
在受访者中，72.8%为女性，平均年龄为20.79岁（标准差=1.44）。绝大多数受访者（94.6%）未婚，74.1%正在攻读护理学位。简单线性回归分析表明，临床决策与平均每天使用6小时社交媒体呈负相关且具有显著相关性（β=-0.085）。此外，与女性护理专业学生相比，男性护理专业学生的临床决策得分较低（β=-0.408）。
社交媒体使用情况和性别对护理和助产专业学生的临床决策有相当大的影响。因此，应进一步探讨可能影响护士临床决策的混杂因素，并实施应对这些因素的策略。
