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影响护士谵妄护理核心能力的因素:描述性相关性研究。

Factors Affecting Delirium Care Core Competency Among Nurses: A Descriptive Correlational Study.

机构信息

Department of Paramedicine, Howan University, Jeollabuk-do, Republic of Korea.

Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea.

出版信息

Nurs Health Sci. 2024 Dec;26(4):e13158. doi: 10.1111/nhs.13158.

Abstract

Nurses require optimal competency to deliver safe and high-quality care to patients with delirium. However, the factors influencing delirium care core competency remain unclear. This study aims to investigate the factors influencing core competency in delirium care among nurses. This study was conducted as a descriptive correlational study following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. A convenience sample of 202 Korean nurses from 15 hospitals completed a structured, web-based, self-administered questionnaire. The survey covered general characteristics, delirium care knowledge, moral sensitivity, barriers to delirium care, and core competency in delirium care. Multiple regression analysis identified the factors affecting core competency in delirium care. Results showed that barriers to delirium care, moral sensitivity, academic qualifications, and clinical ladder level were significant factors, accounting for 18.1% of the variance in delirium care core competency. To improve delirium care among nurses, using individual, team, and organizational approaches to address perceived barriers and moral sensitivity is crucial. Competency-based training programs and administrative support are crucial for enhancing the competency of nurses who are novices and those with associate degrees.

摘要

护士需要具备最佳的能力,为患有谵妄的患者提供安全和高质量的护理。然而,影响谵妄护理核心能力的因素尚不清楚。本研究旨在探讨影响护士谵妄护理核心能力的因素。本研究采用描述性相关性研究方法,遵循《流行病学观察研究报告的强化标准》(STROBE)指南进行。从 15 家医院中抽取了 202 名韩国护士作为便利样本,完成了一份基于网络的结构化自我管理问卷。调查涵盖了一般特征、谵妄护理知识、道德敏感性、谵妄护理障碍以及谵妄护理核心能力。多元回归分析确定了影响谵妄护理核心能力的因素。结果表明,谵妄护理障碍、道德敏感性、学历和临床阶梯水平是显著因素,占谵妄护理核心能力方差的 18.1%。为了提高护士的谵妄护理水平,需要采用个人、团队和组织方法来解决感知到的障碍和道德敏感性问题。基于能力的培训计划和行政支持对于提高新手和大专学历护士的能力至关重要。

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