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An Investigation of Factors Influencing Nurses' Clinical Decision-Making Skills

机译:影响护士临床决策技能的因素调查

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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.
机译:这项研究旨在调查影响护士临床决策(CDM)技能的因素。 2014年5月至2014年6月间,在两家大学医院的医疗,外科和急诊室进行了横断面非实验研究设计。我们使用分位数回归方法来确定影响CDM技能分布的不同分位数的影响因素,并进行了比较。结果以及相应的普通最小二乘法(OLS)估计。我们的发现表明,护士最擅长自我管理。教育程度,经验和总体结构授权对护士的CDM技能具有显着的积极影响,而护士与患者的关系,患者护理和互动,正式的授权和信息授权与护士的CDM技能呈负相关。这些变量解释了护士CDM技能差异的不超过30%,主要解释了护士CDM技能分布的较低分位数。

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