Analysis of Influencing Factors of Junior ICU Nurses' Recognition and Response Abilities to Clinical Deterioration: A Cross-Sectional Study.

IF 1.6 Q3 CRITICAL CARE MEDICINE

Critical Care Research and Practice Pub Date : 2025-12-20 eCollection Date: 2025-01-01 DOI:10.1155/ccrp/3230912

Xueqin Guo, Xianke Wang, Chenzi Xu, Yuhan Wang, Xin Li, Lijuan Xiong, Huan Jin

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Abstract

Aim: To evaluate the current status and explore influencing factors of junior intensive care unit (ICU) nurses' recognition and response capabilities to clinical deterioration.

Design: This cross-sectional study followed the STROBE statement.

Methods: From November 2024 to January 2025, 260 junior ICU nurses from five tertiary hospitals in China were recruited. Data were collected using a validated 25-item questionnaire spanning six dimensions to assess their recognition and response abilities. SPSS was used for statistical analyses, including descriptive statistics, Kruskal-Wallis H/Mann-Whitney U tests, and multiple linear regression to examine differences under sociodemographic and occupational factors.

Results: The total score for recognition and response abilities among 250 junior ICU nurses was 99 (95, 103), with an average item score of 3.96 ± 0.83. Dimension scores ranked from lowest to highest: emergency handling, evaluation, teamwork, disease information analysis, disease information acquisition, and clinical decision-making. Education level, work experience, and participation in disease observation training were identified as significant influencing factors.

Conclusions: Junior ICU nurses in China demonstrate relatively strong overall observation skills but insufficient clinical decision-making abilities. Nursing managers and educators should integrate these factors into training to enhance young nurses' capabilities in recognizing and responding to clinical deterioration, which is crucial for improving critical care outcomes.

Patient or public contribution: Patients and the public were not directly involved in the design, implementation, or reporting of this study. However, the results of the study emphasize the importance of improving primary ICU nurses' clinical decision-making skills and emergency response skills, which may have an impact on patient care.

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ICU初级护士对临床恶化认知及反应能力的影响因素分析：横断面研究。

目的：评价初级重症监护室（ICU）护士对临床恶化的认知和反应能力现状，探讨影响因素。设计：本横断面研究遵循STROBE声明。方法：从2024年11月至2025年1月，从全国5家三级医院招募260名初级ICU护士。数据收集使用有效的25项问卷跨越六个维度来评估他们的识别和反应能力。采用SPSS软件进行统计分析，包括描述性统计、Kruskal-Wallis H/Mann-Whitney U检验和多元线性回归，检验社会人口统计学和职业因素下的差异。结果：250名初级ICU护士识别和反应能力总分为99分（95,103分），平均单项得分为3.96±0.83分。维度得分从低到高依次为：应急处理、评估、团队合作、疾病信息分析、疾病信息获取、临床决策。受教育程度、工作经验、参与疾病观察培训为显著影响因素。结论：中国初级ICU护士整体观察能力较强，但临床决策能力不足。护理管理人员和教育工作者应将这些因素纳入培训，以提高年轻护士识别和应对临床恶化的能力，这对改善重症监护结果至关重要。患者或公众贡献：患者和公众没有直接参与本研究的设计、实施或报告。然而，研究结果强调了提高初级ICU护士临床决策技能和应急反应技能的重要性，这可能会对患者护理产生影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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