Mediating Pathways of Critical Thinking and Intuition on Triage Competency in Emergency Nurses: A Structural Equation Modeling Approach.

IF 1.7 4区医学 Q3 NURSING

Journal of nursing care quality Pub Date : 2026-04-21 DOI:10.1097/NCQ.0000000000000971

Jeongmin Eom, Susie Yoon

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引用次数: 0

Abstract

Background: Triage competency requires sophisticated cognitive processing. The mechanisms through which critical thinking and intuition influence specific competency dimensions remain unclear.

Objective: The objective of this study is to examine mediating pathways through which critical thinking disposition and intuitive expertise influence triage competency in emergency nurses.

Methods: A cross-sectional study with 145 Korean emergency nurses used structural equation modeling with bootstrap resampling (5000 iterations) to examine mediation pathways.

Results: Critical thinking exerted strong indirect effects through all 3 mediators. Clinical judgment served as the primary pathway, accounting for 94% of total effect (β =.478, 95% CI [0.337, 0.624]). Significant indirect effects occurred through timely decision (β =.324) and expert assessment (β =.265). Intuitive expertise showed positive but nonsignificant relationships.

Conclusions: Critical thinking enhances triage competency primarily through clinical judgment. Educational interventions should prioritize critical thinking development and clinical judgment training.

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批判性思维和直觉对急诊护士分诊能力的中介作用：结构方程建模方法。

背景：分类能力需要复杂的认知加工。批判性思维和直觉影响特定胜任力维度的机制尚不清楚。目的：本研究的目的是探讨批判性思维倾向和直觉专业知识影响急诊护士分诊能力的中介途径。方法：对145名韩国急诊护士进行横断面研究，采用结构方程模型和自举重采样（5000次迭代）来检验中介途径。结果：批判性思维通过三种中介均发挥了较强的间接效应。临床判断是主要途径，占总疗效的94% （β =.478, 95% CI[0.337, 0.624]）。通过及时决策（β =.324）和专家评估（β =.265）产生显著的间接效应。直觉专业知识显示出积极但不显著的关系。结论：批判性思维主要通过临床判断来提高分诊能力。教育干预应优先考虑批判性思维的发展和临床判断的训练。

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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来源期刊

Journal of nursing care quality 医学-护理

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.