Mattia Bozzetti, Ilaria Marcomini, Miriam Mariani, Gianmario Pedretti, Alberto Silla, Roberta Pendoni
{"title":"护士个人和环境因素对护理诊断方法的影响：聚类分析。","authors":"Mattia Bozzetti, Ilaria Marcomini, Miriam Mariani, Gianmario Pedretti, Alberto Silla, Roberta Pendoni","doi":"10.1111/2047-3095.70021","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to identify distinct nurse clusters based on personal and environmental factors influencing their approaches to nursing diagnosis (NDs).</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 444 nurses from two hospitals in Italy. Data were collected using validated tools: the Behavioral Beliefs Scale (BBS), Normative Beliefs Scale (NBS), Control Beliefs Scale (CBS), positions on nursing diagnosis, Intention Scale (INT), Behavior Scale, Practice Environment Scale of the Nursing Work Index, and Nurse Clinical Reasoning Scale. A cluster analysis was performed.</p><p><strong>Results: </strong>The study analyzed 444 nurses, predominantly female (85.36%) with a mean age of 40.11 and 20.92 years of experience in nursing. Factor analysis confirmed the unidimensional structures for the BBS, NBS, and CBS scales, with excellent fit and reliability. Three clusters emerged: \"positive beliefs\" (37.4%), \"neutral beliefs\" (48.6%), and \"negative beliefs\" (14%). Nurses in the positive cluster exhibited stronger clinical reasoning skills and more favorable perceptions of the work environment. Significant differences were noted across clusters regarding practice environment subscales and behavioral beliefs.</p><p><strong>Conclusions: </strong>Both personal and environmental factors significantly impact nurses' engagement with NDs. Tailored strategies to improve clinical reasoning and enhance work environments are essential to fostering positive attitudes and effective use of NDs.</p><p><strong>Implications for nursing practice: </strong>By classifying nurses based on their beliefs regarding nursing diagnoses, administrators and educators can more effectively tailor interventions to improve the application of nursing diagnoses in practical environments.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nurses' personal and environmental factors in approaches to nursing diagnoses: A cluster analysis.\",\"authors\":\"Mattia Bozzetti, Ilaria Marcomini, Miriam Mariani, Gianmario Pedretti, Alberto Silla, Roberta Pendoni\",\"doi\":\"10.1111/2047-3095.70021\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>This study aimed to identify distinct nurse clusters based on personal and environmental factors influencing their approaches to nursing diagnosis (NDs).</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 444 nurses from two hospitals in Italy. Data were collected using validated tools: the Behavioral Beliefs Scale (BBS), Normative Beliefs Scale (NBS), Control Beliefs Scale (CBS), positions on nursing diagnosis, Intention Scale (INT), Behavior Scale, Practice Environment Scale of the Nursing Work Index, and Nurse Clinical Reasoning Scale. A cluster analysis was performed.</p><p><strong>Results: </strong>The study analyzed 444 nurses, predominantly female (85.36%) with a mean age of 40.11 and 20.92 years of experience in nursing. Factor analysis confirmed the unidimensional structures for the BBS, NBS, and CBS scales, with excellent fit and reliability. Three clusters emerged: \\\"positive beliefs\\\" (37.4%), \\\"neutral beliefs\\\" (48.6%), and \\\"negative beliefs\\\" (14%). Nurses in the positive cluster exhibited stronger clinical reasoning skills and more favorable perceptions of the work environment. Significant differences were noted across clusters regarding practice environment subscales and behavioral beliefs.</p><p><strong>Conclusions: </strong>Both personal and environmental factors significantly impact nurses' engagement with NDs. Tailored strategies to improve clinical reasoning and enhance work environments are essential to fostering positive attitudes and effective use of NDs.</p><p><strong>Implications for nursing practice: </strong>By classifying nurses based on their beliefs regarding nursing diagnoses, administrators and educators can more effectively tailor interventions to improve the application of nursing diagnoses in practical environments.</p>\",\"PeriodicalId\":49051,\"journal\":{\"name\":\"International Journal of Nursing Knowledge\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-08-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Knowledge\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/2047-3095.70021\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Knowledge","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/2047-3095.70021","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Nurses' personal and environmental factors in approaches to nursing diagnoses: A cluster analysis.
Aim: This study aimed to identify distinct nurse clusters based on personal and environmental factors influencing their approaches to nursing diagnosis (NDs).
Methods: A cross-sectional study was conducted with 444 nurses from two hospitals in Italy. Data were collected using validated tools: the Behavioral Beliefs Scale (BBS), Normative Beliefs Scale (NBS), Control Beliefs Scale (CBS), positions on nursing diagnosis, Intention Scale (INT), Behavior Scale, Practice Environment Scale of the Nursing Work Index, and Nurse Clinical Reasoning Scale. A cluster analysis was performed.
Results: The study analyzed 444 nurses, predominantly female (85.36%) with a mean age of 40.11 and 20.92 years of experience in nursing. Factor analysis confirmed the unidimensional structures for the BBS, NBS, and CBS scales, with excellent fit and reliability. Three clusters emerged: "positive beliefs" (37.4%), "neutral beliefs" (48.6%), and "negative beliefs" (14%). Nurses in the positive cluster exhibited stronger clinical reasoning skills and more favorable perceptions of the work environment. Significant differences were noted across clusters regarding practice environment subscales and behavioral beliefs.
Conclusions: Both personal and environmental factors significantly impact nurses' engagement with NDs. Tailored strategies to improve clinical reasoning and enhance work environments are essential to fostering positive attitudes and effective use of NDs.
Implications for nursing practice: By classifying nurses based on their beliefs regarding nursing diagnoses, administrators and educators can more effectively tailor interventions to improve the application of nursing diagnoses in practical environments.
期刊介绍：
The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge.
The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages.
The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy.
The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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