影响急诊护士分诊能力的因素：心理弹性、社会支持和工作相关因素的作用

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-09-23 DOI:10.1016/j.ienj.2025.101681

JianMei Chen , JiaHui Ma , Ao Zhao , XueHuan Huang

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引用次数: 0

摘要

目的本研究旨在探讨急诊护士的心理弹性、感知社会支持和工作相关因素是否与分诊能力独立相关。分类护士在急诊护理中发挥着至关重要的作用，但影响其能力的因素仍未得到充分探讨。心理弹性和社会支持对绩效有显著影响。了解这些影响对有针对性的干预至关重要。设计：横断面研究于2024年5月至12月进行，涉及来自中国30家医院的291名急诊分诊护士。方法采用自填问卷，采用多中心方便抽样。测试工具包括分诊能力量表、心理弹性量表和感知社会支持量表。分析包括描述性统计、方差分析、t检验和多元线性回归。结果在包含14个预测因子的多变量模型中，职业发展前景（p = 0.001）、工作环境（p = 0.040）、内部心理弹性（p < 0.001）和家庭支持（p = 0.040）与分诊能力的高低独立相关。该模型解释了66.6%的方差（调整后的R2 = 0.666; F (14,276) = 42.219, p < 0.001）。结论职业前景、支持性工作环境、心理弹性和家庭支持对分诊能力有显著影响。提高分诊能力需要有针对性的干预措施，包括弹性训练、职业发展计划和支持性工作环境，以提高护士的表现，最终改善患者的治疗效果。

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Factors influencing triage competence in emergency nurses: The role of resilience, social support, and work-related factors

Aims

This multi-center cross-sectional correlational study examined whether psychological resilience, perceived social support, and work-related factors were independently associated with triage competence among emergency nurses.

Background

Triage nurses play a vital role in emergency care, yet factors shaping their competence remain underexplored. Psychological resilience and social support may significantly impact performance. Understanding these influences is crucial for targeted interventions. Design:A cross-sectional study was conducted from May to December 2024, involving 291 emergency triage nurses from 30 hospitals across China.

Methods

Data were collected via self-administered questionnaires using multi-center convenience sampling. Instruments included the Triage Competence Scale, Psychological Resilience Scale, and Perceived Social Support Scale. Analyses comprised descriptive statistics, ANOVA, t-tests, and multiple linear regression.

Results

In the multivariable model including 14 candidate predictors, career development prospects (p = 0.001), work environment (p = 0.040), internal resilience (p < 0.001), and family support (p = 0.040) were independently associated with higher triage competence. The model explained 66.6 % of the variance (adjusted R² = 0.666; F (14, 276) = 42.219, p < 0.001).

Conclusion

Career prospects, a supportive work environment, resilience, and family support significantly influence triage competence. Improving triage competence requires targeted interventions, including resilience training, career development programs, and supportive work environments, to enhance nurse performance and ultimately improve patient outcomes.

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.