重症监护室护士:批判性思维技能和关怀行为

Yu-Ching Yang, Hui-Man Huang, Tzu-Chi Chen
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摘要

背景:重症监护室(ICU)护士必须批判性地思考,以识别和处理患者的问题,从而提供更好的护理。然而,目前还没有研究探讨ICU护士的批判性思维技能和护理行为。目的:了解台湾ICU护士的个人特质、批判性思维能力与照护行为的关系。方法:采用横断面相关研究。从台湾南部的三家医院招募了352名ICU护士作为方便样本。使用自我报告测量方法收集数据,包括个人特征问卷、批判性思维技能量表和关爱行为量表。结果:(a)ICU护士的批判性思维能力和护理行为均为“中等”,指标得分分别为52.5和65.6。(b) 护士的整体批判性思维技能与他们的临床阶梯有关,他们的“推理技能”受到资历的影响,他们的”解释技能“受到职位头衔的影响。(c) 他们的照顾行为受到年龄、婚姻状况、临床等级、医院工作年限和ICU工作年限的影响。(d) 他们的批判性思维能力和关心他人的行为没有关联。结论:在医疗保健部门,管理人员应努力提高ICU护士的批判性思维技能,并教会他们具体的行为,以帮助他们更好地照顾ICU患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intensive Care Unit Nurses: Critical Thinking Skills and Caring Behaviors
Background: Intensive care unit (ICU) nurses must think critically in order to identify and deal with patients problems and thus provide better care. Currently, however, no existing research has explored ICU nurses’ critical thinking skills and caring behaviors. Purpose: To investigate the associations among the personal characteristics, critical thinking skills, and caring behaviors of ICU nurses in Taiwan. Methods: A cross-sectional correlational study was conducted. A convenience sample of 352 ICU nurses was recruited from three hospitals in southern Taiwan. Data were collected using self‐report measures including a Personal Characteristics Questionnaire, the Critical Thinking Skills Scale, and the Caring Behaviors Scale. Results: (a) The critical thinking skills and caring behaviors of the ICU nurses were found to be “moderate”, with index scores of 52.5 and 65.6, respectively. (b) The nurses’ overall critical thinking skills were associated by their clinical ladder, with their “Inference skills” being affected by their seniority and their “Interpretation skills” being affected by their position titles. (c) Their caring behaviors were affected by their age, marital status, clinical ladder, hospital work seniority, and ICU work seniority. (d) Their critical thinking skills and caring behaviors were not associated. Conclusions: In the healthcare sector, managers should seek to enhance ICU nurses’ critical thinking skills and teach them specific behaviors to help them better care for ICU patients.
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