{"title":"批判性思维倾向、临床判断和护医合作对分诊护士分诊能力的影响。","authors":"Ji-Won Song, Hyung-Ran Park","doi":"10.3390/healthcare13040405","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background/Objectives</b>: This study aimed to investigate the relationship between critical thinking disposition, clinical judgement, nurse-physician collaboration, and triage competency among triage nurses and to identify the factors influencing triage competency. <b>Methods</b>: This descriptive survey study included 152 triage nurses from one tertiary and six general hospitals. Data were collected from 1 September to 1 November 2023 and analysed using SPSS 29.0. <b>Results</b>: Triage competency was positively correlated with critical thinking disposition (<i>r</i> = 0.55, <i>p</i> < 0.001) and clinical judgement (<i>r</i> = 0.61, <i>p</i> < 0.001), while it was negatively correlated with nurse-physician collaboration (<i>r</i> = -0.52, <i>p</i> < 0.001). The hierarchical regression analysis showed that five variables, critical thinking disposition, clinical judgement, nurse-physician collaboration, education level, and years of experience in the emergency department, significantly influenced triage competency. The explanatory power of these variables for triage competency was 63.7% (F = 27.52, <i>p</i> < 0.001). <b>Conclusions</b>: Based on the findings, increasing the level of cooperation and fostering more cooperative relationships between nurses and physicians are necessary measures to improve their triage competency.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 4","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855330/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effects of Critical Thinking Disposition, Clinical Judgement, and Nurse-Physician Collaboration on Triage Competency Among Triage Nurses.\",\"authors\":\"Ji-Won Song, Hyung-Ran Park\",\"doi\":\"10.3390/healthcare13040405\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Background/Objectives</b>: This study aimed to investigate the relationship between critical thinking disposition, clinical judgement, nurse-physician collaboration, and triage competency among triage nurses and to identify the factors influencing triage competency. <b>Methods</b>: This descriptive survey study included 152 triage nurses from one tertiary and six general hospitals. Data were collected from 1 September to 1 November 2023 and analysed using SPSS 29.0. <b>Results</b>: Triage competency was positively correlated with critical thinking disposition (<i>r</i> = 0.55, <i>p</i> < 0.001) and clinical judgement (<i>r</i> = 0.61, <i>p</i> < 0.001), while it was negatively correlated with nurse-physician collaboration (<i>r</i> = -0.52, <i>p</i> < 0.001). The hierarchical regression analysis showed that five variables, critical thinking disposition, clinical judgement, nurse-physician collaboration, education level, and years of experience in the emergency department, significantly influenced triage competency. The explanatory power of these variables for triage competency was 63.7% (F = 27.52, <i>p</i> < 0.001). <b>Conclusions</b>: Based on the findings, increasing the level of cooperation and fostering more cooperative relationships between nurses and physicians are necessary measures to improve their triage competency.</p>\",\"PeriodicalId\":12977,\"journal\":{\"name\":\"Healthcare\",\"volume\":\"13 4\",\"pages\":\"\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-02-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855330/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Healthcare\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3390/healthcare13040405\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3390/healthcare13040405","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
摘要
背景/目的:本研究旨在探讨分诊护士批判性思维倾向、临床判断、护医合作与分诊能力的关系,并探讨影响分诊能力的因素。方法:对1所三级医院和6所综合医院的152名分诊护士进行描述性调查研究。数据于2023年9月1日至11月1日收集,并使用SPSS 29.0进行分析。结果:分诊能力与批判性思维倾向呈正相关(r = 0.55, p < 0.001),与临床判断呈正相关(r = 0.61, p < 0.001),与护医协作呈负相关(r = -0.52, p < 0.001)。层次回归分析显示,批判性思维倾向、临床判断、护医合作、教育程度、急诊科工作年限等5个变量对分诊能力有显著影响。这些变量对分诊能力的解释能力为63.7% (F = 27.52, p < 0.001)。结论:根据研究结果,提高护理人员与医生之间的合作水平,培养更多的合作关系是提高护理人员分诊能力的必要措施。
Effects of Critical Thinking Disposition, Clinical Judgement, and Nurse-Physician Collaboration on Triage Competency Among Triage Nurses.
Background/Objectives: This study aimed to investigate the relationship between critical thinking disposition, clinical judgement, nurse-physician collaboration, and triage competency among triage nurses and to identify the factors influencing triage competency. Methods: This descriptive survey study included 152 triage nurses from one tertiary and six general hospitals. Data were collected from 1 September to 1 November 2023 and analysed using SPSS 29.0. Results: Triage competency was positively correlated with critical thinking disposition (r = 0.55, p < 0.001) and clinical judgement (r = 0.61, p < 0.001), while it was negatively correlated with nurse-physician collaboration (r = -0.52, p < 0.001). The hierarchical regression analysis showed that five variables, critical thinking disposition, clinical judgement, nurse-physician collaboration, education level, and years of experience in the emergency department, significantly influenced triage competency. The explanatory power of these variables for triage competency was 63.7% (F = 27.52, p < 0.001). Conclusions: Based on the findings, increasing the level of cooperation and fostering more cooperative relationships between nurses and physicians are necessary measures to improve their triage competency.
期刊介绍:
Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.