关键词:

新生儿科, 护理实习生, 临床决策能力, 潜在剖面分析

Abstract:

Objective　To explore the potential group characteristics and influencing factors of clinical decision-making ability of nursing interns in neonatology department, and to provide some evidences for optimizing the nursing education model. Methods　From July to December 2024, using the convenience sampling method, 287 nursing interns from the Affiliated Children's Hospital of Xiangya School of Medicine, Central South University (Hunan Children's Hospital) were selected as the research objects, including 20 males and 267 females who were (19.8±1.2) years old. The General Data Questionnaire, Self-learning Ability Assessment Scale, Workplace Bullying Questionnaire, and Nursing Clinical Decision Scale were used to investigate the interns. The Mplus 7.0 software was used to establish the potential profile model, and the SPSS 21.0 software was used for the statistical analysis, including analysis of variance and multivariate logistic regression analysis. Results　The research found that the interns' clinical decision-making ability could be divided into three potential profiles: low, medium, and high, accounting for 30.31% (87/287), 38.68% (111/287), and 31.01% (89/287), respectively. The total scores of clinical decision-making ability in the 3 groups were 104.52±14.87, 141.23±15.13, and 161.45±12.69, respectively. The multivariate logistic regression analysis showed that educational level, class leader, attitude toward nursing profession, determination to engage in nursing work, independent learning ability, and workplace bullying were independent factors affecting the category of clinical decision-making ability (all P<0.05). Conclusions　There is obvious heterogeneity in the clinical decision-making ability of nursing interns in neonatology department. Nursing education should pay attention to the interns' individual differences, and improve their clinical decision-making ability optimizing the education model and practice environment, so as to improve nursing quality and patient safety in neonatology department.

Key words:

Neonatology department, Nursing interns, Clinical decision-making ability, Potential profile analysis