南通市5所医院急、危重症科护士决策风格与灾害救护能力相关性研究

职业与健康 ›› 2024, Vol. 40 ›› Issue (8): 1067-1072.

南通市5所医院急、危重症科护士决策风格与灾害救护能力相关性研究

李丽娜^1a, 张艳^1a, 左美云^1a, 马雯^1b, 王晶晶²

1.南通大学附属海安人民医院a 外科危重症医学科, b 急诊科,江苏南通 226600;
2.南通大学附属医院急诊科, 江苏南通 226001

收稿日期:2023-08-14 修回日期:2023-09-12 出版日期:2024-04-15 发布日期:2026-03-16
通信作者: 张艳,副主任护师,E-mail：zhangyan510@163.com
作者简介:李丽娜,女,主管护师,主要从事危重症临床研究工作。
基金资助:
江苏省现代医院管理项目（JSY32018109）; 南通市基础科学研究和社会民生科技计划项目（MSZ2022131）

Research on correlation between decision style and disaster rescue ability of nurses in emergency department and critical care department of five hospitals in Nantong City

LI Lina^1a, ZHANG Yan^1a, ZUO Meiyun^1a, MA Wen^1b, WANG Jingjing²

1. a Department of Surgical Critical Care Medicine,b Emergency Department,Hai'an People's Hospital Affiliated to Nantong University,Nantong Jiangsu,226600, China;
2. Emergency Department,Affiliated Hospital of Nantong University,Nantong Jiangsu,226001, China

Received:2023-08-14 Revised:2023-09-12 Online:2024-04-15 Published:2026-03-16
Contact: ZHANG Yan,Deputy chief nurse,E-mail：zhangyan510@163.com

摘要/Abstract

摘要： 目的调查急、危重症科护士的决策风格及灾害救护能力的现状,并探究两者的相关性。方法 2022年4—12月,采用便利抽样法,以一般资料问卷、决策风格量表、灾害救护核心能力问卷对南通市5所医院的242名急、危重症科护士开展问卷调查。采用多元线性回归分析急、危重症科护士灾害救护能力的影响因素。结果南通市急、危重症科护士决策风格得分为（67.97±10.82）分,灾害救护能力总分为（128.34±30.91）分。单因素分析结果表明,不同急、危重症工作年限、职称,是否急、危重症专科护士、是否参与救灾培训、不同灾害救援经历的急、危重症科护士灾害救护能力得分比较,差异均有统计学意义（均P<0.05）。Pearson相关分析表明,理智型、直觉-冲动型决策风格与急、危重症科护士的灾害救护能力均呈正相关（r=0.365、0.197,均P<0.05）,逃避型决策风格与急、危重症科护士灾害救护能力呈负相关（r=-0.256,P<0.05）,而依赖型决策风格与急、危重症科护士灾害救护能力的相关性均无统计意义（均P>0.05）。多元线性回归分析结果显示,急、危重症工作年限、参与过灾害培训、经历过灾害救援、理智型决策风格均是急、危重症科护士正向影响灾害救护能力的因素（均P<0.05）,而逃避型决策风格是灾害救护能力的负向预测因素（P<0.05）。结论急、危重症科护士以理智型决策风格为主,医疗机构及护理管理者应积极组织灾害救护培训,鼓励护士参与救灾实践,并识别急、危重症科护士的决策风格,以维持和提升急、危重症科护士队伍的灾害救护能力。

关键词: 决策风格, 灾害救护, 急、危重症科护士, 理智型, 逃避型

Abstract: Objective To investigate the current situation of decision-making style and disaster rescue ability of nurses in emergency and critical care departments of five hospitals in Nantong City,and explore the correlation between decision-making style and disaster rescue ability. Methods From April to December 2022,a convenience sampling method was used to conduct a questionnaire survey on 242 emergency and critical care nurses from 5 hospitals in Nantong City,using general information questionnaires,decision-making style scale and disaster rescue core competency questionnaire. Using multiple linear regression analysis to analyze the influencing factors of disaster rescue ability of nurses in emergency and critical care departments. Results The decision-making style score of nurses in the emergency and critical care department was （67.97±10.82）points,and the total score of disaster rescue ability was （128.34±30.91）points. The results of univariate analysis showed that there were statistically significant difference in the disaster rescue ability scores of nurses in the emergency and critical care departments with different years of service,professional titles,whether they were specialized nurses in emergency and critical care,whether they participated in disaster relief training and different disaster rescue experiences（all P<0.05）. Pearson correlation analysis showed that rational styles and intuitive impulsive decision-making styles were positively correlated with the disaster rescue ability of nurses in emergency and critical care departments（r=0.365,0.197,both P<0.05）,while avoidance decision-making styles were negatively correlated with the disaster rescue ability of nurses in emergency and critical care departments（r=-0.256,P<0.05）.However,there was no statistically significant correlation between dependent decision-making styles and the disaster rescue ability of nurses in emergency and critical care departments（P>0.05）. The results of multiple linear regression analysis showed that years of work in emergency and critical care,participation in disaster training,experience in disaster rescue and rational decision-making style were all positive factors affecting the disaster rescue ability of nurses in emergency and critical care departments（all P<0.05）,while avoidance decision-making style was a negative predictive factor of disaster rescue ability（P<0.05）. Conclusion Emergency and critical care nurses mainly adopt a rational decision-making style. Medical institutions and nursing managers should actively organize disaster rescue training,encourage nurses to participate in disaster relief practices,and identify the decision-making style of emergency and critical care nurses to maintain and improve the disaster rescue ability of the emergency and critical care nurse team.

Key words: Decision-making style, Disaster rescue, Nurses in emergency and critical care departments, Rational style, Avoidance style

中图分类号:

R192.6

李丽娜, 张艳, 左美云, 马雯, 王晶晶. 南通市5所医院急、危重症科护士决策风格与灾害救护能力相关性研究. [J]职业与健康, 2024, 40(8): 1067-1072.

LI Lina, ZHANG Yan, ZUO Meiyun, MA Wen, WANG Jingjing. Research on correlation between decision style and disaster rescue ability of nurses in emergency department and critical care department of five hospitals in Nantong City. [J]OCCUPATION AND HEALTH, 2024, 40(8): 1067-1072.

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